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Acute lymphoblastic leukemia with myeloperoxidase activity
Authors:Susan Wright  Antoine Chucrallah  Yap Yee Chong  Hagop Kantarjian  Michael Keating  Maher Albitar
Abstract:The French-American-British (FAB) classification of acute leukemias is based on the light microscopic detection of myeloperoxidase (MPO) activity in blast cells. Cells with MPO activity in >3% of cells are classified as acute myeloid leukemia (AML) and usually express myeloid cell surface antigens. We describe a case of acute leukemia in which the blast cells have lymphoid morphology, ultrastructure, immunophenotype, and molecular rearrangements, but express significant amounts of MPO. We discuss the incidence, features, and outcome of MPO-positive acute lymphoblastic leukemia (ALL). © 1996 Wiley-Liss, Inc.
Keywords:acute lymphoblastic leukemia  myeloperoxidase  electron microscopy  biphenotypic
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