SECONDARY ACUTE PROMYELOCYTIC LEUKEMIA WITH T(8-21) AND T(9-22) AT ONSET AND LOSS OF THE PHILADELPHIA-CHROMOSOME AT RELAPSE

被引:17
作者
DALLORSO, S
SESSAREGO, M
GARRE, ML
HAUPT, R
PASINO, M
SANSONE, R
机构
[1] NATL CANC RES INST,GENET EPIDEMIOL & ONCOGENET SECT,VIALE BENEDETTO XV 10,I-16132 GENOA,ITALY
[2] G GASLINI CHILDRENS HOSP,DIV PEDIAT HEMATOL ONCOL,GENOA,ITALY
[3] UNIV GENOA,CHAIR INTERNAL MED R,I-16126 GENOA,ITALY
关键词
D O I
10.1016/0165-4608(90)90260-H
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The translocation (8;21) is a typical marker of the M2 subtype of acute nonlymphocytic leukemia, whereas the Philadelphia (Ph) chromosome is predominantly associated with chronic myelogenous leukemia, and seldom with immature acute leukemia, either lymphoblastic or nonlymphoblastic. Furthermore, the association between t(8;21) and a Ph in the same cell is extremely rare. We present a case of secondary acute promyelocytic leukemia with a karyotype 46,XY,t(8;21), t(9;22) at onset. At relapse the patient lost the Ph, while maintaining the t(8;21). This apparently paradoxical pattern of cytogenetic features and evolution is discussed. © 1990.
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页码:41 / 46
页数:6
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