Case report and review of the literature: Chronic myelomonocytic leukemia with der(9)t(1;9)(q11;q34) as a sole abnormality

Borum Suh, Sung Park Tae, Jinseok Kim, Jaewoo Song, Juwon Kim, Jong Ha Yoo, Rak Choi Jong

Research output: Contribution to journalArticle

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Abstract

The chromosomal abnormality der(9)t(1;9)(q11;q34) is a rare occurrence in patients with hematologic malignancies. As far as we know, only 3 cases of acute myeloid leukemia, 1 case of polycythemia vera, and 1 case of multiple myeloma with this derivative chromosome have been reported in the literature. Here we report the first case of der(9)t(1;9)(q11;q34) in a patient with chronic myelomonocytic leukemia (CMML). A 45-yr-old man was brought to our hospital for evaluation of pancytopenia and monocytosis. The patient's persistent monocytosis in peripheral blood and his bone marrow findings were consistent with the diagnosis of CMML. Chromosome study results repeatedly showed 46,XY,der(9)t(1;9)(q11;q34). In addition, the BCR/ABL fluorescent in situ hybridization (FISH) pattern of the interphase cells was interpreted as: "nuc ish(ABL, BCR) x 2[292/300]," consistent with the normal signal patterns found in 97% of the nuclei examined. For further evaluation, multi-color FISH (mFISH) analysis was performed and it showed the distinct unbalanced derivative chromosome der(9)t(1;9)(q11;q34) in 5 metaphase cells analyzed. Not only does this show an extraordinary type of trisomy 1q, but it reveals a rare recurrent case of der(9)t(1;9)(q11;q34) in patients with monocytic-lineage leukemia. Further studies are needed to evaluate the prognosis, survival, and treatment response of such patients with der(9)t(1;9)(q11;q34).

Original languageEnglish
Pages (from-to)307-312
Number of pages6
JournalAnnals of Clinical and Laboratory Science
Volume39
Issue number3
Publication statusPublished - 2009 Jun 1

Fingerprint

Leukemia, Myelomonocytic, Chronic
Chromosomes
Derivatives
Fluorescence In Situ Hybridization
Bone
Blood
Polycythemia Vera
Chromosomes, Human, Pair 9
Pancytopenia
Color
Trisomy
Interphase
Hematologic Neoplasms
Metaphase
Multiple Myeloma
Acute Myeloid Leukemia
Chromosome Aberrations
Leukemia
Bone Marrow
Survival

All Science Journal Classification (ASJC) codes

  • Microbiology
  • Immunology and Allergy
  • Pathology and Forensic Medicine
  • Immunology
  • Molecular Biology
  • Hematology
  • Clinical Biochemistry
  • Medical Laboratory Technology

Cite this

Suh, Borum ; Tae, Sung Park ; Kim, Jinseok ; Song, Jaewoo ; Kim, Juwon ; Yoo, Jong Ha ; Jong, Rak Choi. / Case report and review of the literature : Chronic myelomonocytic leukemia with der(9)t(1;9)(q11;q34) as a sole abnormality. In: Annals of Clinical and Laboratory Science. 2009 ; Vol. 39, No. 3. pp. 307-312.
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Case report and review of the literature : Chronic myelomonocytic leukemia with der(9)t(1;9)(q11;q34) as a sole abnormality. / Suh, Borum; Tae, Sung Park; Kim, Jinseok; Song, Jaewoo; Kim, Juwon; Yoo, Jong Ha; Jong, Rak Choi.

In: Annals of Clinical and Laboratory Science, Vol. 39, No. 3, 01.06.2009, p. 307-312.

Research output: Contribution to journalArticle

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