*Department of Pediatric Hematology and Oncology, St. Anna Children's Hospital‡Institute of Pathology, Medical University of Vienna†Children's Cancer Research Institute (CCRI), Vienna, Austria
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Abstract
Myelofibrosis is associated with a wide variety of neoplastic and non-neoplastic bone marrow diseases, predominately myeloproliferative neoplasms and acute myeloid leukemia. The following case documents an unusual patient presenting with pancytopenia and acute myelofibrosis accompanied by precursor B-cell acute lymphoblastic leukemia. This very rare clinical presentation raises questions concerning the relationship between concurrent occurrence of acute myelofibrosis and acute lymphoblastic leukemia.