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Erschienen in: Medical Oncology 4/2013

01.12.2013 | Short Communication

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

verfasst von: Stuart Liptrot, David O’ Brien, Stephen E. Langabeer, Fiona Quinn, A. Jill Mackarel, Patrick Elder, Elisabeth Vandenberghe, Patrick J. Hayden

Erschienen in: Medical Oncology | Ausgabe 4/2013

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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.
Literatur
1.
Zurück zum Zitat Foucar K, Falini B, Catovsky D, Stein H. Hairy cell leukaemia. In: Swedlow SH, Campo E, Harris NL, Jaffe ES, Pileri SA, Stein H, Thiele J, Vardiman JW, editors. WHO classification of tumours of haematopoietic and lymphoid tissues. Lyon: International Agency for Research on Cancer; 2008. p. 188–90. Foucar K, Falini B, Catovsky D, Stein H. Hairy cell leukaemia. In: Swedlow SH, Campo E, Harris NL, Jaffe ES, Pileri SA, Stein H, Thiele J, Vardiman JW, editors. WHO classification of tumours of haematopoietic and lymphoid tissues. Lyon: International Agency for Research on Cancer; 2008. p. 188–90.
2.
Zurück zum Zitat Tiacci E, Trifonov V, Schiavoni G, Holmes A, Kern W, Martelli MP, Pucciarini A, Bigerna B, Pacini R, Wells VA, Sportoletti P, Pettirossi V, Mannucci R, Elliott O, Liso A, Ambrosetti A, Pulsoni A, Forconi F, Trentin L, Semenzato G, Inghirami G, Capponi M, Di Raimondo F, Patti C, Arcaini L, Musto P, Pileri S, Haferlach C, Schnittger S, Pizzolo G, Foà R, Farinelli L, Haferlach T, Pasqualucci L, Rabadan R, Falini B. BRAF mutations in hairy-cell leukemia. N Engl J Med. 2011;364:2305–15.CrossRefPubMedCentralPubMed Tiacci E, Trifonov V, Schiavoni G, Holmes A, Kern W, Martelli MP, Pucciarini A, Bigerna B, Pacini R, Wells VA, Sportoletti P, Pettirossi V, Mannucci R, Elliott O, Liso A, Ambrosetti A, Pulsoni A, Forconi F, Trentin L, Semenzato G, Inghirami G, Capponi M, Di Raimondo F, Patti C, Arcaini L, Musto P, Pileri S, Haferlach C, Schnittger S, Pizzolo G, Foà R, Farinelli L, Haferlach T, Pasqualucci L, Rabadan R, Falini B. BRAF mutations in hairy-cell leukemia. N Engl J Med. 2011;364:2305–15.CrossRefPubMedCentralPubMed
3.
Zurück zum Zitat Boyd EM, Bench AJ, van’t Veer MB, Wright P, Bloxham DM, Follows GA, Scott MA. High resolution melting analysis for detection of BRAF exon 15 mutations in hairy cell leukaemia and other lymphoid malignancies. Br J Haematol. 2011;155:609–12.CrossRefPubMed Boyd EM, Bench AJ, van’t Veer MB, Wright P, Bloxham DM, Follows GA, Scott MA. High resolution melting analysis for detection of BRAF exon 15 mutations in hairy cell leukaemia and other lymphoid malignancies. Br J Haematol. 2011;155:609–12.CrossRefPubMed
4.
Zurück zum Zitat Arcaini L, Arcaini L, Zibellini S, Boveri E, Riboni R, Rattotti S, Varettoni M, Guerrera ML, Lucioni M, Tenore A, Merli M, Rizzi S, Morello L, Cavalloni C, Da Vià MC, Paulli M, Cazzola M. The BRAF V600E mutation in hairy cell leukemia and other mature B-cell neoplasms. Blood. 2012;119:188–91.CrossRefPubMed Arcaini L, Arcaini L, Zibellini S, Boveri E, Riboni R, Rattotti S, Varettoni M, Guerrera ML, Lucioni M, Tenore A, Merli M, Rizzi S, Morello L, Cavalloni C, Da Vià MC, Paulli M, Cazzola M. The BRAF V600E mutation in hairy cell leukemia and other mature B-cell neoplasms. Blood. 2012;119:188–91.CrossRefPubMed
5.
