The impact of cytogenetic abnormalities on the prognosis of primary myelofibrosis: a prospective survey of 202 cases in Japan

Cytogenetic abnormalities were often observed in primary myelofibrosis patients. The presence of specific cytogenetic abnormalities, such as sole abnormalities of chromosome 13q−, 20q−, or −7/7q−, is reported to have the influence on the prognosis of primary myelofibrosis. We analyzed the data from...

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Veröffentlicht in:European journal of haematology 2009-10, Vol.83 (4), p.328-333
Hauptverfasser: Hidaka, Tomonori, Shide, Kotaro, Shimoda, Haruko, Kameda, Takurou, Toyama, Keiko, Katayose, Keiko, Kubuki, Youko, Nagata, Kenji, Takenaka, Katsuto, Akashi, Koichi, Okamura, Takashi, Niho, Yoshiyuki, Mizoguchi, Hideaki, Omine, Mitsuhiro, Ozawa, Keiya, Harada, Mine, Shimoda, Kazuya
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container_end_page 333
container_issue 4
container_start_page 328
container_title European journal of haematology
container_volume 83
creator Hidaka, Tomonori
Shide, Kotaro
Shimoda, Haruko
Kameda, Takurou
Toyama, Keiko
Katayose, Keiko
Kubuki, Youko
Nagata, Kenji
Takenaka, Katsuto
Akashi, Koichi
Okamura, Takashi
Niho, Yoshiyuki
Mizoguchi, Hideaki
Omine, Mitsuhiro
Ozawa, Keiya
Harada, Mine
Shimoda, Kazuya
description Cytogenetic abnormalities were often observed in primary myelofibrosis patients. The presence of specific cytogenetic abnormalities, such as sole abnormalities of chromosome 13q−, 20q−, or −7/7q−, is reported to have the influence on the prognosis of primary myelofibrosis. We analyzed the data from the prospective survey of Japanese primary myelofibrosis patients which was conducted from 1999 to clarify the impact of cytogenetic abnormalities on the prognosis of primary myelofibrosis. A total of 202 primary myelofibrosis patients had the cytogenetic and the prognostic data. Eighty (40%) out of 202 cases had cytogenetic abnormalities, and an association was evident for platelet counts. Although the presence of an abnormal karyotype did not affect the prognosis, primary myelofibrosis patients with cytogenetic abnormalities other than 13q− and 20q− showed an inferior prognosis compared to patients with a normal karyotype or sole 13q− or 20q− abnormalities. Patients with an unfavorable cytogenetic profile (abnormal cytogenetics other than 13q− or 20q−) also had a greater tendency to transform to leukemia than patients with a favorable cytogenetic profile (normal cytogenetics, sole abnormalities of either chromosome 13q−, or 20q−). Abnormal cytogenetics other than 13q− or 20q− in primary myelofibrosis patients has the poor prognostic effect for both survival and the risk of leukemic transformation.
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Patients with an unfavorable cytogenetic profile (abnormal cytogenetics other than 13q− or 20q−) also had a greater tendency to transform to leukemia than patients with a favorable cytogenetic profile (normal cytogenetics, sole abnormalities of either chromosome 13q−, or 20q−). 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Patients with an unfavorable cytogenetic profile (abnormal cytogenetics other than 13q− or 20q−) also had a greater tendency to transform to leukemia than patients with a favorable cytogenetic profile (normal cytogenetics, sole abnormalities of either chromosome 13q−, or 20q−). Abnormal cytogenetics other than 13q− or 20q− in primary myelofibrosis patients has the poor prognostic effect for both survival and the risk of leukemic transformation.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19549278</pmid><doi>10.1111/j.1600-0609.2009.01298.x</doi><tpages>6</tpages></addata></record>
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subjects 13q
20q
7/7q
Adolescent
Adult
Aged
Aged, 80 and over
Cell Transformation, Neoplastic - genetics
Chromosome Aberrations
Chromosomes, Human, Pair 13
Chromosomes, Human, Pair 20
Chromosomes, Human, Pair 7
cytogenetic abnormalities
Humans
Japan - epidemiology
Leukemia - etiology
Male
Middle Aged
primary myelofibrosis
Primary Myelofibrosis - diagnosis
Primary Myelofibrosis - epidemiology
Primary Myelofibrosis - genetics
Prognosis
Survival Analysis
Young Adult
title The impact of cytogenetic abnormalities on the prognosis of primary myelofibrosis: a prospective survey of 202 cases in Japan
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