This study prospectively analysed the relationships between observed to vary according to the type and number of lymphimmunophenotypic and cytogenetic features of blast cells in oid lineage antigens expressed. 9 The expression of some of 432 acute non-lymphoblastic leukemias (ANLL) at presentation.these antigens also appeared to be related to recurrent cyto- The study was initiated in March 1992 by the Groupe d'Etude Immunologique des Leucémies (GEIL), a French multicentric Introduction group that collects data from over 40 centers in France and Belgium. The endpoint of the present analysis was 30 SepIn 1988, the morphologic, immunologic and cytogenetic tember 1994. Patients eligible for the study met the following working classification (MIC) of acute non-lymphoblastic leucriteria: established diagnosis of ANLL and collection of a sufkemia (ANLL) 1 underlined the correlations between some ficient number of blast cells for both immunophenotype and recurrent specific cytogenetic abnormalities and defined cytosuccessful cytogenetic analysis. M0-ANLL were defined as logic subgroups. At that time, the relationships between cytopreviously reported. 2 FAB data were collected from each genetic features identified in ANLL and the immunophenotype center's cytology laboratory. of blast cells remained poorly characterised. During the last 10 years, immunophenotypic analysis of ANLL blast cells has provided new information and become a powerful tool in Immunological phenotyping assigning undifferentiated acute leukaemia to the myeloid lineage. 2 Meanwhile, investigation of lymphoid lineage antigens Mononuclear cells were recovered from heparinized bone on blast cells from a large number of ANLL has demonstrated marrow (391 cases) or peripheral blood (41 cases) collected the high immunophenotypic heterogeneity of morphologically at diagnosis. The percentage of blast cells after separation on and cytogenetically well-defined diseases. [3][4][5][6][7][8] a Ficoll gradient was higher than 50% in M2 and M4 subtypes Molecular analyses attempting to correlate these immunoand higher than 80% in the remaining cases. The immunophenotypic features to their genotypic counterpart did not phenotype was performed by flow cytometry on blast cells demonstrate any strict correlation between the rearrangement gated on their abnormal light scatter characteristics, using of immunoglobulin and T cell receptor genes and the monoclonal antibodies for the following antigens: CD9 expression of lymphoid lineage antigens on ANLL blast (IOB2), CD11b (FD11), CD13 (MY7), CD14 (UCHM1), cells. 3,9-11 However, the prevalence of genotypic changes was CD15a (SMY15a), CD16 (Leu11b), CD18 (IOT18), CD33 (MY9), CD34 (BI-3C5), CD35 (44-D), CD36 (OKM5), CDw65 (VIM2), CD41 (P2), CD42 (SZ2), T lymphoid differentiation