Chronic neutrophilic leukemia laboratory findings: Difference between revisions
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==Overview== | ==Overview== | ||
[[ | A chronic elevated [[concentration]] of [[blood]] mature [[Neutrophil|neutrophils]] is [[diagnostic]] for chronic neutrophilic leukemia (CNL). There are other [[blood]], [[bone marrow]] and [[genetic]] [[test]]<nowiki/>s which help the [[diagnosis]] of CNL | ||
==Laboratory Findings== | ==Laboratory Findings== | ||
A chronic elevated concentration of blood mature [[Neutrophil|neutrophils]] is diagnostic for CNL.<ref name="ElliottHanson2004">{{cite journal|last1=Elliott|first1=M A|last2=Hanson|first2=C A|last3=Dewald|first3=G W|last4=Smoley|first4=S A|last5=Lasho|first5=T L|last6=Tefferi|first6=A|title=WHO-defined chronic neutrophilic leukemia: a long-term analysis of 12 cases and a critical review of the literature|journal=Leukemia|volume=19|issue=2|year=2004|pages=313–317|issn=0887-6924|doi=10.1038/sj.leu.2403562}}</ref> | A chronic elevated [[concentration]] of [[blood]] mature [[Neutrophil|neutrophils]] is [[diagnostic]] for CNL.<ref name="ElliottHanson2004">{{cite journal|last1=Elliott|first1=M A|last2=Hanson|first2=C A|last3=Dewald|first3=G W|last4=Smoley|first4=S A|last5=Lasho|first5=T L|last6=Tefferi|first6=A|title=WHO-defined chronic neutrophilic leukemia: a long-term analysis of 12 cases and a critical review of the literature|journal=Leukemia|volume=19|issue=2|year=2004|pages=313–317|issn=0887-6924|doi=10.1038/sj.leu.2403562}}</ref> | ||
Some [[patients]] with CNL may have:<ref name="ElliottHanson2004">{{cite journal|last1=Elliott|first1=M A|last2=Hanson|first2=C A|last3=Dewald|first3=G W|last4=Smoley|first4=S A|last5=Lasho|first5=T L|last6=Tefferi|first6=A|title=WHO-defined chronic neutrophilic leukemia: a long-term analysis of 12 cases and a critical review of the literature|journal=Leukemia|volume=19|issue=2|year=2004|pages=313–317|issn=0887-6924|doi=10.1038/sj.leu.2403562}}</ref><ref name="HasleOlesen1996">{{cite journal|last1=Hasle|first1=Henrik|last2=Olesen|first2=Gitte|last3=Kerndrup|first3=GITTE|last4=Philip|first4=Preben|last5=Jacobsen|first5=Niels|title=Chronic neutrophil leukaemia in adolescence and young adulthood|journal=British Journal of Haematology|volume=94|issue=4|year=1996|pages=628–630|issn=0007-1048|doi=10.1046/j.1365-2141.1996.7082329.x}}</ref><ref name="Elliott2006">{{cite journal|last1=Elliott|first1=Michelle A.|title=Chronic neutrophilic leukemia and chronic myelomonocytic leukemia: WHO defined|journal=Best Practice & Research Clinical Haematology|volume=19|issue=3|year=2006|pages=571–593|issn=15216926|doi=10.1016/j.beha.2005.07.012}}</ref><ref name="ArberOrazi2016">{{cite journal|last1=Arber|first1=D. A.|last2=Orazi|first2=A.|last3=Hasserjian|first3=R.|last4=Thiele|first4=J.|last5=Borowitz|first5=M. J.|last6=Le Beau|first6=M. M.|last7=Bloomfield|first7=C. D.|last8=Cazzola|first8=M.|last9=Vardiman|first9=J. W.|title=The 2016 revision to the World Health Organization classification of myeloid neoplasms and acute leukemia|journal=Blood|volume=127|issue=20|year=2016|pages=2391–2405|issn=0006-4971|doi=10.1182/blood-2016-03-643544}}</ref><ref name="ElliottPardanani2015">{{cite journal|last1=Elliott|first1=Michelle A.|last2=Pardanani|first2=Animesh|last3=Hanson|first3=Curtis A.|last4=Lasho|first4=Terra L.|last5=Finke|first5=Christy M.|last6=Belachew|first6=Alem A.|last7=Tefferi|first7=Ayalew|title=ASXL1mutations are frequent and prognostically detrimental inCSF3R-mutated chronic neutrophilic leukemia|journal=American Journal of Hematology|volume=90|issue=7|year=2015|pages=653–656|issn=03618609|doi=10.1002/ajh.24031}}</ref><ref>{{Cite journal | |||
