Loss of the Y chromosome in acute myelogenous leukemia: A report of 13 patients

Thirteen male patients with acute myelogenous leukemia who, on bone marrow chromosome analysis, were missing all or part of the Y chromosome were treated at this institution between 1975 and 1983. Giemsa-banding techniques were performed in 12 cases. Twelve showed −Y in at least 80% of bone marrow m...

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Veröffentlicht in:Cancer genetics and cytogenetics 1985-01, Vol.17 (3), p.269-278
Hauptverfasser: Holmes, Romayne I., Keating, Michael J., Cork, Ann, Trujillo, Jose M., McCredie, Kenneth B., Freireich, Emil J.
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container_end_page 278
container_issue 3
container_start_page 269
container_title Cancer genetics and cytogenetics
container_volume 17
creator Holmes, Romayne I.
Keating, Michael J.
Cork, Ann
Trujillo, Jose M.
McCredie, Kenneth B.
Freireich, Emil J.
description Thirteen male patients with acute myelogenous leukemia who, on bone marrow chromosome analysis, were missing all or part of the Y chromosome were treated at this institution between 1975 and 1983. Giemsa-banding techniques were performed in 12 cases. Twelve showed −Y in at least 80% of bone marrow metaphases, and one patient had 25% 46,XYqh−. The loss of the Y chromosome was the sole karyotypic abnormality in nine patients, and the remaining four had additional chromosome changes. The peripheral blood lymphocytes were diploid in all except three cases, where no mitotic cells were recovered. The median age was 55 years, eight patients had acute myelogenous leukemia (M2) and five acute myelomonocytic leukemia (M4). Six patients (46%) had an antecedent hematologic disorder. Eleven patients received standard induction combination chemotherapy. Complete remission was achieved in seven patients (63%). Remission bone marrow chromosome analysis showed 100% 46,XY in all seven cases. The median durations of complete remission and survival were 10 months and 12 months, respectively. The review suggests that −Y is a consistent, although uncommon, chromosome marker in acute myelogenous leukemia, associated with an aggressive clinical course and intermediate prognosis.
doi_str_mv 10.1016/0165-4608(85)90018-4
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adolescent
Adult
Aged
Aging
Biological and medical sciences
Chromosome Aberrations
Hematologic and hematopoietic diseases
Humans
Leukemia, Myeloid, Acute - blood
Leukemia, Myeloid, Acute - drug therapy
Leukemia, Myeloid, Acute - genetics
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Male
Medical sciences
Middle Aged
Prognosis
Y Chromosome
title Loss of the Y chromosome in acute myelogenous leukemia: A report of 13 patients
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