|
Number of case |
Age |
Sex | Diagnosis | Important findings |
Time from first diagnosis to relapse |
Time from second diagnosis to relapse |
Criteria for lineage switching |
Clinical outcome |
References |
1st diagnosis | 2nd diagnosis at relapse | 3rd diagnosis at second relapse | 1st diagnosis | 2nd diagnosis at relapse | 3rd diagnosis at second relapse |
|
1 | Neonate | F | ALL L1 | AML M5 | — | 46 XX t(1;6), t(4;11) CD19+ CD22+ CD79a+, MPO− CD34− CD117− | 46 XX t(1;6), t(4;11) CD19− CD22− CD79a− CD14+ CD33+ CD13+ | — | Day 100 after induction of chemotherapy | — | Morphologic and immunophenotypic | Died | [31] |
|
2 | At birth | F | AML M5 | B-ALL L1 | — | t(9;11) | Karyotype NR | — | 12 mo | — | Morphologic | Alive | [32] |
|
3 | At birth | F | AML M5 | B-ALL | — | t(4:11) MPO− CD33+ CD13+ HLA-DR+ CD14+ | t(4:11) CD34+ CD19+ CD22+ HLADR+ CD10− | — | 18 dy | — | Morphologic and immunophenotypic | Died | [33] |
|
4 | 12 dy | ? | B-ALL | AML M5 | — | MLL rearrangement | MLL rearrangement | — | 7 dy | — | Morphologic | NR | [34] |
|
5 | 21 dy | M | Pro-B ALL | AML | — | t(4;11) MPOX− CD10– CD19+ CD22+ CD34+ CD38+ | t(4;11) CD20+ CD13+ CD14+ CD15+ CD33+ CD41+ CD61+ | — | 8 dy | — | Morphologic and immunophenotypic | Died | [35] |
|
6 | 3 mo | F | Pre-B cell ALL L1 | AML M4 | — | t(4;11) PAS+ MPO− ANBE− CD19+ CD34+ TdT+ CD33+ | FISH with MLL signal MPO+ ANBE+ CD2+ CD13+ CD14+ CD33+ CD41+ CD65+ | — | 2 mo | — | Morphologic and immunophenotypic | Alive after allo-HSCT | [36]
|
|
7 | 9 mo | M | ALL | AML M5b | — | t(11;16) | t(11;16) | — | 8 mo | — | Morphologic | Died | [37] |
|
8 | 15 mo | M | pro-B ALL L1 | AML M0 | — | 46 XY. CD19+ HLA-DR+ | 46 XY t(9;11) MPO− CD33+ cyCD13+ cyCD33+ CD117+ | — | 76 mo | — | Morphologic, immunophenotypic and cytogenetic | Alive after allo-HSCT | [36] |
|
9 | 25 mo | ? | AML | ALL L1 | — | 46 XY (11q23) PAS+ MPO− | Normal karyotype | — | 1 yr | — | Morphologic and cytogenetic | Alive | [38] |
|
10 | 4 yr | M | AML M5 | ALL pro-B | — | Normal karyotype PAX 5 negative when patient was under surveillance CD10− CD19− CD13+ CD14+ CD15+ | Normal karyotype CD10+ CD19+ CD13− CD14− CD15− | — | 9 mo | — | Morphologic and immunophenotypic | Died | [39] |
|
11 | 4 yr | F | ALL L1 | AML mo | BM: ALL L1 CNS: AML mo | Normal karyotype BM: MPO– BM: CD13+ CD19+ D22+ CD33+ CD38+ CD34+ HLA DR+ | BM: MPO+ | Karyotype 47XX+ 18 BM: MPO– BM: CD13− CD19+ D22 NR CD33+ CD38 NR CD34 NR HLA DR+ | 2 yr after complete remission | 1 mo | Morphologic and immunophenotypic | Died | [40] |
|
12 | 6 yr | M | B-lineage common cell ALL L1 | AML M4 | — | 56 XY HLA-DR+ TdT+ CD10+ CD19+ CD22+ | 46 XY t(8;16) MPO+ ANBE+ HLA-DR+ CD13+ CD14+ CD33+ | — | 9 mo | — | Morphologic, immunophenotypic, and cytogenetic | Alive | [36]
|
|
13 | 7 yr | F | B-lineage ALL L2 | T cell ALL | AML M1 | 46, XX MPO− HLA-DR+, cyIgM+ CD33.+ PAS+ NSE− | Trisomy 13 CD2+ CD5+ CD7+ CD34+ HLA-DR+ CD33+ | ANBE−. MPO+. CD13+, CD33+, CD34+ HLA-DR+ CD7+ | 14 mo | 45 dy | Morphologic, immunophenotypic and cytogenetic | Died | [36] |
|
14 | 8 yr | M | AML | ALL | — | Karyotype NR | Normal karyotype | — | 13 mo | — | Morphologic | Alive | [41] |
|
15 | 9 yr | M | ALL L1 | AML M4 | — | 56 XY | 46 XY t(8;16) | — | 9 mo | — | Morphologic and cytogenetic | Alive | [42] |
|
16 | 13 yr | F | Common B-cell ALL | AML M4/M5 | — | t(12;21) amplification of RUNX1 | Amplification of RUNX1 | — | 5 yr | — | Morphologic | Alive | [43] |
|
17 | 16 yr | F | T-cell ALL | AML M0 | — | 46 XX MPO− CD7+ CD4− CD8− CD1− TdT+ | , XX, + X, MPO− CD19+ CD117+ CD33+ CD34+ CD56+ | — | 13 mo | — | Morphologic, immunophenotypic, and cytogenetic | Died | [44] |
|
18 | 20 yr | M | T-ALL | AML | — | 52 XY MPO− cytCD3+, CD5+ CD2+ TdT+ CD7+ CD3− CD1a− CD10− CD33− CD117− CD19− CD13± | MPO− CD117+ CD33+ CD13+ CD56+ TdT− CD7− cyCD3− CD2− CD5− CD19+ | — | 21 mo | — | Morphologic and immunophenotypic | Died | [45] |
|