| author = [[John T. Reilly]] | |||
| title = Chronic neutrophilic leukaemia: a distinct clinical entity? | |||
| journal = [[British journal of haematology]] | |||
| volume = 116 | |||
| issue = 1 | |||
| pages = 10–18 | |||
| year = 2002 | |||
| month = January | |||
| pmid = 11841395 | |||
}}</ref><ref name="PiliotisKutas2009">{{cite journal|last1=Piliotis|first1=E.|last2=Kutas|first2=G.|last3=Lipton|first3=J.H.|title=Allogeneic Bone Marrow Transplantation in the Management of Chronic Neutrophilic Leukemia|journal=Leukemia & Lymphoma|volume=43|issue=10|year=2009|pages=2051–2054|issn=1042-8194|doi=10.1080/1042819021000016087}}</ref><ref name="ElliottHanson2004">{{cite journal|last1=Elliott|first1=M A|last2=Hanson|first2=C A|last3=Dewald|first3=G W|last4=Smoley|first4=S A|last5=Lasho|first5=T L|last6=Tefferi|first6=A|title=WHO-defined chronic neutrophilic leukemia: a long-term analysis of 12 cases and a critical review of the literature|journal=Leukemia|volume=19|issue=2|year=2004|pages=313–317|issn=0887-6924|doi=10.1038/sj.leu.2403562}}</ref><ref name="DonatoCroci1986">{{cite journal|last1=Donato|first1=Carlo Di|last2=Croci|first2=Gianfranco|last3=Lazzari|first3=Stefano|last4=Scarduelli|first4=Laura|last5=Vignoli|first5=Roberto|last6=Buia|first6=Marco|last7=Tramaloni|first7=Casimiro|last8=Maccari|first8=Sergio|last9=Plancher|first9=Angelo Cesare|title=Chronic Neutrophilic Leukemia: Description of a New Case with Karyotypic Abnormalities|journal=American Journal of Clinical Pathology|volume=85|issue=3|year=1986|pages=369–371|issn=1943-7722|doi=10.1093/ajcp/85.3.369}}</ref><ref>{{Cite journal | |||
| author = [[Michelle A. Elliott]] | |||
| title = Chronic neutrophilic leukemia: a contemporary review | |||
| journal = [[Current hematology reports]] | |||
| volume = 3 | |||
| issue = 3 | |||
| pages = 210–217 | |||
| year = 2004 | |||
| month = May | |||
| pmid = 15087070 | |||
}}</ref><ref>{{Cite journal | |||
| author = [[Donald P. Mc Lornan]], [[Melanie J. Percy]], [[Amy V. Jones]], [[Nicholas C. P. Cross]] & [[Mary Frances Mc Mullin]] | |||
| title = Chronic neutrophilic leukemia with an associated V617F JAK2 tyrosine kinase mutation | |||
| journal = [[Haematologica]] | |||
| volume = 90 | |||
| issue = 12 | |||
| pages = 1696–1697 | |||
| year = 2005 | |||
| month = December | |||
| pmid = 16330446 | |||
}}</ref> | |||
* | * | ||
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** KDM6A | ** KDM6A | ||
* | * [[Cytogenetic]] abnormalities which may seen: | ||
**[[Trisomy 8]] | **[[Trisomy 8]] | ||
**[[Trisomy 21]] | **[[Trisomy 21]] |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2]
Overview
A chronic elevated concentration of blood mature neutrophils is diagnostic for chronic neutrophilic leukemia (CNL). There are other blood, bone marrow and genetic tests which help the diagnosis of CNL
Laboratory Findings
A chronic elevated concentration of blood mature neutrophils is diagnostic for CNL.[1]
Some patients with CNL may have:[1][2][3][4][5][6][7][1][8][9][10]
Blood tests:
- Peripheral blood White blood cells (WBC) ≥25 ×109/L
- Segmented neutrophils plus band forms ≥80% of WBC
- Myeloblasts rarely observed
- Monocyte count <1 ×109/L
- Mild anemia
- Thrombocytopenia
Bone marrow test:
- Hypercellularity of bone marrow.
