Follow-up by cytogenetic and fluorescence in situ hybridization analysis of allogeneic bone marrow transplantation in two children with Fanconi's anaemia in transformation.

Abstract:

:Results of bone marrow transplantation (BMT) in patients with Fanconi's anaemia (FA) in transformation are very poor and only a few cases with favourable outcome have been reported. We present the follow-up of two FA-myelodysplastic syndrome (MDS) patients with monosomy 7 and complex karyotype implicating chromosome 1. Both relapsed with acute myeloid leukaemia (AML) following an allogeneic BMT from an HLA-identical brother. The patients showed clonal cytogenetic evolution coinciding with the leukaemic transformation. In one patient, fluorescence in situ hybridization using X and Y chromosome probes detected an increase of host cells before clinical relapse. Both patients received a successful second allogeneic BMT from the same donor using a more intensive treatment regimen and remain in clinical and cytogenetic remission more than 3 years later.

journal_name

Br J Haematol

authors

Ortega M,Caballín MR,Ortega JJ,Olive T,Coll MD

doi

10.1046/j.1365-2141.2000.02334.x

subject

Has Abstract

pub_date

2000-10-01 00:00:00

pages

329-33

issue

1

eissn

0007-1048

issn

1365-2141

pii

bjh2334

journal_volume

111

pub_type

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