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Secondary plasma cell leukaemia (PCL) with plasmablastic morphology

Xu, K; Nacheva, E; (2024) Secondary plasma cell leukaemia (PCL) with plasmablastic morphology. Journal of Hematopathology , 17 (2) pp. 117-119. 10.1007/s12308-024-00583-w. Green open access

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Abstract

A 71-year-old female with relapsed IgA lambda myeloma developed progressive cytopenia. The peripheral blood film showed 5% blastoid cells. Flow cytometry analysis was indicative of plasma cells. The bone marrow smear was packed with plasmablasts. Target CD138-cell FISH and molecular karyotyping identified a complex genome. NGS identified high-risk mutations. Bone marrow histology confirmed myeloma with no evidence of acute leukaemia. The patient was diagnosed with plasmablastic progression of myeloma and secondary PCL. Secondary PCL patients have a poor prognosis. It is essential to recognize this subtype and explore a novel treatment approach.

Type: Article
Title: Secondary plasma cell leukaemia (PCL) with plasmablastic morphology
Location: Germany
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s12308-024-00583-w
Publisher version: http://dx.doi.org/10.1007/s12308-024-00583-w
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Cancer Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Cancer Institute > Research Department of Haematology
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10200934
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