Table 3.

Clinical characteristics of MPAL with distinct mutations

PHF6 (n = 6)DNMT3A (n = 6)No PHF6 or DNMT3A (n = 14)
Age, median (IQR), y 26.5 (24.2-39.2) 60.5 (54.5-62.8) 40 (12-62.2) 
Sex, M/F 4/2 3/3 8/6 
Prior history 1 (CHL) 2 (lung cancer and HIV) 1 (melanoma) 
Extramedullary disease 
BM involvement 14 
CNS involvement 
CBC at the diagnosis, median (IQR)    
 WBC, ×109/L 7 (3-11.7) 3 (1.8-28.8) 31.7 (22.1-119.1) 
 ANC, ×109/L 1.2 (0.6-2) 0.4 (0.1-1.4) 1.4 (0.4-1.9) 
 Hb, g/dL 12.9 (12.2-13.2) 10.7 (9.3-12.6) 8.4 (7.4-9.5) 
 PLT, ×109/L 219 (179-246.2) 121.5 (64-258.5) 79.5 (34-121.2) 
 Blasts, % 35.5 (7.5-59) 12.5 (0-40) 51 (26-81.5) 
 BM blasts, % 74.5 (55.8-79.8) 80 (63.8-88.8) 82.5 (73.8-89.2) 
Immunophenotype    
 T-cell differentiation 
Abnormal karyotype 10 
Induction regimens, AML/ALL 0/6 3/3 1/13 
Achieving CR1 13 
Allo-HSCT 10 
Pre-HSCT MRD positivity 
PHF6 (n = 6)DNMT3A (n = 6)No PHF6 or DNMT3A (n = 14)
Age, median (IQR), y 26.5 (24.2-39.2) 60.5 (54.5-62.8) 40 (12-62.2) 
Sex, M/F 4/2 3/3 8/6 
Prior history 1 (CHL) 2 (lung cancer and HIV) 1 (melanoma) 
Extramedullary disease 
BM involvement 14 
CNS involvement 
CBC at the diagnosis, median (IQR)    
 WBC, ×109/L 7 (3-11.7) 3 (1.8-28.8) 31.7 (22.1-119.1) 
 ANC, ×109/L 1.2 (0.6-2) 0.4 (0.1-1.4) 1.4 (0.4-1.9) 
 Hb, g/dL 12.9 (12.2-13.2) 10.7 (9.3-12.6) 8.4 (7.4-9.5) 
 PLT, ×109/L 219 (179-246.2) 121.5 (64-258.5) 79.5 (34-121.2) 
 Blasts, % 35.5 (7.5-59) 12.5 (0-40) 51 (26-81.5) 
 BM blasts, % 74.5 (55.8-79.8) 80 (63.8-88.8) 82.5 (73.8-89.2) 
Immunophenotype    
 T-cell differentiation 
Abnormal karyotype 10 
Induction regimens, AML/ALL 0/6 3/3 1/13 
Achieving CR1 13 
Allo-HSCT 10 
Pre-HSCT MRD positivity 

CHL, classical Hodgkin lymphoma.

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