Indolent T-cell large granular lymphocyte leukaemia after haematopoietic SCT: a clinicopathologic and molecular analysis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-10-31

AUTHORS

H Gill, A H W Ip, R Leung, J C C So, A W K Pang, E Tse, A Y H Leung, A K W Lie, Y-L Kwong

ABSTRACT

Four women and three men after allogeneic (n=4) and autologous (n=3) haematopoietic SCT (HSCT) were observed to have an increase in T-cell large granular lymphocytes (T-LGLs) of CD3+CD8+ phenotype for a median of 41 (15–118) months. Clonal rearrangement of the T-cell receptor gene was verified by two PCR techniques and direct DNA sequencing, confirming that the cases were neoplastic and therefore classifiable as T-LGL leukaemia. In the allogeneic HSCT cases, T-LGL leukaemia was derived from donor T cells in three patients, as shown by DNA chimerism analysis, and recipient T cells in one patient who had graft failure previously. None of the patients showed cytopenia, autoimmune phenomenon or organ infiltration, which were features typical of de novo T-LGL leukaemia. Six patients had remained asymptomatic with stable large granular lymphocyte counts. One patient died from cerebral relapse of the original lymphoma. T-LGL leukaemias occurring post-HSCT are distinct from de novo T-LGL leukaemia and may have a different pathogenesis and clinical course. Patients did not require specific treatment, and the disease remained stable for long periods. More... »

PAGES

952-956

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/bmt.2011.212

DOI

http://dx.doi.org/10.1038/bmt.2011.212

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1051924801

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22041849


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