Blood Research

Basic clinical characteristics of six patients with small-cell-type plasma cell leukemia.

Present patient Heerema-McKenney et al. [7] Heerema-McKenney et al. [7] Gounari et al. [8] Loureiro et al. [9] Teriaky et al. [10]
Sex/age (yr) M/65 F/59 M/74 M/61 F/77 F/85
Initial CBC WBC: 2.8×109/L
Hb: 47 g/L
Platelet: 45×109/L
NR NR WBC: 12.3×109/L
Hb: 98 g/L
Platelet: 89×109/L
WBC: 8.6×109/L
Hb: 101 g/L
Platelet: 140×109/L
WBC: 28.2×109/L
Hb: 92 g/L
Platelet: 238×109/L
Plasma cells (BM/PB), % >80.0 >80.0 >80.0 54.0 90.0 75.0
20.0 40.0 52.0 22.7 43.5 74.0
Immunophenotyping results CD45-/CD19-/CD20+/CD38+/CD138+/CD56-/CD117+/cCD79a+/ FMC7+ and lambda restriction CD45-/CD20-/CD38+/CD138+/CD56-/CD117- CD45-/CD38+/CD138+ CD45-/CD19-/CD20dim+/CD38+/CD138+/CD56-/CD200+ and kappa restriction CD45-/CD19-/ CD38+/CD138dim+/CD56-/CD117-/CD28-/CD81+ and kappa restriction CD45-/CD19partia+l/CD20dim+/CD38+/CD138+ and kappa restriction
PEP/IFE IgA-lambda (5 g/La)) IgG-lambda (4g/La)) IgG-lambda (30g/La)) IgA-kappa IgG-kappa (44g/La)) kappa
Cytogenetic study 42,XY,-1,-9,-10, ?t(11;14)(q13;q32),-14,-16,?add(17)(p11.2)der(19) t(1;19)(p13;p13.3),-20,-21, +der(?)t(?;21)(?;q11.2), +2mar[6]/46,XY [14] 46,XX[19]/45,XX,−20[11] 46,XY, t(11;14)(q12∼13.1;q32), del(13)(q14q22),?del(17)(p12)[cp2]/46,XY[18] Hyperdiploid clone with trisomy 2, 3, 12, and 18 NR NR
Molecular study IGH/CCND1 rearrangement, 13q14 deletion, p53 (17p) deletionb), TP53 (c.490A>G, p.Lys164Glu)c) Overexpression of MS4A1/CD20 and CCND2d) Overexpression of CCND1d) Overexpression CCND1e) IGH/CCND1 rearrangementb) NR
Disease course Died after 5 months after allo-PBSCT NR NR CR after CTx Died 3 months after diagnosis CR after CTx

a)Amount of M protein. Results of the b)FISH, c)NGS study, d)gene expression profiling (GEP) analysis, and e)immunohistochemical staining.

Abbreviations: allo-PBSCT, allogeneic peripheral blood stem cell transplantation; CBC, complete blood count; CR, complete remission; CTx, chemotherapy; IFE, immunofixation electrophoresis; NR, not reported; PEP, protein electrophoresis.

Blood Res 2022;57:161~164 https://doi.org/10.5045/br.2022.2022059
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