An immunophenotypic and molecular diagnosis of composite hairy cell leukaemia and chronic lymphocytic leukaemia

Med Oncol. 2013 Dec;30(4):692. doi: 10.1007/s12032-013-0692-7. Epub 2013 Aug 24.

Abstract

Hairy cell leukaemia (HCL) and chronic lymphocytic leukaemia (CLL) are distinct clinicopathological B cell chronic lymphoproliferative disorders (B-CLPD). Both diseases have characteristic immunophenotypic and molecular features. The co-existence of two B-CLPD is perhaps more common than previously thought but a composite HCL and CLL has been rarely documented. A case is reported in which the morphology, integrated with an extensive immunophenotyping panel, and incorporation of the recently described HCL-associated BRAF V600E mutation, enabled the prompt diagnosis of composite HCL and CLL thus allowing appropriate treatment selection. This case serves to highlight the benefit of a multidisciplinary approach to the diagnosis of bi-clonal B-CLPD.

Publication types

  • Case Reports

MeSH terms

  • B-Lymphocytes / immunology
  • B-Lymphocytes / pathology
  • Humans
  • Immunophenotyping / methods
  • Leukemia, Hairy Cell / diagnosis*
  • Leukemia, Hairy Cell / immunology*
  • Leukemia, Hairy Cell / pathology
  • Leukemia, Lymphocytic, Chronic, B-Cell / diagnosis*
  • Leukemia, Lymphocytic, Chronic, B-Cell / immunology*
  • Leukemia, Lymphocytic, Chronic, B-Cell / pathology
  • Lymphoproliferative Disorders / diagnosis
  • Lymphoproliferative Disorders / immunology
  • Lymphoproliferative Disorders / pathology
  • Male
  • Middle Aged
  • Pathology, Molecular / methods