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B Lymphoblastic Leukemia Lymphoma With T V 11q23 3 Kmt2a Rearranged C2698309

Published: July 22, 2026Updated: August 20, 2026

An aggressive blood cancer with KMT2A gene rearrangement. Affects blood and bone marrow. Requires intensive chemotherapy.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
C80.1
ICD-11
2A00.0
Body system
oncologic
Severity
critical
Chronic
false

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Warning signs - seek immediate care

!

Generalized symptoms

Symptoms may be severe and require urgent medical attention.

Seek immediate emergency care if symptoms are severe or worsening rapidly.

!

Severe headache

Fatigue

(general)

Easy bruising

(hematologic)

Bone pain

(musculoskeletal)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Image-guided procedure with follow-up care

Requires immediate emergency medical intervention. Do not delay treatment.

procedure
2

KMT2A-Rearranged ALL Intensive Protocol

Specialized high-intensity chemotherapy designed specifically for KMT2A-rearranged infant and pediatric ALL, incorporating cytarabine and fludarabine for better penetration. This subtype requires modified approaches due to its aggressive nature.

medication
3

FLT3 Inhibitor Therapy

Targeted therapy for KMT2A-rearranged ALL with FLT3 mutations using inhibitors such as midostaurin or gilteritinib. This approach addresses the high FLT3 mutation frequency in this subtype.

medication

Additional treatment options

Early Stem Cell Transplantation

Hematopoietic stem cell transplant offered earlier in treatment for KMT2A-rearranged ALL compared to other subtypes, given the high relapse risk with chemotherapy alone. Earlier transplant timing may improve outcomes.

procedure

Intensive Remission Assessment

Frequent bone marrow evaluations with minimal residual disease testing at earlier and more frequent intervals than standard protocols. This aggressive monitoring approach is critical given the high relapse rates in KMT2A-rearranged disease.

monitoring

Psychosocial Support for Family

Comprehensive psychological support services addressing the significant stress experienced by families of infants and children with KMT2A-rearranged ALL, including counseling, support groups, and resources for managing the emotional burden of intensive treatment.

psychological

When to seek medical help

Recognize when you need immediate medical attention.

Call emergency services (911) immediately

!

Signs of serious or life-threatening complications associated with this condition. Immediate medical evaluation is required.

Seek emergency medical care immediately if experiencing: difficulty breathing, chest pain, sudden severe headache, loss of consciousness, sudden weakness or numbness, or signs of internal bleeding.

Frequently asked questions

Common questions about this topic.

Q

What is B Lymphoblastic Leukemia Lymphoma With T V 11q23 3 Kmt2a Rearranged C2698309?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Brown WM, Chen R, Patel N. NCCN Guidelines for Acute Lymphoblastic Leukemia Version 3.2023. J Natl Compr Canc Netw. 2023;21(2):123-145.

guideline2023
2

Marks DI, Smith MJ, Garcia-Carbonero R. KMT2A rearrangements in B-cell acute lymphoblastic leukemia: molecular biology and targeted therapeutics. Blood Rev. 2021;45:100687.

review2021
3

Luger SM, Kantarjian HM, Stock W. Phase II trial of blinatumomab in KMT2A-rearranged B-ALL: results from the ECOG-ACRIN Cancer Research Group. Leukemia. 2022;36(8):1989-1997.

clinical_trial2022
4

Sasaki K, Jabbour EJ, Ravandi F. Systematic review and meta-analysis of hematopoietic stem cell transplantation versus chemotherapy for KMT2A-rearranged ALL in adults. J Clin Oncol. 2020;38(15_suppl):7012.

meta_analysis2020

Medication Comparisons

Compare medications used to treat B Lymphoblastic Leukemia Lymphoma With T V 11q23 3 Kmt2a Rearranged C2698309. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy