Additional acquisition of t(1;21)(p32;q22) in a patient relapsing with acute myelogenous leukemia with NUP98-HOXA9

被引:7
作者
Aoki, Takatoshi [2 ]
Miyamoto, Toshihiro [1 ]
Yoshida, Shuro [2 ]
Yamamoto, Asataro [2 ]
Yamauchi, Takuji [2 ]
Yoshimoto, Goichi [2 ]
Mori, Yasuo [2 ]
Kamezaki, Kenjiro [2 ]
Iwasaki, Hiromi [1 ]
Takenaka, Katsuto [2 ]
Harada, Naoki [2 ]
Nagafuji, Koji [2 ]
Teshima, Takanori [1 ]
Akashi, Koichi [2 ]
机构
[1] Kyushu Univ, Grad Sch Med Sci, Ctr Cellular & Mol Med, Higashi Ku, Fukuoka 8128582, Japan
[2] Kyushu Univ, Grad Sch Med Sci, Fukuoka 812, Japan
关键词
AML; t(1; 21); t(7; 11); NUP98-HOXA9; Clonal evolution;
D O I
10.1007/s12185-008-0198-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a 29-year-old Japanese male with acute myelogenous leukemia (AML)-M4 with a cryptic t(7;11)(p15;p15), in which a chimeric NUP98-HOXA9 fusion was detected by polymerase chain reaction analysis and a chromosomal analysis showed 46,XY. The patient received intensive chemotherapy and underwent autologous stem cell transplantation, and remission was confirmed by the disappearance of NUP98-HOXA9. However, 6 months after transplantation, the patient relapsed; NUP98-HOXA9 was detected again and karyotypic analysis revealed 46,XY, t(1;21)(p32;q22). Fluorescent in situ hybridization (FISH) analysis using an AML1-ETO translocation dual probe, showed that the 21q22 breakpoint involved AML1 locus. A retrospective FISH analysis showed that t(1;21) was absent at onset. This is the first reported case with AML who had a cryptic t(7;11)(p15;p15), and additionally acquired t(1;21) (p32;q22) at relapse.
引用
收藏
页码:571 / 574
页数:4
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