Chronic Myelogenous Leukemia with the e6a2 BCR-ABL and Lacking Imatinib Response: Presentation of Two Cases

被引:11
作者
Vefring, Hege K. [1 ]
Gruber, Franz X. E. [3 ,4 ]
Wee, Line [1 ]
Hovland, Randi [5 ]
Hjorth-Hansen, Henrik [6 ,7 ]
Dahl, Tobias Gedde [8 ]
Meyer, Peter [2 ]
机构
[1] Stavanger Univ Hosp, Dept Med Biochem, NO-4022 Stavanger, Norway
[2] Stavanger Univ Hosp, Dept Hematol & Oncol, NO-4022 Stavanger, Norway
[3] Univ Tromso, Inst Pharm, Tromso, Norway
[4] Univ Hosp No Norway, Dept Immunol & Transfus Med, Tromso, Norway
[5] Haukeland Hosp, Ctr Med Genet & Mol Med, N-5021 Bergen, Norway
[6] Norwegian Univ Sci & Technol, Univ Trondheim Hosp, St Olavs Hosp, N-7034 Trondheim, Norway
[7] Norwegian Univ Sci & Technol, Inst Canc Res & Mol Med, N-7034 Trondheim, Norway
[8] Univ Hosp, Rikshosp, Dept Internal Med, Unit Hematol & Stem Cell Transplantat, Oslo, Norway
关键词
BCR-ABL; Chronic myelogenous leukemia; Imatinib; Multiplex RT-PCR; POLYMERASE-CHAIN-REACTION; RESIDUAL DISEASE DETECTION; ACUTE BASOPHILIC LEUKEMIA; CHRONIC-MYELOID-LEUKEMIA; FUSION TRANSCRIPT; CML PATIENT; GENE; IDENTIFICATION; RESISTANCE; DASATINIB;
D O I
10.1159/000230037
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The BCR-ABL fusion gene represents the hallmark of chronic myelogenous leukemia (CML) and is derived from a translocation between chromosome 9 and 22. The majority of CML patients have a breakpoint in the major BCR region of the BCR gene giving rise to e13a2 or e14a2 BCR-ABL transcripts. Occasionally, other BCR breakpoints occur. The current report describes two e6a2 CML patients with imatinib treatment failure and unusual disease progression. One patient was Philadelphia chromosome positive and one was Philadelphia chromosome negative with an atypical BCR-ABL rearrangement, ins (22; 9). Copyright (C) 2009 S. Karger AG, Basel
引用
收藏
页码:11 / 16
页数:6
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