Clonal evolution in atypical chronic granulocytic leukemia: a non-Philadelphia translocation.

Abstract:

:Hemopoietic cells in chronic granulocytic leukemia (CGL) frequently contain a chromosome translocation involving chromosome 22 and another autosome, usually number 9. The translocated chromosome 22 is known as the Philadelphia (Ph) chromosome. The appearance of a second Ph chromosome is the most common cytogenetic abnormality in CGL signaling the blastic phase. For 6 yr we serially studied a man with atypical CGL whose marrow cells were marked by a translocation from chromosome 18 to chromosome 11 [46XY,t(11;18)(q23;q12)]. Three months prior to blast transformation there appeared an extra copy of the marker chromosome 18: 47XY,t(11;18)(q23;q12),+(18p11 leads to 18q12). This man presents a new cytogenetic pattern of clonal evolution in CGL. The pattern is analogous to that of the Ph chromosome and is characterized by a balanced chromosomal rearrangement and the subsequent acquisition of an extra copy of the small translocation chromosome immediately prior to blast transformation.

journal_name

Blood

journal_title

Blood

authors

Bagby GC Jr,Kaiser-McCaw B,Hecht F,Koler RD,Linman JW

subject

Has Abstract

pub_date

1978-06-01 00:00:00

pages

997-1004

issue

6

eissn

0006-4971

issn

1528-0020

journal_volume

51

pub_type

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