Zurück zum Zitat Blombery PA, Wong SQ, Hewitt CA, Dobrovic A, Maxwell EL, Juneja S, Grigoriadis G, Westerman DA. Detection of BRAF mutations in patients with hairy cell leukemia and related lymphoproliferative disorders. Haematologica. 2012;97:780–3.CrossRefPubMedCentralPubMed Blombery PA, Wong SQ, Hewitt CA, Dobrovic A, Maxwell EL, Juneja S, Grigoriadis G, Westerman DA. Detection of BRAF mutations in patients with hairy cell leukemia and related lymphoproliferative disorders. Haematologica. 2012;97:780–3.CrossRefPubMedCentralPubMed
6.
Zurück zum Zitat Langabeer SE, Quinn F, O’Brien D, McElligott AM, Kelly J, Browne PV, Vandenberghe E. Incidence of the BRAF V600E mutation in chronic lymphocytic leukaemia and prolymphocytic leukaemia. Leuk Res. 2012;36:483–4.CrossRefPubMed Langabeer SE, Quinn F, O’Brien D, McElligott AM, Kelly J, Browne PV, Vandenberghe E. Incidence of the BRAF V600E mutation in chronic lymphocytic leukaemia and prolymphocytic leukaemia. Leuk Res. 2012;36:483–4.CrossRefPubMed
7.
Zurück zum Zitat Zenz T, Mertens D, Küppers R, Döhner H, Stilgenbauer S. From pathogenesis to treatment of chronic lymphocytic leukaemia. Nat Rev Cancer. 2010;10:37–50.PubMed Zenz T, Mertens D, Küppers R, Döhner H, Stilgenbauer S. From pathogenesis to treatment of chronic lymphocytic leukaemia. Nat Rev Cancer. 2010;10:37–50.PubMed
8.
Zurück zum Zitat Stevenson FK, Caligaris-Cappio F. Chronic lymphocytic leukemia: revelations from the B-cell receptor. Blood. 2004;103:4389–95.CrossRefPubMed Stevenson FK, Caligaris-Cappio F. Chronic lymphocytic leukemia: revelations from the B-cell receptor. Blood. 2004;103:4389–95.CrossRefPubMed
9.
Zurück zum Zitat Kampmeier P, Spielberger R, Dickstein J, Mick R, Golomb H, Vardiman J. Increased incidence of second neoplasms in patients treated with interferon alpha 2b for hairy cell leukemia: a clinicopathologic assessment. Blood. 1994;83:2931–8.PubMed Kampmeier P, Spielberger R, Dickstein J, Mick R, Golomb H, Vardiman J. Increased incidence of second neoplasms in patients treated with interferon alpha 2b for hairy cell leukemia: a clinicopathologic assessment. Blood. 1994;83:2931–8.PubMed
10.
Zurück zum Zitat Au WY, Klasa RJ, Gallagher R, Le N, Gascoyne RD, Connors JM. Second malignancies in patients with hairy cell leukemia in British Colombia: a 20-year experience. Blood. 1998;92:1160–4.PubMed Au WY, Klasa RJ, Gallagher R, Le N, Gascoyne RD, Connors JM. Second malignancies in patients with hairy cell leukemia in British Colombia: a 20-year experience. Blood. 1998;92:1160–4.PubMed
11.
Zurück zum Zitat Hisada M, Chen BE, Jaffe ES, Travis LB. Second cancer incidence and cause-specific mortality among 3104 patients with hairy cell leukemia: a population-based study. J Natl Cancer Inst. 2007;99:215–22.CrossRefPubMed Hisada M, Chen BE, Jaffe ES, Travis LB. Second cancer incidence and cause-specific mortality among 3104 patients with hairy cell leukemia: a population-based study. J Natl Cancer Inst. 2007;99:215–22.CrossRefPubMed
12.
