PMID- 10214353 OWN - NLM STAT- MEDLINE DCOM- 19990507 LR - 20190816 IS - 0165-4608 (Print) IS - 0165-4608 (Linking) VI - 110 IP - 2 DP - 1999 Apr 15 TI - Prognostic relevance of monosomy at the 13q14 locus detected by fluorescence in situ hybridization in B-cell chronic lymphocytic leukemia. PG - 77-81 AB - Deletion of the chromosome band 13q14, which contains the putative deleted in B-cell malignancy (DBM) gene, and trisomy 12 have been demonstrated by fluorescence in situ hybridization (FISH) techniques in malignant B-cells from patients with B cell chronic lymphocytic leukemia (B-CLL). However, the prognostic relevance of 13q14 abnormalities as detected by FISH is unknown. We prospectively studied malignant blood cells from 54 consecutive, untreated B-CLL patients using FISH probes to the RB1 locus and DBM (markers D13S25 and D13S319) for band 13q14, as well as probes to chromosome 12. The cells from all cases were CD5+ CD20+, expressed clonally restricted surface immunoglobulin light chain, and had typical features for B-CLL on careful blood smear morphologic evaluation. Patients were followed for a mean of 3.9 years and treatment-free survival (TFS) was used in the prognostic factor analysis. Twenty-four (44%) patients were observed to have monosomy of the RB1 locus and 26 (48%) monosomy of D13S25 and D13S319. The 26 patients who had a deletion at at least one of these loci had a 48.4 month (mo) median TFS vs 31.1 mo for those without evidence of deletion at any 13q14 locus (p = 0.07). The seven patients found to have trisomy 12 had a median TFS of 6.9 mo vs 39.3 mo for those diploid for chromosome 12 (p < 0.01). When these seven patients with trisomy 12 were excluded from the analysis, patients who had a deletion at 13q14 tended to have a longer median TFS (50.1 vs 36.2 mos), but this was not statistically significant (p = 0.2). This study confirms the prevalence of 13q14 deletions in B-CLL and suggests that patients with this abnormality have a better TFS than those with trisomy 12. FAU - Hogan, W J AU - Hogan WJ AD - Department of Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA. FAU - Tefferi, A AU - Tefferi A FAU - Borell, T J AU - Borell TJ FAU - Jenkins, R AU - Jenkins R FAU - Li, C Y AU - Li CY FAU - Witzig, T E AU - Witzig TE LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - *Chromosomes, Human, Pair 12 MH - *Chromosomes, Human, Pair 13 MH - Diploidy MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Leukemia, Lymphocytic, Chronic, B-Cell/*genetics/mortality MH - Male MH - Middle Aged MH - Monosomy/*genetics MH - Predictive Value of Tests MH - Prognosis MH - Survival Rate EDAT- 1999/04/24 00:00 MHDA- 1999/04/24 00:01 CRDT- 1999/04/24 00:00 PHST- 1999/04/24 00:00 [pubmed] PHST- 1999/04/24 00:01 [medline] PHST- 1999/04/24 00:00 [entrez] AID - S0165460898002076 [pii] AID - 10.1016/s0165-4608(98)00207-6 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 1999 Apr 15;110(2):77-81. doi: 10.1016/s0165-4608(98)00207-6.