Leukemic Transdifferentiation of Follicular Lymphoma Into an Acute Histiocytic Leukemia in a 52-Year-Old Caucasian Woman

Lab Med. 2016 May;47(2):155-7. doi: 10.1093/labmed/lmw011.

Abstract

We report an instructive case of acute myeloid leukemia with histiocytic differentiation (acute histiocytic leukemia) arising in a patient, a 52-year-old woman with a history of follicular lymphoma. The results of genetic studies proved a clonal relationship between the lymphoma and the leukemic cells. To our knowledge, this is the first report of leukemic transdifferentiation of follicular lymphoma into modified base 5-methylcytosine (M(5)c)-like acute histiocytic leukemia and the first reported karyotype on a transdifferentiated neoplasm.

Keywords: B cell; histiocytic; leukemia; lymphoma; sarcoma; transdifferentiation.

Publication types

  • Case Reports

MeSH terms

  • 5-Methylcytosine
  • B-Lymphocytes / physiology*
  • Cell Lineage
  • Cell Transdifferentiation
  • Clone Cells
  • Female
  • Histiocytes / physiology*
  • Humans
  • Karyotype
  • Leukemia, Monocytic, Acute / diagnosis*
  • Leukemia, Monocytic, Acute / genetics
  • Lymphoma, Follicular / diagnosis*
  • Lymphoma, Follicular / genetics
  • Middle Aged

Substances

  • 5-Methylcytosine