17q21-qter trisomy is an indicator of poor prognosis in acute myelogenous leukemia

被引:6
作者
Morerio, C
Russo, I
Rosanda, C
Rapella, A
Leszl, A
Basso, G
Maserati, E
Pasquali, F
Panarello, C
机构
[1] Ist Giannina Gaslini, Div Ematol & Oncol Pediat, I-16147 Genoa, Italy
[2] Univ Padua, Dipartimento Pediat Clin Pediat, Padua, Italy
[3] Univ Turin, Dipartimento Pediat, I-10124 Turin, Italy
[4] Univ Pavia, I-27100 Pavia, Italy
关键词
D O I
10.1016/S0165-4608(99)00229-0
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A reciprocal translocation (9;11) is often found in acute myeloid leukemia (AML), mostly of the M5a type. We report a case of a child with ARAL, in whom r(9;11) was observed at diagnosis as the sole structural abnormality, together vith trisomies 19 and 21. The diagnosis was AML evolving from a myelodysplastic syndrome (MDS), and the blast morphology was undifferentiated. Chemotherapy failed to induce morphological remission and the patient's condition soon worsened. A subclone appeared and expanded during the course of the disease, with an additional unbalanced translocation (1;17) leading to trisomy of the long arm of chromosome 17 (17q). The data available from the literature on acquired anomalies involving 17q and our observation led us to postulate a specific link; between the gain of 17q and complete chemoresistance. (C) 2001 Elsevier Science Inc. All rights reserved.
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页码:12 / 15
页数:4
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