Page 32 - TD-3-2
P. 32

Tumor Discovery                                          Immunophenotypic patterns of childhood acute leukemia




            Table 1: The French–America–British classification of acute   Table 2: 2016 WHO classification of acute leukemia 9
            leukemia 8
                                                               S. No.              Types of leukemias
            AML                                       ALL      1.    AML and related neoplasms
            M0 – AML with no Romanowsky or cytochemical evidence of   L1  AML with recurrent genetic abnormalities
            differentiation
                                                                       AML with t (8;21) (q22;q22.1); RUNX1‑RUNX1T1
            M1 – Myeloblastic leukemia with little maturation  L2
                                                                       AML with in v (16) (p13.1q22) or t (16;16) (p13.1;q22);
            M2 – Myeloblastic leukemia with maturation  L3             CBFB‑MYH11
            M3 – APL                                                   APL with PML‑RARA
            M3h – APL, hypergranular variant                           AML with t (9;11) (p21.3;q23.3); MLLT3‑KMT2A
            M3v – APL, microgranular variant                           AML with t (6;9) (p23;q34.1); DEK‑NUP214
            M4 – AMML                                                  AML with inv (3) (q21.3q26.2) or t (3;3) (q21.3;q26.2);
            M4eo – AMML with dysplastic marrow eosinophils             GATA2, MECOM
            M5 – AMoL                                                  AML (megakaryoblastic) with t (1;22) (p13.3;q13.3);
                                                                       RBM15‑MKL1
            M5a – AMoL, poorly differentiated
            M5b – AMoL, differentiated                                 Provisional entity: AML with BCR‑ABL1
                                                                       AML with mutated NPM1
            M6 – “Erythroleukemia”
                                                                       AML with biallelic mutations of CEBPA
            M6a – AML with erythroid dysplasia
                                                                       Provisional entity: AML with mutated RUNX1
            M6b – Erythroleukemia
                                                                       AML with myelodysplasia-related changes
            M7 – Acute megakaryoblastic leukemia (AMkL)
                                                                       Therapy-related myeloid neoplasms
            Abbreviations: AML: Acute myeloid leukemia; APL: Acute
            promyelocytic leukemia; AMML: Acute myelomonocytic leukemia;   AML NOS
            AMol: Acute monoblastic leukemia; ALL: Acute lymphoblastic   AML with minimal differentiation
            leukemia.
                                                                       AML without maturation
            2.4. Statistical analysis                                  AML with maturation
            Continuous data were reported as mean ± standard           Acute myelomonocytic leukemia
            deviation (SD) for normally distributed variables and      Acute monoblastic/monocytic leukemia
            as median with an interquartile range (IQR) for skewed     Pure erythroid leukemia
            variables. Categorical data were reported as percentages.   Acute megakaryoblastic leukemia
            P < 0.05 was considered statistically significant. We used   Acute basophilic leukemia
            STATA 14 software for statistical analysis. All continuous   Acute panmyelosis with myelofibrosis
            variables were assessed for normal or skewed distribution   Myeloid sarcoma
            (SD > 40% of mean). For variables with a skewed
            distribution, the median (IQR) was reported. Comparisons   Myeloid proliferations related to Down syndrome
            of more than two unpaired groups were performed            TAM
            using the Kruskal–Wallis test, with Dunn’s test applied    Myeloid leukemia associated with Down syndrome
            if the Kruskal–Wallis test was significant. All categorical   Blastic plasmacytoid dendritic cell neoplasm
            variables (>2 unpaired groups) were assessed using the     Acute leukemias of ambiguous lineage
            Pearson Chi-square test to assess significant variability.   Acute undifferentiated leukemia
            The contingency coefficient (C) was calculated to measure   MPAL with t (9;22)(q34.1;q11.2); BCR‑ABL1
            the strength of the relationship between variables, with
            values ranging from 0 (no association) to 1 (very strong   MPAL with t (v; 11q23.3); KMT2A rearranged
            association), where 0 means no association and 1 is a      MPAL, B/myeloid, NOS
            very strong association, which shows the strength of the   MPAL, T/myeloid, NOS
            relationship between variables. SATA 14 software was used   2.  B-lymphoblastic leukemia/lymphoma
            for data analysis.                                         B-lymphoblastic leukemia/lymphoma, NOS B-lymphoblastic
                                                                       leukemia/lymphoma with recurrent genetic abnormalities
            3. Results                                                 B-lymphoblastic leukemia/lymphoma with t (9;22)

            Data from a total of 68 patients obtained during the study   (q34.1;q11.2); BCR‑ABL1
            period were analyzed for clinical profile, hematological                                   (Cont’d...)


            Volume 3 Issue 2 (2024)                         3                                 doi: 10.36922/td.2545
   27   28   29   30   31   32   33   34   35   36   37