Case | Age (years)/sex | Diagnosis | Location | Karyotype/chromosome translocation | Gene rearrangement/mutation | MYB expression | Clinical follow-up |
1 | 5/M | BCP-ALL | Superior orbital region (left)* | 46, XY, t(2;3)(p11;q29)[11]/46 XY [16] | No ETV6 rearrangement† | + | NED after 13 years |
2 | 9/F | BCP-ALL | Superior orbital region (left)* | 47, XX, t(12;21)(p13;q22),+21 | ETV6 rearrangement† | + | NED after 5 years |
3 | 17/M | BCP-ALL | Bilateral uveal and retinal leukaemic infiltrates, optic nerve invasion (left) | NDA | ETV6 rearrangement† | – | Orbital lesion after 1 year, DOD after 1.3 years |
4 | 32/M | BCP-ALL | Leukaemic infiltrate of the iris (right) | 46, XY [25] | NDA | NDA | Relapses after 6 and 27 years, ocular lesion after 28 years, DOD after 29 years |
5 | 1/M | AML FAB M5 | Inferior orbital region (left)* | 46, XY, t(9;11)(p22;q23) [7] | KMT2A rearrangement† | + | NED after 18 years |
6 | 40/F | AML FAB M4 | Orbital region (left) | 46XX, −7, +11, inv(16)(p13q22) | No KMT2A rearrangement† | + | Orbital lesion after 2 years, DOD after 5 years |
7 | 68/M | AML FAB M1 | Inferior orbital region (left) | 46, XY [25] | No KMT2A rearrangement† | + | Relapse after 2 years, orbital lesion after 3 years, DOC after 3.5 years |
8 | 70/F | AML FAB M2 | Retinal and subretinal infiltrate (left) | NDA | FLT3 ITD mutation NPM1 mutation | NDA | Ocular lesion after 9 months, relapse 1.5 years, DOD after 2 years |
9 | 68/F | CLL, high-grade transformation to AML FAB M2 | Choroid, conjunctiva, and anterior orbital region (right) | t(8;21)(q22;q22) | RUNX1–RUNX1T1 gene fusion | − | DOD |
*Primary ophthalmic lesion.
†FISH analysis.
AML, acute myeloid leukaemia; BCP-ALL, B-cell precursor acute lymphoblastic leukaemia; CLL, chronic lymphocytic leukaemia; DOC, dead of other causes; DOD, dead of disease; F, female; ITD, internal tandem duplication in juxtamembrane domain; M, male; NDA, no data available; NED, no evidence of disease.