Table 1.

Recurrent genetic subtypes of B- and T-cell acute lymphoblastic leukemia (ALL).

SubtypeAssociated Genetic AbnormalitiesFrequency in ChildrenRisk Category
B-precursor ALL Hyperdiploid DNA content; trisomies of chromosomes 4, 10, 17 25% of B precursor cases Low 
 t(12;21)(p13;q22): 28% of B precursor cases Low 
 TEL/AML1 11q23/ rearrangements; 4% of B precursor cases; High 
 particularly t(4;11)(q21;q23) < 80% of infant ALL  
 t(1;19)9q23;p13) – E2A/PBX1 6% of B precursor cases High 
 t(9;22)(q34;q11): BCR/ABL 2% of B precursor cases Very high 
 Hypodiploidy Relatively rare Very high 
B-ALL t(8;14)(q24;q32) – IgH/MYC 5% of all B lineage ALL cases High 
T-ALL Numerous translocations involving the TCR αβ (7q35) or TCR γδ (14q11) loci 7% of ALL cases Not clearly defined 
SubtypeAssociated Genetic AbnormalitiesFrequency in ChildrenRisk Category
B-precursor ALL Hyperdiploid DNA content; trisomies of chromosomes 4, 10, 17 25% of B precursor cases Low 
 t(12;21)(p13;q22): 28% of B precursor cases Low 
 TEL/AML1 11q23/ rearrangements; 4% of B precursor cases; High 
 particularly t(4;11)(q21;q23) < 80% of infant ALL  
 t(1;19)9q23;p13) – E2A/PBX1 6% of B precursor cases High 
 t(9;22)(q34;q11): BCR/ABL 2% of B precursor cases Very high 
 Hypodiploidy Relatively rare Very high 
B-ALL t(8;14)(q24;q32) – IgH/MYC 5% of all B lineage ALL cases High 
T-ALL Numerous translocations involving the TCR αβ (7q35) or TCR γδ (14q11) loci 7% of ALL cases Not clearly defined 
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