Zurück zum Zitat Sanchez ML, Almeida J, Gonzalez D, Gonzalez M, Garcia-Marcos MA, Balanzatequi A, Lopez-Berges MC, Nomdedeu J, Vallespi T, Barbon M, Martin A, de la Fuente P, Martin-Nuñez G, Fernandez-Calvo J, Hernandez JM, San Miguel JF, Orfao A. Incidence and clinicobiologic characteristics of leukemic B-cell chronic lymphoproliferative disorders with more than one B-cell clone. Blood. 2003;102:2994–3002.CrossRefPubMed Sanchez ML, Almeida J, Gonzalez D, Gonzalez M, Garcia-Marcos MA, Balanzatequi A, Lopez-Berges MC, Nomdedeu J, Vallespi T, Barbon M, Martin A, de la Fuente P, Martin-Nuñez G, Fernandez-Calvo J, Hernandez JM, San Miguel JF, Orfao A. Incidence and clinicobiologic characteristics of leukemic B-cell chronic lymphoproliferative disorders with more than one B-cell clone. Blood. 2003;102:2994–3002.CrossRefPubMed
13.
Zurück zum Zitat Brown SA, Phillips J, Ahsan G, Slater NG. Coexistent hairy cell leukaemia and chronic lymphocytic leukaemia. Leuk Lymphoma. 1998;30:203–9.PubMed Brown SA, Phillips J, Ahsan G, Slater NG. Coexistent hairy cell leukaemia and chronic lymphocytic leukaemia. Leuk Lymphoma. 1998;30:203–9.PubMed
14.
Zurück zum Zitat Giné E, Bosch F, Villamor N, Rozman M, Colomer D, López-Guillermo A, Campo E, Montserrat E. Simultaneous diagnosis of hairy cell leukemia and chronic lymphocytic leukemia/small lymphocytic lymphoma: a frequent association. Leukemia. 2002;16:1454–9.CrossRefPubMed Giné E, Bosch F, Villamor N, Rozman M, Colomer D, López-Guillermo A, Campo E, Montserrat E. Simultaneous diagnosis of hairy cell leukemia and chronic lymphocytic leukemia/small lymphocytic lymphoma: a frequent association. Leukemia. 2002;16:1454–9.CrossRefPubMed
15.
Zurück zum Zitat Sokol L, Agosti SJ. Simultaneous manifestation of chronic lymphocytic leukemia (CLL) and hairy cell leukemia (HCL). Am J Hematol. 2004;75:107–9.CrossRefPubMed Sokol L, Agosti SJ. Simultaneous manifestation of chronic lymphocytic leukemia (CLL) and hairy cell leukemia (HCL). Am J Hematol. 2004;75:107–9.CrossRefPubMed
16.
Zurück zum Zitat Roshal M, Cherian S. Frequency of additional clonal populations detected by high sensitivity flow cytometry in patients with hairy cell leukemia. J Hematop. 2012;5:123–30.CrossRef Roshal M, Cherian S. Frequency of additional clonal populations detected by high sensitivity flow cytometry in patients with hairy cell leukemia. J Hematop. 2012;5:123–30.CrossRef
17.
Zurück zum Zitat Langabeer SE, O’Brien D, Liptrot S, Flynn CM, Hayden PJ, Conneally E, Browne PV, Vandenberghe E. Correlation of the BRAF V600E mutation in hairy cell leukaemia with morphology, cytochemistry and immunophenotype. Int J Lab Hematol. 2012;34:417–21.CrossRefPubMed Langabeer SE, O’Brien D, Liptrot S, Flynn CM, Hayden PJ, Conneally E, Browne PV, Vandenberghe E. Correlation of the BRAF V600E mutation in hairy cell leukaemia with morphology, cytochemistry and immunophenotype. Int J Lab Hematol. 2012;34:417–21.CrossRefPubMed
18.
