B-cell acute lymphoblastic leukaemia: clinical and biological aspects

Clin Lab Haematol. 1988;10(2):149-57. doi: 10.1111/j.1365-2257.1988.tb01166.x.

Abstract

Acute lymphoblastic leukaemia of B-cell phenotype (B-ALL) is uncommon. We studied eight cases of B-ALL, investigating the clinical characteristics as well as the biological features. Cytology revealed a typical L3 profile in most cases, but in one case the morphological diagnosis was L2 and morphometric analysis indicated that the blasts in B-ALL were larger than in other ALLs. Cytogenetic study detected the typical translocations (8; 14) and (8; 22) in most of the cases. Abnormalities of the long arm of the chromosome 1 were found in four cases and a major aneuploidy was observed in one case. Cell-cycle analysis showed a high degree of proliferation with, in all cases, a small fraction of cells in G1 with low protein content (corresponding to early G1). All these biological characteristics must be related to the poor prognosis of this disease.

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Aged
  • B-Lymphocytes
  • Cell Cycle
  • Child
  • Humans
  • Karyotyping
  • Leukemia, Lymphoid / complications
  • Leukemia, Lymphoid / genetics
  • Leukemia, Lymphoid / pathology*
  • Leukocytosis / etiology
  • Middle Aged
  • Thrombocytopenia / etiology
  • Translocation, Genetic