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Precursor B-cell acute lymphoblastic leukemia

MedGen UID:
83896
Concept ID:
C0349636
Neoplastic Process
Synonyms: B Acute Lymphoblastic Leukemia; Pre-B-cell acute lymphoblastic leukemia
SNOMED CT: Acute pre B-cell lymphoblastic leukemia (277572006); Precursor B-cell acute lymphoblastic leukemia (277572006)
 
HPO: HP:0004812
Monarch Initiative: MONDO:0020511

Definition

A type of ALL characterized by elevated levels of B-cell lymphoblasts in the bone marrow and the blood. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPrecursor B-cell acute lymphoblastic leukemia

Conditions with this feature

Glioma susceptibility 3
MedGen UID:
442777
Concept ID:
C2751641
Finding
Any malignant glioma in which the cause of the disease is a mutation in the BRCA2 gene.
Thrombocytopenia 5
MedGen UID:
863974
Concept ID:
C4015537
Disease or Syndrome
Individuals with ETV6 thrombocytopenia and predisposition to leukemia most often present with a lifelong history of thrombocytopenia, which is usually in the mild to moderate range. No syndromic features or associations are consistently shared across pedigrees. Affected individuals also have a moderate risk of developing a hematologic malignancy (with B-cell acute lymphoblastic leukemia [B-ALL] being the most common) and possibly other malignant solid tumors, particularly colorectal cancer.
Agammaglobulinemia 8b, autosomal recessive
MedGen UID:
1808468
Concept ID:
C5676958
Disease or Syndrome
Autosomal recessive agammaglobulinemia-8B (AGM8B) is characterized by onset of recurrent infections in early childhood. Laboratory studies of affected individuals show decreased circulating immunoglobulins and decreased peripheral B cells. More variable features may include dysmorphic facies and subtle abnormalities of other immune cells, such as T cells. One patient who developed childhood B-cell acute lymphocytic leukemia (B-ALL) has been described (summary by Ben-Ali et al., 2017).

Professional guidelines

PubMed

Kim R, Bergugnat H, Pastoret C, Pasquier F, Raffoux E, Larcher L, Passet M, Grardel N, Delabesse E, Kubetzko S, Caye-Eude A, Meyer C, Marschalek R, Lafage-Pochitaloff M, Thiebaut-Bertrand A, Balsat M, Escoffre-Barbe M, Blum S, Baumann M, Banos A, Straetmans N, Gallego-Hernanz MP, Chalandon Y, Graux C, Soulier J, Leguay T, Hunault M, Huguet F, Lhéritier V, Dombret H, Boissel N, Clappier E
Blood 2023 Nov 23;142(21):1806-1817. doi: 10.1182/blood.2023021501. PMID: 37595275
Del Bufalo F, Becilli M, Rosignoli C, De Angelis B, Algeri M, Hanssens L, Gunetti M, Iacovelli S, Li Pira G, Girolami E, Leone G, Lazzaro S, Bertaina V, Sinibaldi M, Di Cecca S, Iaffaldano L, Künkele A, Boccieri E, Del Baldo G, Pagliara D, Merli P, Carta R, Quintarelli C, Locatelli F
Blood 2023 Jul 13;142(2):146-157. doi: 10.1182/blood.2023020023. PMID: 37172203
Philipp N, Kazerani M, Nicholls A, Vick B, Wulf J, Straub T, Scheurer M, Muth A, Hänel G, Nixdorf D, Sponheimer M, Ohlmeyer M, Lacher SM, Brauchle B, Marcinek A, Rohrbacher L, Leutbecher A, Rejeski K, Weigert O, von Bergwelt-Baildon M, Theurich S, Kischel R, Jeremias I, Bücklein V, Subklewe M
Blood 2022 Sep 8;140(10):1104-1118. doi: 10.1182/blood.2022015956. PMID: 35878001Free PMC Article

Curated

NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) Acute Lymphoblastic Leukemia, 2023