Zurück zum Zitat Langerak AW, Groenen PJ, Brüggemann M, Beldjord K, Bellan C, Bonello L, Boone E, Carter GI, Catherwood M, Davi F, Delfau-Larue MH, Diss T, Evans PA, Gameiro P, Garcia Sanz R, Gonzalez D, Grand D, Håkansson A, Hummel M, Liu H, Lombardia L, Macintyre EA, Milner BJ, Montes-Moreno S, Schuuring E, Spaargaren M, Hodges E, van Dongen JJ. EuroClonality/BIOMED-2 guidelines for interpretation and reporting of Ig/TCR clonality testing in suspected lymphoproliferations. Leukemia. 2012;26:2159–71.CrossRefPubMedCentralPubMed Langerak AW, Groenen PJ, Brüggemann M, Beldjord K, Bellan C, Bonello L, Boone E, Carter GI, Catherwood M, Davi F, Delfau-Larue MH, Diss T, Evans PA, Gameiro P, Garcia Sanz R, Gonzalez D, Grand D, Håkansson A, Hummel M, Liu H, Lombardia L, Macintyre EA, Milner BJ, Montes-Moreno S, Schuuring E, Spaargaren M, Hodges E, van Dongen JJ. EuroClonality/BIOMED-2 guidelines for interpretation and reporting of Ig/TCR clonality testing in suspected lymphoproliferations. Leukemia. 2012;26:2159–71.CrossRefPubMedCentralPubMed
19.
Zurück zum Zitat Rawstron AC, Villamor N, Ritgen M, Böttcher S, Ghia P, Zehnder JL, Lozanski G, Colomer D, Moreno C, Geuna M, Evans PA, Natkunam Y, Coutre SE, Avery ED, Rassenti LZ, Kipps TJ, Caligaris-Cappio F, Kneba M, Byrd JC, Hallek MJ, Montserrat E, Hillmen P. International standardized approach for flow cytometric residual disease monitoring in chronic lymphocytic leukaemia. Leukemia. 2007;21:956–64.PubMed Rawstron AC, Villamor N, Ritgen M, Böttcher S, Ghia P, Zehnder JL, Lozanski G, Colomer D, Moreno C, Geuna M, Evans PA, Natkunam Y, Coutre SE, Avery ED, Rassenti LZ, Kipps TJ, Caligaris-Cappio F, Kneba M, Byrd JC, Hallek MJ, Montserrat E, Hillmen P. International standardized approach for flow cytometric residual disease monitoring in chronic lymphocytic leukaemia. Leukemia. 2007;21:956–64.PubMed
20.
Zurück zum Zitat Liptrot S, O’ Brien D, McCarron S, Vandenberghe E. Diagnosis of three cases of bi-clonal B cell chronic lymphoproliferative disorders by flow cytometry. Abstracts of the 11th Euroconference on Clinical Cell Analysis. Dublin, Ireland, 14–17 September 2011. Cytometry B Clin Cytom. 2011;vol 80, POS-MA-10. Liptrot S, O’ Brien D, McCarron S, Vandenberghe E. Diagnosis of three cases of bi-clonal B cell chronic lymphoproliferative disorders by flow cytometry. Abstracts of the 11th Euroconference on Clinical Cell Analysis. Dublin, Ireland, 14–17 September 2011. Cytometry B Clin Cytom. 2011;vol 80, POS-MA-10.
Metadaten
Titel
An immunophenotypic and molecular diagnosis of composite hairy cell leukaemia and chronic lymphocytic leukaemia
verfasst von
Stuart Liptrot
David O’ Brien
Stephen E. Langabeer
Fiona Quinn
A. Jill Mackarel
Patrick Elder
Elisabeth Vandenberghe
Patrick J. Hayden
Publikationsdatum
01.12.2013
Verlag
Springer US
Erschienen in
Medical Oncology / Ausgabe 4/2013
Print ISSN: 1357-0560
Elektronische ISSN: 1559-131X
DOI
https://doi.org/10.1007/s12032-013-0692-7

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