Genetic alterations in lymphoblastic leukaemia / lymphoma – a practical guide to WHO HAEM5

Author:

Steinemann Doris1ORCID,Dawidowska Małgorzata2ORCID,Russell Lisa J3ORCID,Harrison Christine J4ORCID,Göhring Gudrun5ORCID

Affiliation:

1. Hannover Medical School Department of Human Genetics Hannover Germany

2. Institute of Human Genetics Department of Molecular and Clinical Genetics Poznan Poland

3. Newcastle University Centre for Cancer Biosciences Institute Newcastle upon Tyne UK

4. Newcastle University Centre for Cancer Leukaemia Research Cytogenetics Group, Translational and Clinical Research Institute, Newcastle upon Tyne UK

5. Amedes genetics MVZ wagnerstibbe für Laboratoriumsmedizin, Hämostaseologie, Humangenetik und Mikrobiologie Hannover Germany

Abstract

Abstract We present a practical guide for analyzing the genetic aspects of lymphoblastic leukaemia/lymphoma according to the 5th edition of the World Health Organization (WHO) classification of haematolymphoid neoplasms (WHO-HAEM5) issued in 2024. The WHO-HAEM5 acknowledges the increasing importance of genetics in the diagnosis of lymphoid neoplasia. Classification is based on the established genetic subtypes according to cell lineage, with precursor cell neoplasms followed by mature malignancies. This guide describes those genetic abnormalities in acute precursor B- and T-cell neoplasms required for risk stratification, and for treatment, providing diagnostic algorithms under the headings of ‘essential’ and ‘desirable’ diagnostic criteria.

Publisher

Walter de Gruyter GmbH

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