K. Kawakami et al., A case of T-lineage lymphoblastic lymphoma/leukemia with t(4;11)(q21;p15) that switched to myelomonocytic leukemia at relapse, INT J HEMAT, 69(3), 1999, pp. 196-199
A 51-year-old Japanese woman, initially diagnosed with T-lineage (CD2(+), C
D7(+), CD3(-), CD4(-), CD8(-)) lymphoblastic lymphoma with t(4,ll)(q21:p15)
, relapsed with acute myelomonocytic leukemia with the identical chromosoma
l abnormality. Southern-blot analysis revealed clonal rearrangements of an
immunoglobulin heavy chain gene (JH) and T-cell receptor genes (J delta 1,
J gamma 1, C beta 1) at fil st presentation, bur germ line configurations o
f these genes at relapse, Leukemias with t(4:Il)(q21:p15) may involve a hem
atopoietic progenitor capable of multilineage differentiation. (C) 1999 The
Japanese Society of Hematology.