T cell acute lymphoblastic leukemia/lymphoma

T cell acute lymphoblastic leukemia/lymphoma
Updated: 08/24/2020
© Jun Wang, MD, PhD

General features
  • Less common than B-cell ALL
  • Usually teens and young man
  • Lymphoma: Majority of lymphoblastic lymphoma, mediastinal mass
  • Leukemia if > 20% lymphoblasts in marrow
Clinical presentations
  • Lymphadenopathy
  • Mediastinum mass
Key Laboratory findings
Key morphological features of lymphoblast
  • Larger than normal lymphocytes
  • Scant cytoplasm
  • NO granules
  • NO Auer rods
Markers
  • CD34, CD99, TdT, bcl-2, CD1a, CD2, CD3, CD5, CD7
Genetic abnormalities
  • Various
  • Notch 1


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