Journal List > Korean J Lab Med > v.26(4) > 1011322

Kim, Cho, Kim, Moon, Nahm, Choi, and Kim: Chronic Myelogenous Leukemia with a Variant Philadelphia Translocation: t(11;22)(q25;q11.2)

Abstract

We report a case of chronic myelogenous leukemia displaying a variant Philadelphia translocation t(11;22)(q25;q11.2). Breakpoint 11q25 has not previously been reported. Reverse transcriptase polymerase chain reaction and fluorescence in-situ hybridization demonstrated the BCR/ABL rearrangement.

References

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Fig. 1.
The G-banded karyotype of the patient was determined as 46,XY,t(11;22)(q25;q11.2).
kjlm-26-246f1.tif
Fig. 2.
LSI BCR/ABL dual color, dual fusion probe (cited by http://www.vysis.com/AnalyticSpecificReagents(ASR)_59424.asp?PrintPage=true&ProdID=35–191032, Vysis, Downers Grove, IL, USA.). The BCR probe was labeled with a green fluorochrome (G) and the ASS-ABL probe was labeled with a orange fluorochrome (O). BCR/ABL rearrangements were detected as yellow fusion signals (F). The 2O2G was normal signal pattern. The 1O1G2F was typical pattern for BCR/ABL fusion. Atypical patterns of 1O1G1F, 1O2G1F and 2O1G1F are indicative of genomic deletions[9, 11].
kjlm-26-246f2.tif
Fig. 3.
D-FISH for BCR/ABL. (A) Two orange signals, a green signal, and a fusion signal in an interphase. (B) Two orange signals on chromosome 9, a green signal on chromosome 22, and a fusion signals (arrow) in a metaphase.
kjlm-26-246f3.tif
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