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B-cell prolymphocytic leukemia expressing CD13 antigen

A Matsushita1, K Nagai, T Ishikawa

  • 1Department of Immuno-Hematology, Kobe City General Hospital, Japan.

International Journal of Hematology
|August 1, 1994
PubMed
Summary

This study reports a rare case of B-cell prolymphocytic leukemia (B-PLL) in a 74-year-old female. The leukemia cells uniquely expressed the myeloid-associated antigen CD13, alongside typical B-cell markers.

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Area of Science:

  • Hematology
  • Immunology
  • Oncology

Background:

  • Myeloid-associated antigen CD13 expression is typically observed in aggressive B-cell chronic lymphocytic leukemia.
  • Its presence in other mature B-cell neoplasms is considered rare.

Observation:

  • A 74-year-old female presented with splenomegaly and hematological findings consistent with B-cell prolymphocytic leukemia (B-PLL).
  • Flow cytometry analysis revealed that the B-PLL cells expressed CD13 antigen simultaneously with B-cell markers CD19 and CD20.
  • Immunoglobulin gene rearrangement was detected, but not TCR-beta gene rearrangement.

Findings:

  • The B-PLL cells expressed a unique immunophenotype including CD11b, CD13, CD19, CD20, CD24, HLA-DR, FMC7, mu, and lambda.
  • Dual-color flow cytometry confirmed the co-expression of CD13 and CD19 on the malignant cells.

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  • Cytogenetic analysis identified an abnormal karyotype involving chromosomes 1, 7, 10, 12, 14, and 15.
  • Implications:

    • This case expands the known immunophenotypic spectrum of B-cell prolymphocytic leukemia.
    • The co-expression of CD13 in B-PLL may warrant further investigation into its diagnostic and prognostic significance.
    • Understanding aberrant antigen expression aids in refining B-cell neoplasm classification and targeted therapy development.