Atypical t(15;17)(q13;q12) in a patient with all- trans retinoic acid refractory secondary acute promyelocytic leukemia: : a case report and review of the literature

A 69-year-old woman developed microgranular acute promyelocytic leukemia (APL-M3) 10 months after receiving adjuvant cyclophosphamide, doxorubicin, and paclitaxel for breast cancer. Replicate bone marrow aspirate karyotypes contained a translocation between the long arms of chromosomes 15 and 17, bu...

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Veröffentlicht in:Cancer genetics and cytogenetics 2002-10, Vol.138 (2), p.143-148
Hauptverfasser: Kurian, Sobha, Hogan, Thomas F., Bleigh, Ona C., Dowdy, Yvonne G., Merghoub, Taha, Pandolfi, Pier Paolo, Wenger, Sharon L.
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container_end_page 148
container_issue 2
container_start_page 143
container_title Cancer genetics and cytogenetics
container_volume 138
creator Kurian, Sobha
Hogan, Thomas F.
Bleigh, Ona C.
Dowdy, Yvonne G.
Merghoub, Taha
Pandolfi, Pier Paolo
Wenger, Sharon L.
description A 69-year-old woman developed microgranular acute promyelocytic leukemia (APL-M3) 10 months after receiving adjuvant cyclophosphamide, doxorubicin, and paclitaxel for breast cancer. Replicate bone marrow aspirate karyotypes contained a translocation between the long arms of chromosomes 15 and 17, but not at breakpoints typical for APL. Fluorescence in situ hybridization paints and RARα/PML cosmid probes verified that the breakpoints on chromosomes 15 and 17 were proximal to both the PML and RARα genes; t(15;17)(q13;12). Although the patient received induction chemotherapy and a several month trial of all- trans retinoic acid (ATRA), there was no clinical improvement or hematological remission. We suspect that this patient developed postchemotherapy secondary APL with an atypical t(15;17), which rendered her leukemic cells unresponsive to ATRA therapy.
doi_str_mv 10.1016/S0165-4608(02)00591-5
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Replicate bone marrow aspirate karyotypes contained a translocation between the long arms of chromosomes 15 and 17, but not at breakpoints typical for APL. Fluorescence in situ hybridization paints and RARα/PML cosmid probes verified that the breakpoints on chromosomes 15 and 17 were proximal to both the PML and RARα genes; t(15;17)(q13;12). Although the patient received induction chemotherapy and a several month trial of all- trans retinoic acid (ATRA), there was no clinical improvement or hematological remission. 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subjects Aged
Biological and medical sciences
Bone Marrow - pathology
Breast Neoplasms - complications
Breast Neoplasms - drug therapy
Breast Neoplasms - genetics
Chromosome Breakage - genetics
Chromosomes, Human, Pair 15 - genetics
Chromosomes, Human, Pair 17 - genetics
Drug Resistance, Neoplasm
Drug toxicity and drugs side effects treatment
Female
Humans
In Situ Hybridization, Fluorescence
Leukemia, Promyelocytic, Acute - complications
Leukemia, Promyelocytic, Acute - drug therapy
Leukemia, Promyelocytic, Acute - genetics
Medical sciences
Pharmacology. Drug treatments
Receptors, Retinoic Acid - genetics
Receptors, Retinoic Acid - metabolism
Retinoic Acid Receptor alpha
Toxicity: blood
Translocation, Genetic - genetics
Tretinoin - pharmacology
Tretinoin - therapeutic use
title Atypical t(15;17)(q13;q12) in a patient with all- trans retinoic acid refractory secondary acute promyelocytic leukemia: : a case report and review of the literature
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