BCR/ABL1 fluorescence in situ hybridization fusion signals on both copies of chromosome 22 in a Philadelphia-masked chronic myeloid leukemia case: implication for the therapy

Autor: Gabriella De Canal, Valentina Guido, Valentina Motta, Silvia Soriani, Emanuela Bonoldi, Silvio Veronese, Lorenza Romitti, Clara Cesana, Elena De Paoli, Giambattista Bertani
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Hematology Reports, Vol 13, Iss 1 (2021)
Hematology Reports
ISSN: 2038-8330
2038-8322
Popis: The cytogenetic hallmark of Chronic Myeloid Leukemia (CML) is the presence of Philadelphia (Ph) chromosome, which results from a reciprocal translocation t(9;22)(q34;q11). In this report, we describe a CML patient with no evidence of Ph chromosome but trisomy of chromosome 8 as single cytogenetic abnormality and a typical e14a2 (b3a2) BCR-ABL1 fusion transcript. Fluorescence In Situ Hybridization (FISH) analysis revealed an uncommon signal pattern: the fusion signals were located on both copies of chromosome 22. During the course of the disease the appearance of the p.(Tyr315Ile) mutation was recorded. To the best of our knowledge this is the first Ph chromosome-negative CML case with e14a2 (b3a2) BCR-ABL1 transcript and p.(Tyr315Ile) mutation.
Databáze: OpenAIRE