Recent clinical studies

Etiology

Jain H, Sengar M, Goli VB, Thorat J, Tembhare P, Shetty D, Bonda VNA, Nayak L, Subramanian PG, Bagal B, Patkar N, Sharma N, Gupta H, Gujral S
Blood Adv 2021 Sep 14;5(17):3436-3444. doi: 10.1182/bloodadvances.2020003368. PMID: 34461632Free PMC Article
Zhang C, Amos Burke GA
Leuk Lymphoma 2018 Aug;59(8):1807-1813. Epub 2017 Oct 12 doi: 10.1080/10428194.2017.1387914. PMID: 29022749
Valecha GK, Ibrahim U, Ghanem S, Asti D, Atallah JP, Terjanian T
Expert Rev Hematol 2017 Sep;10(9):783-799. Epub 2017 Jul 10 doi: 10.1080/17474086.2017.1350165. PMID: 28666090
Wolach O, Stone RM
Clin Cancer Res 2015 Oct 1;21(19):4262-9. Epub 2015 Aug 17 doi: 10.1158/1078-0432.CCR-15-0125. PMID: 26283683
Richardson RB
Leuk Res 2011 Nov;35(11):1425-31. Epub 2011 Sep 7 doi: 10.1016/j.leukres.2011.07.023. PMID: 21903265

Diagnosis

Seyfried F, Stirnweiß FU, Niedermayer A, Enzenmüller S, Hörl RL, Münch V, Köhrer S, Debatin KM, Meyer LH
Leukemia 2022 Apr;36(4):901-912. Epub 2022 Jan 14 doi: 10.1038/s41375-021-01502-z. PMID: 35031695Free PMC Article
Zhong Y, Beimnet K, Alli Z, Arnoldo A, Kowalski PE, Somers GR, Hawkins C, Abdelhaleem M
J Mol Diagn 2020 Jan;22(1):72-80. Epub 2019 Nov 13 doi: 10.1016/j.jmoldx.2019.08.008. PMID: 31733350
Zhang C, Amos Burke GA
Leuk Lymphoma 2018 Aug;59(8):1807-1813. Epub 2017 Oct 12 doi: 10.1080/10428194.2017.1387914. PMID: 29022749
Folan SA, Rexwinkle A, Autry J, Bryan JC
Clin Lymphoma Myeloma Leuk 2016 Aug;16 Suppl:S2-5. doi: 10.1016/j.clml.2016.02.001. PMID: 27521320
Wolach O, Stone RM
Clin Cancer Res 2015 Oct 1;21(19):4262-9. Epub 2015 Aug 17 doi: 10.1158/1078-0432.CCR-15-0125. PMID: 26283683

Therapy

Valecha GK, Ibrahim U, Ghanem S, Asti D, Atallah JP, Terjanian T
Expert Rev Hematol 2017 Sep;10(9):783-799. Epub 2017 Jul 10 doi: 10.1080/17474086.2017.1350165. PMID: 28666090
Folan SA, Rexwinkle A, Autry J, Bryan JC
Clin Lymphoma Myeloma Leuk 2016 Aug;16 Suppl:S2-5. doi: 10.1016/j.clml.2016.02.001. PMID: 27521320
Przepiorka D, Ko CW, Deisseroth A, Yancey CL, Candau-Chacon R, Chiu HJ, Gehrke BJ, Gomez-Broughton C, Kane RC, Kirshner S, Mehrotra N, Ricks TK, Schmiel D, Song P, Zhao P, Zhou Q, Farrell AT, Pazdur R
Clin Cancer Res 2015 Sep 15;21(18):4035-9. doi: 10.1158/1078-0432.CCR-15-0612. PMID: 26374073
Wolach O, Stone RM
Clin Cancer Res 2015 Oct 1;21(19):4262-9. Epub 2015 Aug 17 doi: 10.1158/1078-0432.CCR-15-0125. PMID: 26283683
Buie LW, Pecoraro JJ, Horvat TZ, Daley RJ
Ann Pharmacother 2015 Sep;49(9):1057-67. Epub 2015 Jun 3 doi: 10.1177/1060028015588555. PMID: 26041811

