Case Report Development of acute lympboblastic leukemia in a patient with increased hematogones after toxic bone marrow damage
Stefan Gattenlöhner, Hermann Einsele
Institute of Pathology, University of Würzburg, Würzburg, Germany; Department of Internal Medicine II, University of Würzburg, Würzburg, Germany
Received January 11, 2009; accepted January 27, 2010; available online February, 2010
Abstract: To the best of our knowledge we describe the first case showing the association of increased B cell precursors/hematogones in a regenerating post-toxic bone marrow with subsequent development of a B-ALL. Since all immunohistochemical/moleculargenetic anaylses have failed to identify the initial malignant leukemic clone, we suggest a close-meshed follow-up of such cases to identify potential mechanisms for the malignant transformation of B-cell precursors/hematogones and to prevent further fatal courses. (IJCEP1001007).
Key words: Bone marrow, toxic damage, hematogones, B-ALL
Address all correspondence to: Stefan Gattenlöhner, MD Institute of Pathology University of Würzburg Josef-Schneiderstr.2 D-97080 Würzburg GERMANY Tel.: +49(0)931-201-47420 Fax: +49(0)931-201-47440 Email: stefan.gattenloehner@mail.uni-wuerzburg.de