PMID- 18328952 OWN - NLM STAT- MEDLINE DCOM- 20080422 LR - 20161124 IS - 0165-4608 (Print) IS - 0165-4608 (Linking) VI - 182 IP - 1 DP - 2008 Apr 1 TI - 5'RARA submicroscopic deletion from new variant translocation involving chromosomes 15, 17, and 18, in a case of acute promyelocytic leukemia. PG - 50-5 LID - 10.1016/j.cancergencyto.2007.12.011 [doi] AB - Submicroscopic deletions of the PML-RARA fusion genes constitute rare rearrangements in acute promyelocytic leukemia (APL). We describe a rare case of APL carrying a novel complex translocation involving chromosomes 15, 17, and 18 associated with a submicroscopic deletion of the 5' part of the RARA gene, as evidenced by fluorescence in situ hybridization (FISH). A PML/RARA dual-fusion probe did not reveal the RARA-PML fusion signal on the der(17q), usually detected in the typical t(15;17). The RARA break-apart probe showed a deletion hybridization pattern with loss of the signal corresponding to the 5' portion of the RARA gene. Reverse transcriptase-polymerase chain reaction confirmed the absence of the fusion RARA-PML transcript. The patient achieved complete remission, but died during consolidation therapy, 2 months after diagnosis. To our knowledge, this is the first reported case of APL with a complex variant t(15;17) involving chromosome 18 at band q12 and one of the very rare described cases displaying a submicroscopic deletion of the RARA 5' region. Further cases are needed to delineate the incidence of submicroscopic deletions in APL and elucidate their prognostic impact. FAU - Stavropoulou, Chryssa AU - Stavropoulou C AD - National Center for Scientific Research Demokritos, Athens, Greece. FAU - Georgakakos, Vasileios N AU - Georgakakos VN FAU - Manola, Kalliopi N AU - Manola KN FAU - Pagoni, Maria AU - Pagoni M FAU - Garofalaki, Maria AU - Garofalaki M FAU - Pantelias, Gabriel E AU - Pantelias GE FAU - Sambani, Constantina AU - Sambani C LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 RN - 0 (RARA protein, human) RN - 0 (Receptors, Retinoic Acid) RN - 0 (Retinoic Acid Receptor alpha) SB - IM MH - *Chromosomes, Human, Pair 15 MH - *Chromosomes, Human, Pair 17 MH - *Chromosomes, Human, Pair 18 MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Leukemia, Promyelocytic, Acute/*genetics MH - Middle Aged MH - Receptors, Retinoic Acid/*genetics MH - Retinoic Acid Receptor alpha MH - *Sequence Deletion MH - *Translocation, Genetic EDAT- 2008/03/11 09:00 MHDA- 2008/04/23 09:00 CRDT- 2008/03/11 09:00 PHST- 2007/10/01 00:00 [received] PHST- 2007/12/11 00:00 [revised] PHST- 2007/12/17 00:00 [accepted] PHST- 2008/03/11 09:00 [pubmed] PHST- 2008/04/23 09:00 [medline] PHST- 2008/03/11 09:00 [entrez] AID - S0165-4608(08)00003-4 [pii] AID - 10.1016/j.cancergencyto.2007.12.011 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 2008 Apr 1;182(1):50-5. doi: 10.1016/j.cancergencyto.2007.12.011.