PMID- 15982342 OWN - NLM STAT- MEDLINE DCOM- 20050930 LR - 20191210 IS - 0007-1048 (Print) IS - 0007-1048 (Linking) VI - 130 IP - 1 DP - 2005 Jul TI - Interphase fluorescence in situ hybridization with an IGH probe is important in the evaluation of patients with a clinical diagnosis of chronic lymphocytic leukaemia. PG - 36-42 AB - Translocations involving IGH are common in some lymphoid malignancies but are believed to be rare in chronic lymphocytic leukaemia (CLL). To study the clinical utility of fluorescence in situ hybridization (FISH) for IGH translocations, we reviewed 1032 patients with a presumptive diagnosis of CLL. Seventy-six (7%) patients had IGH translocations. Pathology and clinical data were available for the 24 patients evaluated at the Mayo Clinic. Ten (42%) patients had IGH/cyclin D1 fusion and were diagnosed with mantle cell lymphoma (MCL). The immunophenotype was typical of MCL in three of these patients and atypical for MCL in seven patients. One patient had biclonal disease with typical MCL and CLL with IGH/BCL-2. Eleven (46%) patients had IGH/BCL-2 fusion including the patient with biclonal disease. Two of these patients had leukaemic phase follicular lymphoma and nine patients had CLL. The median progression-free survival of patients with CLL and IGH/BCL-2 translocation was 20.6 months. The two patients with IGH/BCL-3 fusion (one of these also had IGH/BCL-11a) had rapid disease progression. The IGH partner gene was not identified in two patients. We conclude that use of an IGH probe in FISH analysis of monoclonal B-cell lymphocytosis improves diagnostic precision and could have prognostic value in patients with CLL. FAU - Nowakowski, G S AU - Nowakowski GS AD - Division of Hematology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA. FAU - Dewald, G W AU - Dewald GW FAU - Hoyer, J D AU - Hoyer JD FAU - Paternoster, S F AU - Paternoster SF FAU - Stockero, K J AU - Stockero KJ FAU - Fink, S R AU - Fink SR FAU - Smoley, S A AU - Smoley SA FAU - Remstein, E D AU - Remstein ED FAU - Phyliky, R L AU - Phyliky RL FAU - Call, T G AU - Call TG FAU - Shanafelt, T D AU - Shanafelt TD FAU - Kay, N E AU - Kay NE FAU - Zent, C S AU - Zent CS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Haematol JT - British journal of haematology JID - 0372544 RN - 0 (B-Cell Lymphoma 3 Protein) RN - 0 (BCL3 protein, human) RN - 0 (Immunoglobulin Heavy Chains) RN - 0 (Oligonucleotide Probes) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Transcription Factors) RN - 136601-57-5 (Cyclin D1) SB - IM MH - B-Cell Lymphoma 3 Protein MH - Cyclin D1/genetics MH - Diagnosis, Differential MH - Flow Cytometry MH - *Genes, Immunoglobulin MH - Genes, bcl-2 MH - Humans MH - Immunoglobulin Heavy Chains/*genetics MH - Immunophenotyping MH - In Situ Hybridization, Fluorescence MH - *Interphase MH - Leukemia, Lymphocytic, Chronic, B-Cell/*diagnosis/genetics/immunology MH - Lymphoma, B-Cell/diagnosis/genetics MH - Lymphoma, Mantle-Cell/diagnosis/genetics MH - *Oligonucleotide Probes MH - Proto-Oncogene Proteins/genetics MH - Transcription Factors MH - *Translocation, Genetic EDAT- 2005/06/29 09:00 MHDA- 2005/10/01 09:00 CRDT- 2005/06/29 09:00 PHST- 2005/06/29 09:00 [pubmed] PHST- 2005/10/01 09:00 [medline] PHST- 2005/06/29 09:00 [entrez] AID - BJH5548 [pii] AID - 10.1111/j.1365-2141.2005.05548.x [doi] PST - ppublish SO - Br J Haematol. 2005 Jul;130(1):36-42. doi: 10.1111/j.1365-2141.2005.05548.x.