21三体伴t(5);11)染色体易位作为小儿急性髓性白血病M2型新的不良细胞遗传学异常:9年随访1例并文献复习。

Lin Wang, Xiao-Yan Wu, Run-Ming Jin, Bing-Yu Zhang, Yi-Ning Qiu
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引用次数: 0

摘要

我们报告一例小儿急性髓性白血病2型(AML-M2),其核型畸变为21三体并伴有t(5;11)染色体易位。患者经柔红霉素、阿糖胞苷和依托泊苷化疗2个周期后完全缓解。随后,骨髓细胞培养的细胞遗传学分析显示正常核型为46,xy。9年后患者复发,再次出现21三体伴t(5;11)的核型异常。结论:21三体伴t(5;11)是AML-M2中一种新的不利的细胞遗传学畸变。
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Trisomy 21 with t(5; 11) chromosomal translocation as new unfavorable cytogenetic abnormalities in pediatric acute myeloid leukemia type M2: One case report of nine-year follow-up and literature review.

We report one case of pediatric acute myeloid leukemia type 2 (AML-M2) who presented with karyotypic aberration of trisomy 21 with the t(5;11) chromosomal translocation. The patient achieved complete remission after two cycles of chemotherapy of daunorubicin, cytarabine and etoposide. Then, follow-up cytogenetic analysis from bone marrow cell cultures demonstrated a normal karyotype of 46, XY. After 9 years, the patient relapsed and the karyotypic abnormalities of trisomy 21 with t(5;11) reappeared. It was concluded that trisomy 21 with t(5; 11) is a new unfavorable cytogenetic aberration in AML-M2.

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