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Published on: January 28, 2014
Hairy cell leukemia variant with t(2;8)(p12;q24) abnormality
1Department of Pathology, Queen Elizabeth Hospital, Kowloon, Hong Kong.
Insights
Hairy cell leukemia variant, a rare B-cell disorder, typically presents with enlarged spleen and high white blood cell counts. This study details a unique case with a specific chromosomal translocation but no c-MYC rearrangement.
Area of Science:
- Hematology
- Oncology
- Genetics
Background:
- Hairy cell leukemia variant (HCL-V) is a rare chronic B-cell lymphoproliferative disorder.
- Clinical features include splenomegaly and marked leukocytosis.
- Cytologic distinction from classical hairy cell leukemia involves nucleolar morphology.
Observation:
- This report describes a patient diagnosed with hairy cell leukemia variant.
- The patient exhibited a specific chromosomal abnormality: t(2;8)(p12;q34).
- Notably, the c-MYC oncogene rearrangement was absent in this case.
Findings:
- Cytogenetic analysis revealed a t(2;8)(p12;q34) translocation in the hairy cell leukemia variant patient.
- Absence of c-MYC oncogene rearrangement was confirmed, contrasting with some previous reports.
- This finding contributes to the limited cytogenetic data available for HCL-V.
Implications:
- The study expands the understanding of the genetic landscape of hairy cell leukemia variant.
- It highlights the heterogeneity of chromosomal abnormalities in HCL-V.
- Further research into the molecular mechanisms underlying HCL-V with different cytogenetic profiles is warranted.
Abstract:
Hairy cell leukemia variant is an uncommon chronic B-cell lymphoproliferative disorder characterized clinically by splenomegaly and marked leukocytosis. Cytologically, the leukemic cells are distinguishable from those of classical hairy cell leukemia by the presence of single, central, and vesicular nucleoli. Cytogenetic information for this uncommon leukemia is scanty, although structural abnormalities involving 7q34 have been reported in few cases. We report a patient with hairy cell leukemia variant who has t(2;8)(p12;q34) but without [corrected] c-MYC oncogene rearrangement.
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