Two patients with hypergranular acute lymphoblastic leukemia are prese
nted: they represent 1.4% of patients with acute lymphoblastic leukemi
a studied and treated in a single institution in the past 12 years. Th
is frequency is substantially lower than that reported in Caucasian po
pulations. The blast cells of the patients disclosed an early-B phenot
ype, displaying CD45, CD10 and CD19 antigens. The cytoplasmic granules
were positive for the PAS reaction. Both patients died early after st
arting treatment; a poor prognosis has been recorded previously for pa
tients with this type of malignancy.