PMID- 18617061 OWN - NLM STAT- MEDLINE DCOM- 20080730 LR - 20091119 IS - 1873-4456 (Electronic) IS - 0165-4608 (Linking) VI - 184 IP - 2 DP - 2008 Jul 15 TI - Spectral karyotyping and fluorescence in situ hybridization analyses identified a novel three-way translocation involving inversion 16 in therapy-related acute myeloid leukemia M4eo. PG - 113-8 LID - 10.1016/j.cancergencyto.2008.04.008 [doi] AB - We report a novel three-way translocation involving inversion 16 and chromosome 12 at bands 16p13, 16q22, and 12q24 in a patient with therapy-related acute myeloid leukemia (AML)-M4eo. Conventional G-banding of bone marrow cells at diagnosis was suggestive of inv(16)(p13q22) and a translocation of chromosomes 12 and 16. The presence of inv(16) was confirmed by reverse-transcription polymerase chain reaction (RT-PCR) analysis, which corresponded to the type A CBFB-MYH11 chimeric transcript. Spectral karyotyping (SKY) analysis clearly identified a reciprocal translocation between chromosomes 12 and 16. In addition, dual-color fluorescence in situ hybridization (FISH) analysis revealed a fusion signal for the CBFB and MYH11 probes and a signal for the MYH11 probe on the der(16) chromosome, as well as a signal for the CBFB probe on the der(12) chromosome. Thus, the karyotype was refined to 46,XX,der(12)t(12;16)(q24;q22),der(16)inv(16)(p13q22)t(12;16). Although we could not establish that this complex chromosomal aberration occurred either as a one-step, three-way event, or a sequential event with inv(16)(p13q22) followed by t(12;16)(q24;q22), SKY in combination with FISH and RT-PCR analyses successfully detected this complex chromosome abnormality in the patient. FAU - Ohsaka, Akimichi AU - Ohsaka A AD - Department of Transfusion Medicine and Stem Cell Regulation, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan. ohsaka@med.juntendo.ac.jp FAU - Otsubo, Kaori AU - Otsubo K FAU - Yokota, Harushige AU - Yokota H FAU - Hisa, Tomoko AU - Hisa T FAU - Saito, Hajime AU - Saito H FAU - Kozaki, Takazumi AU - Kozaki T LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects MH - *Chromosome Inversion MH - *Chromosomes, Human, Pair 16 MH - Female MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Leukemia, Myeloid, Acute/chemically induced/*genetics MH - Middle Aged MH - Neoplasms, Second Primary/*genetics MH - *Spectral Karyotyping MH - *Translocation, Genetic EDAT- 2008/07/12 09:00 MHDA- 2008/07/31 09:00 CRDT- 2008/07/12 09:00 PHST- 2008/01/21 00:00 [received] PHST- 2008/04/04 00:00 [revised] PHST- 2008/04/09 00:00 [accepted] PHST- 2008/07/12 09:00 [pubmed] PHST- 2008/07/31 09:00 [medline] PHST- 2008/07/12 09:00 [entrez] AID - S0165-4608(08)00237-9 [pii] AID - 10.1016/j.cancergencyto.2008.04.008 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 2008 Jul 15;184(2):113-8. doi: 10.1016/j.cancergencyto.2008.04.008.