PMID- 26517296 OWN - NLM STAT- MEDLINE DCOM- 20180409 LR - 20180629 IS - 1552-4957 (Electronic) IS - 1552-4949 (Linking) VI - 92 IP - 4 DP - 2017 Jul TI - Immunophenotypic and cytogenetic findings of B-lymphoblastic leukemia/lymphoma associated with combined IGH/BCL2 and MYC rearrangement. PG - 310-314 LID - 10.1002/cyto.b.21334 [doi] AB - BACKGROUND: B-lymphoblastic leukemias (B-LBL) with combined IGH/BCL2 and MYC rearrangement are rare and their clinical, cytogenetic and immunophenotypic features are not well characterized. Here, we describe a case of a 61-year-old woman with B-LBL associated with these cytogenetic alterations and present a review of the literature of this disease. METHODS: Four-color flow cytometry (FC) was performed on a BD FACSCanto II flow cytometer. Data were analyzed with BD FACSDiva software. Cytogenetic, fluorescence in situ hybridization (FISH), and molecular studies were performed by conventional methods. A review of the literature was performed by a PubMed-assisted search. RESULTS: Including our case, eight B-LBLs associated with a documented "double-hit" karyotype (IGH/BCL2 and 8q24/MYC rearrangement) were identified in the literature (male/female 2/6, age 15-65). Three occurred de-novo, and five had a history of a CD10+ B-cell lymphoma. The typical immunophenotype was CD10, CD19, TdT positive, and negative for CD34 and surface immunoglobulin (Ig), established either by FC or immunohistochemistry. Seven cases were CD20-, and one case was CD20+. Translocation partners of MYC varied, and included IGH, lambda light chain, and an unknown gene on chromosome 9. Prognosis was poor with median survival of five months. CONCLUSIONS: Patients with B-LBL associated with a combined IGH/BCL2 and MYC rearrangement often have a history of a mature B-cell lymphoma. The immunophenotype of these cases is different from that of mature "double-hit" lymphomas; FC is essential to differentiate the B-LBL cases from the leukemic phase of mature B-cell lymphomas. (c) 2015 International Clinical Cytometry Society. CI - (c) 2015 International Clinical Cytometry Society. FAU - Kelemen, Katalin AU - Kelemen K AD - Department of Laboratory Medicine and Pathology, Mayo Clinic Hospital, Phoenix, Arizona. FAU - Holden, Jaclyn AU - Holden J AD - Department of Laboratory Medicine and Pathology, Mayo Clinic Hospital, Phoenix, Arizona. FAU - Johnson, Laura J AU - Johnson LJ AD - Department of Laboratory Medicine and Pathology, Mayo Clinic Hospital, Phoenix, Arizona. FAU - Davion, Simone AU - Davion S AD - Department of Pathology, the Billings Clinic, Billings, Montana. FAU - Robetorye, Ryan S AU - Robetorye RS AD - Department of Laboratory Medicine and Pathology, Mayo Clinic Hospital, Phoenix, Arizona. LA - eng PT - Case Reports PT - Journal Article PT - Review DEP - 20160205 PL - United States TA - Cytometry B Clin Cytom JT - Cytometry. Part B, Clinical cytometry JID - 101235690 RN - 0 (Antigens, CD) RN - 0 (BCL2 protein, human) RN - 0 (Immunoglobulin Heavy Chains) RN - 0 (MYC protein, human) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Proto-Oncogene Proteins c-myc) SB - IM MH - Adolescent MH - Adult MH - Antigens, CD/genetics/immunology MH - Female MH - Flow Cytometry/methods MH - Humans MH - Immunoglobulin Heavy Chains/*genetics/metabolism MH - Immunophenotyping MH - Karyotyping MH - Middle Aged MH - Oncogene Proteins, Fusion/*genetics/immunology MH - Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/*diagnosis/*genetics/mortality/pathology MH - Prognosis MH - Proto-Oncogene Proteins c-bcl-2/*genetics/immunology MH - Proto-Oncogene Proteins c-myc/*genetics/immunology MH - Survival Analysis MH - Translocation, Genetic OTO - NOTNLM OT - B-lymphoblastic leukemia/lymphoma OT - IGH/BCL2 translocation OT - MYC rearrangement OT - immunophenotype EDAT- 2015/10/31 06:00 MHDA- 2018/04/10 06:00 CRDT- 2015/10/31 06:00 PHST- 2015/04/13 00:00 [received] PHST- 2015/10/19 00:00 [revised] PHST- 2015/10/28 00:00 [accepted] PHST- 2015/10/31 06:00 [pubmed] PHST- 2018/04/10 06:00 [medline] PHST- 2015/10/31 06:00 [entrez] AID - 10.1002/cyto.b.21334 [doi] PST - ppublish SO - Cytometry B Clin Cytom. 2017 Jul;92(4):310-314. doi: 10.1002/cyto.b.21334. Epub 2016 Feb 5.