PMID- 15899774 OWN - NLM STAT- MEDLINE DCOM- 20050713 LR - 20131121 IS - 0002-9173 (Print) IS - 0002-9173 (Linking) VI - 123 IP - 6 DP - 2005 Jun TI - Morphologic, cytogenetic, and molecular abnormalities in therapy-related acute promyelocytic leukemia. PG - 840-8 AB - We describe 17 cases of therapy-related acute promyelocytic leukemia (tAPL). Treatment for the initial neoplasms (mostly carcinomas and non-Hodgkin lymphomas) included radiation and chemotherapy in 11 patients, radiation in 3, and chemotherapy in 3. The interval between the initial neoplasm and tAPL ranged from 17 to 166 months (median, 40 months). Morphologically, all 13 cases with available bone marrow aspirate smears showed tAPL. Dyserythropoiesis or dysmegakaryopoiesis was identified in 11 cases. In 2 cases, too few nonneoplastic cells and, in all cases, too few maturing granulocytes were present to assess for dysplasia. Conventional cytogenetics or fluorescence in situ hybridization (FISH) showed the t(15;17)(q22;q21) in all cases; 6 as a sole abnormality, 9 with additional abnormalities, and 2 assessed only by FISH. Reverse transcription-polymerase chain reaction (PCR) studies showed PML/RARa in 13 cases (8 short form, 5 long form). Mutations of the flt3 gene were detected by PCR in 5 (42%) of 12 cases. We conclude that dysplastic features, secondary cytogenetic abnormalities, and flt3 mutations are common in tAPL. FAU - Yin, C Cameron AU - Yin CC AD - Department of Hematopathology, The University of Texas M.D. Anderson Cancer Center, Houston, USA. FAU - Glassman, Armand B AU - Glassman AB FAU - Lin, Pei AU - Lin P FAU - Valbuena, Jose R AU - Valbuena JR FAU - Jones, Dan AU - Jones D FAU - Luthra, Rajyalakshmi AU - Luthra R FAU - Medeiros, L Jeffrey AU - Medeiros LJ LA - eng PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (Antineoplastic Agents) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Proto-Oncogene Proteins) RN - 5688UTC01R (Tretinoin) RN - EC 2.7.10.1 (FLT3 protein, human) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (fms-Like Tyrosine Kinase 3) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents/therapeutic use MH - Bone Marrow/pathology MH - Chromosome Aberrations MH - Female MH - Flow Cytometry MH - Fluorescent Antibody Technique MH - Humans MH - Immunophenotyping MH - In Situ Hybridization, Fluorescence MH - Leukemia, Promyelocytic, Acute/drug therapy/*genetics/*pathology MH - Male MH - Middle Aged MH - Mutation MH - Neoplasms, Second Primary/*genetics/*pathology MH - Oncogene Proteins, Fusion/genetics MH - Proto-Oncogene Proteins/genetics MH - Receptor Protein-Tyrosine Kinases/genetics MH - Reverse Transcriptase Polymerase Chain Reaction MH - Tretinoin/therapeutic use MH - fms-Like Tyrosine Kinase 3 EDAT- 2005/05/19 09:00 MHDA- 2005/07/14 09:00 CRDT- 2005/05/19 09:00 PHST- 2005/05/19 09:00 [pubmed] PHST- 2005/07/14 09:00 [medline] PHST- 2005/05/19 09:00 [entrez] AID - TJFFK819RPCLFKJ0 [pii] AID - 10.1309/TJFF-K819-RPCL-FKJ0 [doi] PST - ppublish SO - Am J Clin Pathol. 2005 Jun;123(6):840-8. doi: 10.1309/TJFF-K819-RPCL-FKJ0.