Precursor B-cell lymphoblastic leukemia is a form of

lymphoid leukemia Lymphoid leukemias are a group of leukemias affecting circulating lymphocytes, a type of white blood cell. The lymphocytic leukemias are closely related to lymphomas of the lymphocytes, to the point that some of them are unitary disease entities t ...

in which too many

B-cell B cells, also known as B lymphocytes, are a type of white blood cell of the lymphocyte subtype. They function in the humoral immunity component of the adaptive immune system. B cells produce antibody molecules which may be either secreted o ...

lymphoblasts __NOTOC__ A lymphoblast is a modified naive lymphocyte with altered cell morphology. It occurs when the lymphocyte is activated by an antigen (from antigen-presenting cells) and increased in volume by nucleus and cytoplasm growth as well as new mRN ...

(immature

white blood cells White blood cells, also called leukocytes or leucocytes, are the cells of the immune system that are involved in protecting the body against both infectious disease and foreign invaders. All white blood cells are produced and derived from mult ...

) are found in the

blood Blood is a body fluid in the circulatory system of humans and other vertebrates that delivers necessary substances such as nutrients and oxygen to the cells, and transports metabolic waste products away from those same cells. Blood in the c ...

and

bone marrow Bone marrow is a semi-solid tissue found within the spongy (also known as cancellous) portions of bones. In birds and mammals, bone marrow is the primary site of new blood cell production (or haematopoiesis). It is composed of hematopoietic ce ...

. It is the most common type of

acute lymphoblastic leukemia Acute lymphoblastic leukemia (ALL) is a cancer of the lymphoid line of blood cells characterized by the development of large numbers of immature lymphocytes. Symptoms may include feeling tired, pale skin color, fever, easy bleeding or bruisin ...

(ALL). It is sometimes additionally classified as a lymphoma, as designated ''leukemia/lymphoma''.

Subtypes

It consists of the following subtypes: * t(9;22)-BCR/ ABL * t(v;11q23)-MLL rearrangement * t(1;19)-E2A/PBX1 * t(12;21)-ETV/ CBFα
t(17;19)-E2A-HLF

Molecular Mechanisms

One interesting model of precursor B ALL shows aberrant function of a single gene, namely Pax5, as capable to change phenotype of B cells toward precursor cells.

Diagnosis

t(12;21)-ETV/ CBFα has a better prognosis as compared to other subtypes.

Treatment

References

External links

Precursor B-lymphoblastic leukemia
entry in the public domain NCI Dictionary of Cancer Terms Acute lymphocytic leukemia {{blood-disease-stub