Page 234 - Haematologica Vol. 107 - September 2022
P. 234

LETTER TO THE EDITOR
Table 1. Clinical characteristics of pure erythroid leukemia.
         Case #
 Sex
 Age years
 F/U months
 Treatment
 Response
 Status at F/U
 History
 1
M
77
2.8
None
N/A
Dead
Therapy-related (B-ALL and DLBCL)
 2
  M
  66
  0.2
  None
  N/A
  Dead
  Therapy-related (PCN)
 3
F
68
7.3
Decitabine + Venotoclax, 4 cycles Azacitidine + Hu5F9-G4, 1 cycle
Transient CRi, 2.1 months
Dead
Therapy-related (ovarian cancer)
 4
 M
 55
 1.4
 CLIA + Venetoclax, 1 cycle
 No
 Dead
 Therapy-related (DLBCL)
 5
 F
 70
 1.7
 Decitabine + Venetoclax, 1 cycle
 No
 Dead
 Therapy-related (PCN)
 6
  M
  48
  2.3
  Fludarabine + AraC + Idarubicin, 1 cycle
  No
  Dead
  Therapy-related (AML)
 7
F
54
4.8
Cytarabine + Daunorubicine, 1 cycle Decitabine + Venetoclax, 2 cycles
No
Dead
Therapy-related (breast cancer)
 8
 M
 66
 6.3
 Azacitidine, 4 cycles
 No
 Dead
 Therapy-related (PCN)
 9
  F
  81
  0.8
  None
  N/A
  Dead
  Therapy-related (DLBCL)
 10
M
69
2.1
Low dose Cytarabine + Venetoclax, 1 cycle
No
Dead
Therapy-related (lung cancer)
 11
  M
  56
  4.4
  ASTX660 + ASTX727, 1 cycle
  No
  Dead
  Therapy-related (PCN)
 12
M
76
4.9
Sapacitabine, 3 cycles
Transient CRi, 2 months
Dead
MDS
 13
  F
  37
  0.4
  None
  N/A
  Dead
  MDS
 14
M
78
2.6
Low dose Cytarabine + Venetoclax, 2 cycles
No
Dead
MDS
 15
 M
 79
 3.6
 FF1101 (BET inhibitor), 2 cycles
 No
 Dead
 MDS
 16
 M
 60
 1.3
 None
 N/A
 Dead
 MDS
 17
  F
  78
  2.2
  Azacitidine + Nivolumab, 2 cycles
  No
  Dead
  De novo
 18
M
59
5.5
Azacitidine, 3 cycles FIA + Venetoclax, 1 cycle
No
Dead
De novo
 19
  F
  78
  N/A
  N/K
  N/K
  N/K
  De novo
 20
M
65
5.0
Azacitidine + Venetoclax, 2 cycles
Transient CRi, 2.6 months
Dead
De novo
 21
  M
  72
  2.8
  Decitabine + Venetoclax, 1 cycle
  No
  Dead
  De novo
 22
F
73
4.7
Azacitadine + Venclexta + Magrolimab, 3 cycles
CRi at the last F/U, 3 months
Alive
PMF
           AML: acute myeloid leukemia; B-ALL: B-acute lymphoblastic leukemia; BET: bromodomain and extra-terminal; CLIA: cladribine, idarubicin, and cytarabine; CRi: complete response with incomplete hematologic recovery; DLBCL: diffuse large B-cell lymphoma; FIA: fludarabine, ida- rubicin, cytarabine; F/U: follow up; MDS: myelodysplastic syndrome; N/A: not applicable; N/K: not known; PCN: plasma cell neoplasm; PMF: primary myelofibrosis.
(63%) had -7/7q-, and nine (47%) had concomitant -5/5q- and -7/7q-. The status of 17p/TP53 was assessed by con- ventional karyotyping and/or fluorescence in situ hybri- dization (FISH) in 17 cases: deletion of 17p and/or TP53 was detected in 13 (76%) cases (Table 2). The remaining four patients were negative but three (cases # 5, 15, and
17, Table 2) had more than one TP53 mutation by NGS, raising the possibility that both alleles were affected by TP53 mutations. In one patient (#12), the status of 17p/TP53 was unknown, but the VAF of TP53 mutation was 92.3%, consistent with the loss of wild-type TP53.
We performed p53 immunohistochemistry on 21 cases
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