Acquisition of the Ph chromosome and BCR-ABL fusion product in AML-M2 and t(8;21) leukemia: cytogenetic and FISH evidence for a late event.

Abstract:

:A patient with the M2 subtype of AML who had a 45,X,-X,t(8;21) karyotype at diagnosis was found to have the Ph chromosome in one out of 37 evaluated cells 18 months after the initial diagnosis. Interphase FISH studies utilizing a BCR-ABL dual-color probe did not detect a fusion product 4 months prior to the appearance of one Ph-positive cell. Nineteen months post diagnosis and 5 months after clinical relapse all evaluated cells had the Ph chromosome in a clone characterized by t(8;21). These observations suggest that late appearing Ph is a secondary event which may be either therapy-related or consistent with one of the later events in a multistep pathogenesis of AML.

journal_name

Leukemia

journal_title

Leukemia

authors

Najfeld V,Geller M,Troy K,Scalise A

doi

10.1038/sj.leu.2400974

subject

Has Abstract

pub_date

1998-04-01 00:00:00

pages

517-9

issue

4

eissn

0887-6924

issn

1476-5551

journal_volume

12

pub_type

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