Abstract

B-lymphoblastic leukemia/lymphoma (B-ALL) BCR-ABL1-like (Ph-like) is a provisional entity in the 2016 revision of the WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues. The incidence of Ph-like ALL is 15-30% in children and young adults with B-ALL. Genetic abnormalities associated with Ph-like ALL are heterogenous. Approximately 50% of Ph-like ALL patients may have cytokine receptor like factor 2 (CRLF2) gene overexpression, JAK2 mutations with activation of JAK-STAT pathway and a poor clinical outcome. Due to recent advances in the genomic testing of B-ALL, patients can be stratified into different risk groups based on early treatment response to drugs and minimal residual disease (MRD).

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