Table 1.

Acute leukemia of ambiguous lineage entities as defined by WHO-HAEM5 and ICC classification

Acute leukemia of ambiguous lineage
MPAL with defining genetic alterations ICC WHO-HAEM5 
MPAL with BCR::ABL1  
 MPAL, with t(v;11q23.3); KMT2A rearranged  
 MPAL with ZNF384 rearrangement  
 MPAL with BCL11B activation ALAL with BCL11B
rearrangement 
MPAL with defining immunophenotypic changes B/Myeloid MPAL
T/Myeloid MPAL
B/T/Myeloid MPAL
B/T MPAL 
MPAL, rare types 
Acute undifferentiated leukemia (AUL)*   
ALAL*, NOS   
Acute leukemia of ambiguous lineage
MPAL with defining genetic alterations ICC WHO-HAEM5 
MPAL with BCR::ABL1  
 MPAL, with t(v;11q23.3); KMT2A rearranged  
 MPAL with ZNF384 rearrangement  
 MPAL with BCL11B activation ALAL with BCL11B
rearrangement 
MPAL with defining immunophenotypic changes B/Myeloid MPAL
T/Myeloid MPAL
B/T/Myeloid MPAL
B/T MPAL 
MPAL, rare types 
Acute undifferentiated leukemia (AUL)*   
ALAL*, NOS   
*

AUL is defined by a lack of lineage-specific markers.

**

Rare cases may exist in which the criteria for MPAL are not fulfilled, the criteria for acute leukemia of a single lineage are not fulfilled, and the patient has at least 1 of the lineage-specific markers in Table 2. Such cases are best referred to as acute leukemia of ambiguous lineage, not otherwise specified (ALAL, NOS).

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