Laboratory Medicine ›› 2020, Vol. 35 ›› Issue (7): 645-650.DOI: 10.3969/j.issn.1673-8640.2020.07.004

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Morphological and clinical characteristics of near-tetraploid acute lymphocytic leukemia

ZHANG Xiaohui1, TAO Chaoxin1, BAI Mingming1, CHEN Lei2, ZHANG Yuna2, DU Huijuan1, XING Jiangtao1, ZHU Yun3   

  1. 1. Department of Laboratory Diagnostics,Pingan Hospital,Hebei Medical University,Shijiazhuang 050021,Hebei,China
    2. Department of Hematology,Pingan Hospital,Hebei Medical University,Shijiazhuang 050021,Hebei,China
    3. Department of Clinical Laboratory,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,Hebei,China
  • Received:2019-05-15 Online:2020-07-30 Published:2020-08-04

Abstract:

Objective To study the morphological and clinical characteristics of near-tetraploid acute lymphocytic leukemia(NT-ALL). Methods All the clinical data and laboratory examinations(blood smear,bone marrow morphology,immunophenotype and genetic examinations)of 1 NT-ALL patient were collected for comprehensive analysis. Results The patient had acute abdomen. According to bone marrow morphology and immunophenotype,he was diagnosed as B-acute lymphocytic leukemia(B-ALL),and the chromosome was near-tetraploid karyotype(81-103 chromosome). Conclusions Adult NT-ALL is rare. The morphological characteristics are different from those of classic acute lymphocytic leukemia(ALL). The nuclear shape is irregular,the nucleolus is large,the vacuole is large,and the prognosis is poor,which may be related to the abnormal karyotype of near-tetraploid.

Key words: Chromosome, Near-tetraploid karyotype, Acute lymphocytic leukemia, Morphological characteristic, Prognosis

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