AI Article Synopsis

  • The study analyzed CD20 expression in 143 newly diagnosed precursor B-cell ALL patients, finding that 61% expressed CD20 at diagnosis.
  • There was no significant relationship between CD20 expression and factors like age, white blood cell count, or cytogenetic abnormalities.
  • While CD20-positive patients showed a tendency for poorer outcomes, there were no meaningful differences in 3-year overall survival or relapse rates compared to CD20-negative patients, suggesting CD20's lack of prognostic significance in this population.

Article Abstract

Classification of acute lymphoblastic leukemia (ALL) by flow cytometric immunophenotyping characterizes the disease and delineates potential therapeutic intervention. We retrospectively analyzed CD20 expression in 143 patients with newly diagnosed precursor B-cell ALL. CD20 was observed in 61% of patients at diagnosis. There was no correlation between CD20 expression and age, white blood cell count, or cytogenetic abnormalities. Despite the fact that CD20-positive ALL patients had a tendency toward a worse outcome, there was no significant difference between patients with and without CD20 expression in 3-year overall survival 65 vs. 82% (P = 0.14), and cumulative incidence of relapse 36 vs. 18% (P = 0.3) in pediatric patients and 51 vs. 53% (P = 0.31) and 35 vs. 38% (P = 0.6) in adults, respectively. In conclusion, CD20 expression appears to be more common in Mexican patients with newly diagnosed precursor B-cell ALL higher than in Caucasian populations and lacks prognostic value.

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http://dx.doi.org/10.1179/102453312X13221316477741DOI Listing

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