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A Case of del(16)(q22) in a Patient with Acute Myeloid Leukemia with Complex Karyotype

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초록

Inversion of chromosome 16 [inv(16)(p13.1q22)] and t(16;16)(p13.1;q22) are associated with acute myelomonocytic leukemia (AMML) with eosinophilia and a favorable prognosis. On the other hand, patients with del(16)(q22) usually present with MDS or chronic myelomonocytic leukemia (CMML), which can evolve to AMML without eosinophilia, and this chromosomal aberration is associated with older age, a complex karyotype, and a poor prognosis. We report a case of AML with del(16)(q22) which showed a complex karyotype, absence of eosinophilia in bone marrow study and a poor response to chemotherapy. (Korean J Lab Med 2010;30:329-33)

Abstract

Inversion of chromosome 16 [inv(16)(p13.1q22)] and t(16;16)(p13.1;q22) are associated with acute myelomonocytic leukemia (AMML) with eosinophilia and a favorable prognosis. On the other hand, patients with del(16)(q22) usually present with MDS or chronic myelomonocytic leukemia (CMML), which can evolve to AMML without eosinophilia, and this chromosomal aberration is associated with older age, a complex karyotype, and a poor prognosis. We report a case of AML with del(16)(q22) which showed a complex karyotype, absence of eosinophilia in bone marrow study and a poor response to chemotherapy. (Korean J Lab Med 2010;30:329-33)

참고문헌 (9)

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  4. Larson RA, "Acute myelomonocytic leukemia with abnormal eosinophils and inv(16) or t(16;16) has a favorable prognosis", Blood, 68, pp.1242~1249 (1986)
  5. Le Beau MM, "Association of an inversion of chromosome 16 with abnormal marrow eosinophils in acute myelomonocytic leukemia. A unique cytogenetic-clinicopathological association", N Engl J Med, 309, pp.630~636 (1983)
  6. Ohyashiki K, "Chromo-some change at 16q22 in nonlymphocytic leukemia: clinical implication on leukemia patients with inv(16) versus del(16)", Leukemia, 2, pp.35~40 (1988)
  7. Egan N, "Deletion of CBFB in a patient with acute myelomonocytic leukemia (AML M4Eo) and inversion 16", Cancer Genet Cytogenet, 154, pp.60~62 (2004)
  8. Yamamoto K, "Deletion of 16q11 is a recurrent cytogenetic aberration in acute myeloblastic leukemia during disease progression", Cancer Genet Cytogenet, 131, pp.65~68 (2001)
  9. Taniwaki M, "Cytogenetic studies in 32 patients with myelodysplastic syndrome:insights to specific chromosomal abnormalities and prognosis", Jpn J Clin Oncol, 17, pp.141~150 (1987)

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