“…A missense mutation of MYC (p.P72S), which is known to be pathogenic, was detected in the BL component, whereas it was not identified in the BLL-11q component. 5 Interestingly, these two components exhibited common mutations in TP53 I195N gene, which is likely oncogenic, and KMT2D R5027Q of unknown biologic significance. 6,7 After the surgery, the patient was treated with a dose-adjusted etoposide, prednisone, vincristine, cyclophosphamide, doxorubicin, and rituximab (EPOCH-R) regimen.…”