检验医学 ›› 2012, Vol. 27 ›› Issue (12): 1013-1016.

• 临床检验与血液学检验论著 • 上一篇    下一篇

t(8;21) 儿童急性髓系白血病伴cCD79a的异常表达

季正华   

  1. 苏州大学附属儿童医院,江苏 苏州 215003
  • 收稿日期:2012-09-25 修回日期:2012-08-19 出版日期:2012-12-30 发布日期:2012-12-04
  • 作者简介:季正华,男,1964年生,学士,副主任技师,主要从事临床血液学检验工作。

Abnormal expression of cCD79a in acute myeloid leukemia with t(8;21) in children

  1. Children Hospital Affiliated to Soochow University,Jiangsu Suzhou 215003,China
  • Received:2012-09-25 Revised:2012-08-19 Online:2012-12-30 Published:2012-12-04

摘要: 目的 报道自2005年来在190例急性髓系白血病(AML)患儿发现的7例t(8;21)(q22;q22)M2亚型中cCD79a异常表达的细胞生物学特征。 方法 分析7例t(8;21)(q22;q22)M2伴cCD79a异常表达的双表型AML患儿细胞形态学、免疫学、细胞遗传学、分子生物学(MICM)分型及临床特征,取同期诊断的20例t(8;21)的AML、M2患儿作为对照组。 结果 83例t(8;21)(q22;q22)AML-M2患儿占同期连续190例AML患儿的43.7%,其中有7例伴有cCD79a异常表达,占8.4%。伴有cCD79a表达的t(8;21)(q22;q22)的AML-M2患儿其骨髓细胞形态学均显示为急性粒细胞白血病M2,分类中原始细胞均显著增多;免疫表型均为髓系伴B淋系表达;CD34为高表达阳性;均有t(8;21)(q22;q22)染色体改变,且常伴有染色体复杂易位或缺失等改变;融合基因AML1/ETO检测均为阳性;临床治疗对兼顾髓系和淋系的联合治疗方案效果较好。 结论 t(8;21)M2是儿童AML中的最常见类型,易伴有B淋巴细胞表型共表达。

关键词: cCD79a, 急性髓系白血病, 免疫表型, t(8, 21)易位

Abstract: Objective To reportthe cell biology characteristics of the abnormal expression of cCD79a in 7 cases of acute myeloid leukemia(AML)-M2 with t(8;21)(q22;q22) selectedfrom 190 AML children since 2005.   Methods The characteristics of cell morphology,immunology,cytogenetics,molecular biology(MICM) and clinical manifestations in 7 cases of AML-M2 with t(8;21)(q22;q22) expressing cCD79a abnormally were analyzed. The control group including 20 cases of AML-M2 with t(8;21) was detected during the same period. Results The 83 cases of AML-M2 t(8;21)(q22;q22) accountedfor 43.7% of 190 continuous childhood AML patients,and the percentage of the cCD79a expression in the 83 cases of AML-M2 t(8;21) was 8.4%(7 cases). In the cases of AML-M2 with t(8;21)(q22;q22) expressing cCD79a abnormally,the bone marrow cell morphology showed the acute myelogenous leukemia M2. The initial cells all increased evidently in the classification. The immunophenotypes were all the expressions of myeloid markers with B-lymphoid. CD34 had high positive expression. There were changes of the chromosome with t(8;21)(q22;q22),also with the complexly translocation or depletion. The detections of the confluentgene AML1/ETO were positive. Ithad achieved good response to combined chemotherapy targeted to both myeloid and lymphoid leukemia. Conclusions t(8;21) M2 is the mostfrequenttype of childhood AML. Itmay be related with abnormal expression gene of B lymphocyte phenotype. Key words:cCD79a;Acute myeloid leukemia;Immunophenotype;t(8;21) translocation

Key words: cCD79a, Acute myeloid leukemia, Immunophenotype, t(8, 21) translocation