PMID- 10917138 OWN - NLM STAT- MEDLINE DCOM- 20001102 LR - 20071115 IS - 0361-090X (Print) IS - 0361-090X (Linking) VI - 24 IP - 2 DP - 2000 TI - Fluorescence in situ hybridization evaluation of minimal residual disease on stem-cell harvests. PG - 169-72 AB - The usefulness of fluorescence in situ hybridization (FISH) analysis to detect minimal residual disease (MRD) in autologous bone marrow and peripheral blood stem-cell harvests has been tested in three patients with hematologic malignancies. Conventional cytogenetics and FISH were used to characterize the leukemic clones identifying the specific chromosomal abnormalities (monosomy 7 in a myelodysplastic patient and trisomy 8 in two acute myeloid leukemic patients). Such analysis was useful to monitor the MRD persistent after treating these patients with intensive chemotherapy. The myelodysplastic patient underwent eight peripheral blood-stem cell harvests in which FISH detected the persistence of monosomy 7 cells, precluding their use for autologous transplantation. This patient relapsed and died. In two acute myeloid leukemia patients who underwent an autologous marrow harvest, FISH did not show a significant proportion of trisomy 8 cells. Nevertheless, autologous transplantation was not performed, owing to an insufficient CD34 cell content in the harvests. One of these patients relapsed with the reappearance of trisomy 8 and died. The other patient, on the contrary, is alive in complete remission 3 years after the bone marrow harvest. The usefulness and applicability of MRD quantification in stem-cell harvests is discussed on the basis of the sensitivity of the methodology applied. FAU - Diez-Martin, J L AU - Diez-Martin JL AD - Department of Haematology, Clinica Puerta de Hierro, Spain. FAU - Buno, I AU - Buno I FAU - Llamas, P AU - Llamas P FAU - Gosalvez, J AU - Gosalvez J FAU - Lopez-Fernandez, C AU - Lopez-Fernandez C FAU - Polo, N AU - Polo N FAU - Regidor, C AU - Regidor C LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Cancer Detect Prev JT - Cancer detection and prevention JID - 7704778 SB - IM MH - Adolescent MH - Adult MH - Chromosome Aberrations MH - Female MH - *Hematopoietic Stem Cell Transplantation MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Leukemia, Myeloid/diagnosis/*genetics/*therapy MH - Leukemia, Myeloid, Acute/diagnosis/genetics/therapy MH - Male MH - Middle Aged MH - Myelodysplastic Syndromes/diagnosis/genetics/therapy MH - Neoplasm, Residual/*diagnosis MH - Tissue and Organ Harvesting MH - Transplantation, Autologous EDAT- 2000/08/05 11:00 MHDA- 2001/02/28 10:01 CRDT- 2000/08/05 11:00 PHST- 2000/08/05 11:00 [pubmed] PHST- 2001/02/28 10:01 [medline] PHST- 2000/08/05 11:00 [entrez] PST - ppublish SO - Cancer Detect Prev. 2000;24(2):169-72.