PMID- 15899384 OWN - NLM STAT- MEDLINE DCOM- 20050705 LR - 20161124 IS - 0165-4608 (Print) IS - 0165-4608 (Linking) VI - 159 IP - 2 DP - 2005 Jun TI - Acute promyelocytic leukemia with PML-RARA fusion on i(17q) and therapy-related acute myeloid leukemia. PG - 129-36 AB - We describe a patient with acute promyelocytic leukemia (APL) and the karyotype 46,XX,i(17)(q10) with PML-RARA fusion gene detected by fluorescence in situ hybridization (FISH) and nested reverse transcriptase-polymerase chain reaction (RT-PCR). FISH using dual-color translocation probes for PML (promyelocytic leukemia) and RARA (retinoic acid receptor-alpha) showed fusion signal for PML-RARA on both arms of i(17q). The patient attained complete remission (CR) with all-trans retinoic acid treatment and became PML-RARA negative. One year later, while PML-RARA negative on FISH and RT-PCR, the patient presented with thrombocytopenia. Bone marrow examination suggested an acute monoblastic leukemia (AML-M5a) including the karyotype 46,XX,t(8;16) (p11.2;p13.3),inv(11)(p15q22 approximately q23)[11]/47,idem,+i(8)(q10)[9]. She is currently in CR. The occurrence of therapy related acute leukemia after successful therapy for APL is an emerging problem. FAU - Lee, Geok Yee AU - Lee GY AD - Cytogenetics Laboratory, Department of Pathology, Singapore General Hospital, Block 6, Level 5, Room A4, Outram Road, 169608 Singapore. geokyee@hotmail.com FAU - Christina, Sivaswaren AU - Christina S FAU - Tien, Sim Leng AU - Tien SL FAU - Ghafar, Anisah Bte Abdul AU - Ghafar AB FAU - Hwang, William AU - Hwang W FAU - Lim, Lay Cheng AU - Lim LC FAU - Lim, Tse Hui AU - Lim TH LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 RN - 0 (Antineoplastic Agents) RN - 0 (Neoplasm Proteins) RN - 0 (Nuclear Proteins) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Promyelocytic Leukemia Protein) RN - 0 (RARA protein, human) RN - 0 (Receptors, Retinoic Acid) RN - 0 (Retinoic Acid Receptor alpha) RN - 0 (Transcription Factors) RN - 0 (Tumor Suppressor Proteins) RN - 0 (promyelocytic leukemia-retinoic acid receptor alpha fusion oncoprotein) RN - 143220-95-5 (PML protein, human) RN - 5688UTC01R (Tretinoin) SB - IM MH - Antineoplastic Agents/*adverse effects MH - *Chromosomes, Human, Pair 17 MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Isochromosomes MH - Karyotyping MH - Leukemia, Monocytic, Acute/*chemically induced MH - Leukemia, Promyelocytic, Acute/*genetics MH - Middle Aged MH - Neoplasm Proteins/*genetics MH - Nuclear Proteins/genetics MH - Oncogene Proteins, Fusion/*genetics MH - Promyelocytic Leukemia Protein MH - Receptors, Retinoic Acid/*genetics MH - Retinoic Acid Receptor alpha MH - Reverse Transcriptase Polymerase Chain Reaction MH - Transcription Factors/genetics MH - Translocation, Genetic MH - Tretinoin/*adverse effects MH - Tumor Suppressor Proteins EDAT- 2005/05/19 09:00 MHDA- 2005/07/06 09:00 CRDT- 2005/05/19 09:00 PHST- 2004/08/02 00:00 [received] PHST- 2004/09/27 00:00 [revised] PHST- 2004/09/29 00:00 [accepted] PHST- 2005/05/19 09:00 [pubmed] PHST- 2005/07/06 09:00 [medline] PHST- 2005/05/19 09:00 [entrez] AID - S0165-4608(04)00473-X [pii] AID - 10.1016/j.cancergencyto.2004.09.019 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 2005 Jun;159(2):129-36. doi: 10.1016/j.cancergencyto.2004.09.019.