Prognosis

Bader P, Rossig C, Hutter M, Ayuk FA, Baldus CD, Bücklein VL, Bonig H, Cario G, Einsele H, Holtick U, Koenecke C, Bakhtiar S, Künkele A, Meisel R, Müller F, Müller I, Penack O, Rettinger E, Sauer MG, Schlegel PG, Soerensen J, von Stackelberg A, Strahm B, Hauer J, Feuchtinger T, Jarisch A
Blood Adv 2023 Jun 13;7(11):2436-2448. doi: 10.1182/bloodadvances.2022008981. PMID: 36607834Free PMC Article
Shirazi-Tehrani E, Vafadar A, Keshavarzi M, Firouzabadi N
Anticancer Drugs 2022 Jan 1;33(1):e680-e685. doi: 10.1097/CAD.0000000000001234. PMID: 34459460
Valecha GK, Ibrahim U, Ghanem S, Asti D, Atallah JP, Terjanian T
Expert Rev Hematol 2017 Sep;10(9):783-799. Epub 2017 Jul 10 doi: 10.1080/17474086.2017.1350165. PMID: 28666090
Wolach O, Stone RM
Clin Cancer Res 2015 Oct 1;21(19):4262-9. Epub 2015 Aug 17 doi: 10.1158/1078-0432.CCR-15-0125. PMID: 26283683
Hart AJ, Jagasia MH, Kim AS, Mosse CA, Savani BN, Kassim A
Biol Blood Marrow Transplant 2012 Dec;18(12):1790-9. Epub 2012 May 22 doi: 10.1016/j.bbmt.2012.05.009. PMID: 22626785

Clinical prediction guides

Bader P, Rossig C, Hutter M, Ayuk FA, Baldus CD, Bücklein VL, Bonig H, Cario G, Einsele H, Holtick U, Koenecke C, Bakhtiar S, Künkele A, Meisel R, Müller F, Müller I, Penack O, Rettinger E, Sauer MG, Schlegel PG, Soerensen J, von Stackelberg A, Strahm B, Hauer J, Feuchtinger T, Jarisch A
Blood Adv 2023 Jun 13;7(11):2436-2448. doi: 10.1182/bloodadvances.2022008981. PMID: 36607834Free PMC Article
Rolf N, Liu LYT, Tsang A, Lange PF, Lim CJ, Maxwell CA, Vercauteren SM, Reid GSD
Cytometry A 2022 Jan;101(1):57-71. Epub 2021 Jun 25 doi: 10.1002/cyto.a.24473. PMID: 34128309Free PMC Article
Wolach O, Stone RM
Clin Cancer Res 2015 Oct 1;21(19):4262-9. Epub 2015 Aug 17 doi: 10.1158/1078-0432.CCR-15-0125. PMID: 26283683
Fry TJ, Mackall CL
Hematology Am Soc Hematol Educ Program 2013;2013:348-53. doi: 10.1182/asheducation-2013.1.348. PMID: 24319203Free PMC Article
Hart AJ, Jagasia MH, Kim AS, Mosse CA, Savani BN, Kassim A
Biol Blood Marrow Transplant 2012 Dec;18(12):1790-9. Epub 2012 May 22 doi: 10.1016/j.bbmt.2012.05.009. PMID: 22626785

Recent systematic reviews

Bassan R, Brüggemann M, Radcliffe HS, Hartfield E, Kreuzbauer G, Wetten S
Haematologica 2019 Oct;104(10):2028-2039. Epub 2019 Mar 19 doi: 10.3324/haematol.2018.201053. PMID: 30890593Free PMC Article
Zhang C, Amos Burke GA
Leuk Lymphoma 2018 Aug;59(8):1807-1813. Epub 2017 Oct 12 doi: 10.1080/10428194.2017.1387914. PMID: 29022749

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
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    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • NCCN, 2023
      NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) Acute Lymphoblastic Leukemia, 2023

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