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Research Article Open access CC BY 4.0

Biclonal B-Chronic Lymphocytic Leukemia: A rare Case Report with Review of Literature

Bansal Shashi, Syeda Firdos Jamil, Talwar Amandeep, Sharma Upendra

Asian Hematology Research Journal · pp. 35–39 · Published 15 Mar 2021

Abstract

Chronic Lymphocytic Leukemia/Small Lymphocytic Leukemia is a neoplasm composed of monomorphic small mature B cells that co-express CD5, CD23 and one type of immunoglobulin light chain either kappa or lambda, which  is necessary for the diagnosis. Here, we report a case in a 65 year woman with morphological diagnosis of B-Chronic Lymphocytic Leukemia. On flowcytometry analysis, immunoglobulin light chain restriction was not apparent as B cells expressed both kappa & lambda light chains without a clear monotypic population. Sequential gating on flowcytometry revealed two monoclonal B-cell populations and helped in identification of this rare case of biclonal disease in chronic lymphocytic leukemia (CLL).

Lymphocytic leukemia B-cell bone marrow

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