AI Article Synopsis

  • * The term "lineage switch" refers to acute leukemias that initially show one type (lymphoid or myeloid) but change to the opposite type upon relapse.
  • * A case is reported involving a 4-year-old with acute myeloid leukemia who, upon relapse, switched to acute lymphoblastic leukemia, indicating the emergence of a new leukemic clone based on various characteristics.

Article Abstract

Acute leukemia, the most common form of cancer in children, accounts for approximately 30% of all childhood malignancies, with acute lymphoblastic leukemia being five times more frequent than acute myeloid leukemia. Lineage switch is the term that has been used to describe the phenomenon of acute leukemias that meet the standard French-American-British system criteria for a particular lineage (either lymphoid or myeloid) upon initial diagnosis, but meet the criteria for the opposite lineage at relapse. Many reports have documented conversions of acute lymphoblastic leukemia to acute myeloid leukemia. Here, we report the case of a 4-year-old child with acute myeloid leukemia, which upon relapse switched to acute lymphoblastic leukemia. The morphologic, phenotypic, and molecular features suggest the origin of a new leukemic clone.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2783110PMC
http://dx.doi.org/10.1186/1757-1626-2-154DOI Listing

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