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Acute Lymphoblastic Leukemia (ALL)-L2 in an adult woman: a case report

  • Ni Luh Ayu Suwandari ,
  • Anak Agung Wiradewi Lestari ,
  • I Nyoman Wande ,
  • Ida Ayu Putri Wirawati ,
  • I Putu Yuda Prabawa ,


Background: Acute lymphoblastic leukemia (ALL) is a malignant disease of the bone marrow in which early lymphoid precursors proliferate and replace normal hematopoietic cells without developing into normal B and T cells. Acute lymphoblastic leukemia (ALL) is the most common leukemia in pediatric patients, accounting for up to 80% of cases in children and less frequently in adults.

Case Presentation: A 47-year-old woman complained of fever, feeling weak and dizzy, and also complained that if she spits, there has been blood since 7 days ago. A complete blood count showed leukocytosis, anemia, and thrombocytopenia. Bone marrow appearance corresponds to Acute Lymphoblastic Leukemia (ALL-L2) with 60% lymphoblast infiltration and heterogeneous size into the bone marrow. The immunophenotyping results showed a population of blasts expressing CD79a positive, CD19 positive, and CD34 positive with an ALL-B Lineage effect. During treatment, the patient experienced a worsening and was declared dead.

Conclusion: We report a case of an adult woman with a diagnosis of ALL L2. The diagnosis is based on clinical symptoms, laboratory examination, peripheral blood smear, bone marrow aspiration, and immunophenotyping examination.


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How to Cite

Suwandari, N. L. A., Lestari, A. A. W., Wande, I. N., Wirawati, I. A. P., & Prabawa, I. P. Y. (2023). Acute Lymphoblastic Leukemia (ALL)-L2 in an adult woman: a case report. Bali Medical Journal, 12(1), 669–674.




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Ni Luh Ayu Suwandari
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Anak Agung Wiradewi Lestari
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I Nyoman Wande
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Ida Ayu Putri Wirawati
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I Putu Yuda Prabawa
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