PMID- 6578858 OWN - NLM STAT- MEDLINE DCOM- 19831217 LR - 20190904 IS - 0006-5242 (Print) IS - 0006-5242 (Linking) VI - 47 IP - 5 DP - 1983 Nov TI - Acute lymphoblastic leukemia hand-mirror cells. Study of nine cases. PG - 297-306 AB - Acute lymphoblastic leukemia with hand-mirror cells (HMC) was diagnosed in nine adult patients. Blast HMC were seen only in the bone marrow (12-57% range). Cytochemical studies revealed a positive reaction to tartrate-sensitive acid phosphatase in the tail portion of the cells in seven cases, with a strong, localized cytoplasmic reaction in four. Leukemic cells lacked surface immunoglobulins and were E rosette negative in all cases. Normal levels of adenosine deaminase activity (ADA) were found in five of the seven patients. Electron microscope studies confirmed the hand-mirror shape of the cell. These HMC contained large numbers of mitochondria and microspikes in the handle portion of the cell. The patients failed to respond to initial conventional ALL chemotherapy, but the prolonged survival with passable health of the majority of these, despite their lack of complete remission, is emphasized. FAU - Liso, V AU - Liso V FAU - Specchia, G AU - Specchia G FAU - Pavone, V AU - Pavone V FAU - Colotta, F AU - Colotta F FAU - Riezzo, A AU - Riezzo A FAU - Ferrannini, A AU - Ferrannini A FAU - Tursi, A AU - Tursi A LA - eng PT - Journal Article PL - Germany TA - Blut JT - Blut JID - 0173401 RN - 0 (Antibodies, Monoclonal) RN - EC 3.1.3.2 (Acid Phosphatase) RN - EC 3.5.4.4 (Adenosine Deaminase) SB - IM MH - Acid Phosphatase/blood MH - Adenosine Deaminase/blood MH - Antibodies, Monoclonal/immunology MH - *Bone Marrow Cells MH - Histocytochemistry MH - Humans MH - Leukemia, Lymphoid/*blood MH - Lymphocytes/*cytology/enzymology/immunology/ultrastructure MH - Prognosis EDAT- 1983/11/01 00:00 MHDA- 1983/11/01 00:01 CRDT- 1983/11/01 00:00 PHST- 1983/11/01 00:00 [pubmed] PHST- 1983/11/01 00:01 [medline] PHST- 1983/11/01 00:00 [entrez] AID - 10.1007/BF00319899 [doi] PST - ppublish SO - Blut. 1983 Nov;47(5):297-306. doi: 10.1007/BF00319899.