Basic clinical characteristics of six patients with small-cell-type plasma cell leukemia.
Present patient | Heerema-McKenney |
Heerema-McKenney |
Gounari |
Loureiro |
Teriaky |
|
---|---|---|---|---|---|---|
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 | Overexpression of |
Overexpression of |
Overexpression CCND1e) | 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.