- Neutrophil granulocytes increased in percentage and number
- Normal neutrophil maturation
- Myeloblasts <5% of nucleated cells
Blood chemistry tests:
- Elevation of lactate dehydrogenase (LDH).
Blood vitamin analysis:
- Elevation of vitamin B12
Genetic tests:
- Cytogenetic abnormalities which may seen:
- Trisomy 8
- Trisomy 21
- Deletion 11q
- Deletion 20q6
- Deletion Y
- Trisomy 7
- Trisomy 9
- Detection of JAK2V617F
References
- ↑ 1.0 1.1 1.2 Elliott, M A; Hanson, C A; Dewald, G W; Smoley, S A; Lasho, T L; Tefferi, A (2004). "WHO-defined chronic neutrophilic leukemia: a long-term analysis of 12 cases and a critical review of the literature". Leukemia. 19 (2): 313–317. doi:10.1038/sj.leu.2403562. ISSN 0887-6924.
- ↑ Hasle, Henrik; Olesen, Gitte; Kerndrup, GITTE; Philip, Preben; Jacobsen, Niels (1996). "Chronic neutrophil leukaemia in adolescence and young adulthood". British Journal of Haematology. 94 (4): 628–630. doi:10.1046/j.1365-2141.1996.7082329.x. ISSN 0007-1048.
- ↑ Elliott, Michelle A. (2006). "Chronic neutrophilic leukemia and chronic myelomonocytic leukemia: WHO defined". Best Practice & Research Clinical Haematology. 19 (3): 571–593. doi:10.1016/j.beha.2005.07.012. ISSN 1521-6926.
- ↑ Arber, D. A.; Orazi, A.; Hasserjian, R.; Thiele, J.; Borowitz, M. J.; Le Beau, M. M.; Bloomfield, C. D.; Cazzola, M.; Vardiman, J. W. (2016). "The 2016 revision to the World Health Organization classification of myeloid neoplasms and acute leukemia". Blood. 127 (20): 2391–2405. doi:10.1182/blood-2016-03-643544. ISSN 0006-4971.
- ↑ Elliott, Michelle A.; Pardanani, Animesh; Hanson, Curtis A.; Lasho, Terra L.; Finke, Christy M.; Belachew, Alem A.; Tefferi, Ayalew (2015). "ASXL1mutations are frequent and prognostically detrimental inCSF3R-mutated chronic neutrophilic leukemia". American Journal of Hematology. 90 (7): 653–656. doi:10.1002/ajh.24031. ISSN 0361-8609.
- ↑ John T. Reilly (2002). "Chronic neutrophilic leukaemia: a distinct clinical entity?". British journal of haematology. 116 (1): 10–18. PMID 11841395. Unknown parameter
|month=
ignored (help) - ↑ Piliotis, E.; Kutas, G.; Lipton, J.H. (2009). "Allogeneic Bone Marrow Transplantation in the Management of Chronic Neutrophilic Leukemia". Leukemia & Lymphoma. 43 (10): 2051–2054. doi:10.1080/1042819021000016087. ISSN 1042-8194.
- ↑ Donato, Carlo Di; Croci, Gianfranco; Lazzari, Stefano; Scarduelli, Laura; Vignoli, Roberto; Buia, Marco; Tramaloni, Casimiro; Maccari, Sergio; Plancher, Angelo Cesare (1986). "Chronic Neutrophilic Leukemia: Description of a New Case with Karyotypic Abnormalities". American Journal of Clinical Pathology. 85 (3): 369–371. doi:10.1093/ajcp/85.3.369. ISSN 1943-7722.
- ↑ Michelle A. Elliott (2004). "Chronic neutrophilic leukemia: a contemporary review". Current hematology reports. 3 (3): 210–217. PMID 15087070. Unknown parameter
|month=
ignored (help) - ↑ Donald P. Mc Lornan, Melanie J. Percy, Amy V. Jones, Nicholas C. P. Cross & Mary Frances Mc Mullin (2005). "Chronic neutrophilic leukemia with an associated V617F JAK2 tyrosine kinase mutation". Haematologica. 90 (12): 1696–1697. PMID 16330446. Unknown parameter
|month=
ignored (help)