PMID- 16080961 OWN - NLM STAT- MEDLINE DCOM- 20050915 LR - 20220316 IS - 0165-4608 (Print) IS - 0165-4608 (Linking) VI - 161 IP - 1 DP - 2005 Aug TI - Chronic lymphocytic leukemia developing in a patient with chronic myeloid leukemia: evidence of distinct lineage-associated genomic events. PG - 74-7 AB - We describe the cytogenetic, fluorescence in situ hybridization (FISH), and molecular findings in a patient who developed a typical chronic lymphocytic leukemia (CLL) 20 months after the diagnosis of a Philadelphia (Ph)-positive chronic myeloid leukemia. Unstimulated bone marrow culture showed a 46,XX,t(9;22)(q34;q11) karyotype, and interphase FISH detected the presence of a BCR/ABL fusion signal in 13% of cells. On stimulated bone marrow culture, a normal karyotype and a 13q14 deletion by interphase FISH with D13S319 probe in 14% of the cells were found. Molecular studies detected the chimeric BCR/ABL messengers by nested reverse-transcriptase polymerase chain reaction. The B-cellular clone was documented by the presence of a clonal heavy chain immunoglobulin rearrangement. The coexistence of these two hematologic malignancies leads to questions about their cell(s) of origin. We provide evidence that CLL arose in a Ph-negative clone. The implications of these findings are discussed. FAU - Gargallo, Patricia AU - Gargallo P AD - Departamento de Genetica, Academia Nacional de Medicina, Pacheco de Melo 3081, Buenos Aires 1425, Argentina. FAU - Cacchione, Roberto AU - Cacchione R FAU - Chena, Christian AU - Chena C FAU - Dupont, Juan AU - Dupont J FAU - Garay, Guy AU - Garay G FAU - Riveros, Dardo AU - Riveros D FAU - Larripa, Irene AU - Larripa I FAU - Slavutsky, Irma AU - Slavutsky I LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 RN - 0 (Immunoglobulin Heavy Chains) RN - EC 2.7.10.2 (Fusion Proteins, bcr-abl) SB - IM MH - Aged MH - Aged, 80 and over MH - B-Lymphocytes/pathology MH - Cell Lineage MH - Chromosome Aberrations MH - Chromosomes, Human, Pair 22/genetics MH - Chromosomes, Human, Pair 9/genetics MH - Female MH - Fusion Proteins, bcr-abl/*genetics MH - Gene Rearrangement MH - Humans MH - Immunoglobulin Heavy Chains MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Leukemia, Lymphocytic, Chronic, B-Cell/*genetics/pathology MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*genetics/pathology MH - Neoplasms, Second Primary/*genetics/pathology MH - Philadelphia Chromosome MH - Translocation, Genetic/*genetics MH - Tumor Cells, Cultured RF - 33 EDAT- 2005/08/06 09:00 MHDA- 2005/09/16 09:00 CRDT- 2005/08/06 09:00 PHST- 2004/12/16 00:00 [received] PHST- 2005/01/11 00:00 [accepted] PHST- 2005/08/06 09:00 [pubmed] PHST- 2005/09/16 09:00 [medline] PHST- 2005/08/06 09:00 [entrez] AID - S0165-4608(05)00046-4 [pii] AID - 10.1016/j.cancergencyto.2005.01.008 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 2005 Aug;161(1):74-7. doi: 10.1016/j.cancergencyto.2005.01.008.