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Features of acute megakaryoblastic leukemia diagnosis in a child with Down syndrome

https://doi.org/10.17650/1818-8346-2023-18-1-31-38

Abstract

We present a description of the difficulties in diagnosing acute megakaryoblastic leukemia in a child with Down syndrome aggravated by multiple comorbidities. In this case, a comprehensive assessment of clinical data, the results of an automatic complete blood count with a detailed interpretation of the entire range of parameters, as well as morphological and immunophenotypic bone marrow examination using an extended panel of monoclonal antibodies played a key role in the diagnosis.

About the Authors

N. K. Guskova
National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation

Nailya Katifovna Guskova

344037, Rostov-on-Don, 14th Liniya, 63



O. N. Selyutina
National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation

344037, Rostov-on-Don, 14th Liniya, 63



I. B. Lysenko
National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation

344037, Rostov-on-Don, 14th Liniya, 63



Yu. Yu. Kozel
National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation

344037, Rostov-on-Don, 14th Liniya, 63



O. V. Kozyuk
National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation

344037, Rostov-on-Don, 14th Liniya, 63



V. V. Dmitrieva
National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation

344037, Rostov-on-Don, 14th Liniya, 63



M. A. Baranenkova
Rostov State Medical University, Ministry of Health of Russia
Russian Federation

344022, Rostov-on-Don, Nakhichevanskiy Pereulok, 29



A. S. Nozdricheva
National Medical Research Center of Oncology, Ministry of Health of Russia
Russian Federation

344037, Rostov-on-Don, 14th Liniya, 63



References

1. Lorsbach R.B. Megakaryoblastic disorders in children. Am J Clin Pathol 2004;122(Suppl 1):S33–46. DOI:10.1309/Y57UGTE36PGQ2NV6

2. Etiology of Acute Leukemias in Children. Ed.: J.M. MejíaAranguré. Springer International Publishing Switzerland, 2016.

3. Swerdlow S.H., Campo E., Harris N.L. et al. WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues. Lyon: IARC, 2008.

4. Bennett J.M., Catovsky D., Daniel M.T. et al. Criteria for the diagnosis of acute leukemia of megakaryocyte lineage (M7). A report of the French-American-British Cooperative Group. Ann Intern Med 1985;103(3):460–2. DOI:10.7326/0003-4819-103-­3-460

5. Vardiman J.W., Thiele J., Arber D.A. et al. The 2008 revision of the World Health Organization (WHO) classification of myeloid neoplasms and acute leukemia: rationale and important changes. Blood 2009;114(5):937–51. DOI:10.1182/blood-2009-03-209262

6. Gruber T.A., Downing J.R. The biology of pediatric acute megakaryoblastic leukemia. Blood 2016;126(8):943–9. DOI:10.1182/blood-2015-05-567859

7. Roy A., Roberts I., Norton A., Vyas P. Acute megakaryoblastic leukaemia (AMKL) and transient myeloproliferative disorder (TMD) in Down syndrome: a multi-step model of myeloid leukaemogenesis. Br J Haematol 2009;147(1):3–12. DOI:10.1111/j.1365-2141.2009.07789.x

8. Semenova N.A. Features of oncological diseases in children with Down syndrome. Sindrom Dauna. XXI vek = Down Syndrome. XXI Сentury 2013;(2):11. (In Russ.).

9. Okorokov A.N. Lymphomas (lymphocytomas) and lymphosarcomas. Diagnostics of diseases of internal organs. Vol. 4. Diagnostics of blood diseases. Moscow: Meditsinskaya literaturа, 2001. 512 p. (In Russ.).

10. Verschuur A.C. Acute megakaryoblastic. Orphanet Encyclopedia, 2004. S–S5.

11. Novikova I.A., Verzhbitskaya T.Yu., Movchan L.V. et al. Russianbelarusian multicenter group standard guidelines for childhood acute lymphoblastic leukemia flow cytometric diagnostics. Onkogematologiya = Oncohematology 2018;13(1):73–82. (In Russ.). DOI:10.17650/1818-8346-2018-13-1-73-82

12. Bene M., Castoldi G., Knapp W. et al. Proposals for the immunological classification of acute leukemias. European Group for the Immunological Characterization of Leukemias (EGIL). Leukemia 1995;9(10):1783–6.

13. Papisova D.G. Morphological and cytochemical studies of blood cells and bone marrow in healthy children and in acute leukemia. Dis. … candidate of medical sciences. Leningrad, 1974. (In Russ.).

14. Illarionova O.I., Gorchakova M.V., Rusanova E.B. et al. Summary of clinical cytometry: acute megakaryoblastic leukemia. Klinicheskaya laboratornaya diagnostika = Clinical Laboratory Diagnostics 2015;60(7):42–8. (In Russ.).

15. Karandikar N.J., Aquino D.B., McKenna R.W., Kroft S.H. Transient myeloproliferative disorder and acute myeloid leukemia in Down syndrome. An immunophenotypic analysis. Am J Clin Pathol 2001;116(2):204–10. DOI:10.1309/XREF-C9T2-6U0A-4EDT

16. Alexenko M.Yu., Illarionova O.I., Verzhbitskaya N.Yu. et al. Immunophenotypic characterization of acute megakaryoblastic leukaemia in children. Voprosy gematologii/onkologii i immunopatologii v pediatrii = Pediatric Hematology/Oncology and Immunopathology 2019;18(3):35–40. (In Russ.). DOI:10.24287/1726-1708-2019-18-3-35-40


Review

For citations:


Guskova N.K., Selyutina O.N., Lysenko I.B., Kozel Yu.Yu., Kozyuk O.V., Dmitrieva V.V., Baranenkova M.A., Nozdricheva A.S. Features of acute megakaryoblastic leukemia diagnosis in a child with Down syndrome. Oncohematology. 2023;18(1):31-38. (In Russ.) https://doi.org/10.17650/1818-8346-2023-18-1-31-38

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ISSN 1818-8346 (Print)
ISSN 2413-4023 (Online)