Evidence map›Paper›PMID 41530508›Full record

ReviewAnnals of hematology2026

A case report and a literature review of Myeloid/Lymphoid Neoplasm with Eosinophilia and PCM1::JAK2 rearrangement representing as B-cell acute lymphoblastic leukemia B-ALL.

Luka Čemažar, Klara Šlajpah, Njetočka Gredelj Šimec, Helena Podgornik

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In one paragraph

Review in Annals of hematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Luka ČemažarDepartment of Hematology, University Medical Centre Ljubljana, Ljubljana, Slovenia. lc36943@student.uni-lj.si.
Klara ŠlajpahDepartment of Hematology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Njetočka Gredelj ŠimecDepartment of Hematology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Helena PodgornikDepartment of Hematology, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myeloid/Lymphoid Neoplasms with Eosinophilia and Tyrosine Kinase Gene Fusions (MLN-eo-TK) represent a distinct and heterogeneous group of hematologic malignancies characterized by recurrent gene fusions involving tyrosine kinases, such as PDGFRA, PDGFRB, FGFR1, JAK2, FLT3, ETV::ABL1 and other partner genes/variants. Among these, gene rearrangements involving PCM1::JAK2 are rare and may present diagnostic challenges, particularly when manifesting as acute lymphoblastic leukemia (ALL). We describe a case of a patient who presented with B-cell acute lymphoblastic leukemia (B-ALL) with a JAK2 rearrangement. After the induction therapy, strong myeloid proliferation in bone marrow without evidence of residual lymphoblasts was observed and JAK2 rearrangement was recognized to be a consequence of translocation t(8;9)(p22;p24)] resulting in PCM1::JAK2 fusion. This finding indicated the presence of an underlying chronic myeloid/lymphoid neoplasm, meeting criteria for MLN-eo-TK. Following an inadequate response to standard chemotherapy, salvage regimens incorporating targeted agents (JAK2 and BCL-2 inhibitors) and allogeneic bone marrow transplantation were administered, all of which unfortunately resulted in short-lived clinical benefit. The case highlights the importance of distinguishing de novo lymphoid malignancies from MLN-eo-TK, especially when JAK2 rearrangements are detected. Recognition of the clonal myeloid component during or after lymphoid-directed therapy has important diagnostic and therapeutic implications, supporting the use of targeted JAK2 inhibition in addition to standard chemotherapy.

Indexed as

EosinophiliaGene RearrangementJanus Kinase 2Oncogene Proteins, FusionPrecursor B-Cell Lymphoblastic Leukemia-LymphomaHumansTranslocation, GeneticJAK2 protein, humanJanus Kinase 2Oncogene Proteins, FusionPCM1-JAK2 fusion protein, humanB-ALLEosinophiliaMLN-eo-TKPCM1:JAK2

Identifiers

PMID41530508
PMCPMC12799711

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.