PMID- 19694218 OWN - NLM STAT- MEDLINE DCOM- 20090917 LR - 20170306 VI - 119 IP - 6 DP - 2009 Jun TI - Usefulness of classic cytogenetic testing compared to fluorescence in situ hybridization in genetic diagnosis of 58 patients with myelodysplastic syndromes. PG - 366-72 AB - INTRODUCTION: Myelodysplastic syndromes (MDS) are a heterogeneous group of clonal diseases of pluripotent hematopoietic stem or progenitor cells. MDS are characterized by ineffective hematopoiesis, increased apoptosis, peripheral blood cytopenias, and propensity to evolve into acute myelogenous leukemia. OBJECTIVES: The aim of our investigation was to compare the usefulness of classic cytogenetics and fluorescence in situ hybridization (FISH) to detect chromosome aberrations in myelodysplastic syndromes. PATIENTS AND METHODS: The study was carried out in a group of 58 patients with MDS. G-banding using trypsin and Giemsa (GTG banding) and FISH with a panel of five molecular probes for aberrations with prognostic significance in MDS (cen7/8, 5q31, 7q22/q35, 17p13, 20q13.3) were performed on bone marrow cells. RESULTS: The use of GTG technique allowed to detect chromosome aberrations in 25 (43.1%) subjects. However, the additional use of FISH showed the presence of aberrations also in additional 10 (17.2%) patients, which shifted 11 patients from one cytogenetic category to another. CONCLUSIONS: The use of FISH with MDS probe panel beside classic cytogenetics improves detection of chromosome aberrations, and also stratification of MDS patients to prognostic groups. Both methods should be used simultaneously in every genetically diagnosed MDS patient. FAU - Skonieczka, Katarzyna AU - Skonieczka K AD - Department of Clinical Genetics, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland. FAU - Duszenko, Ewa AU - Duszenko E FAU - Wyrowinska, Elzbieta AU - Wyrowinska E FAU - Haus, Olga AU - Haus O LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Poland TA - Pol Arch Med Wewn JT - Polskie Archiwum Medycyny Wewnetrznej JID - 0401225 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Bone Marrow/*pathology MH - *Chromosome Aberrations MH - Chromosome Banding/*methods MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Male MH - Middle Aged MH - Myelodysplastic Syndromes/*genetics/*pathology MH - Reference Values EDAT- 2009/08/22 09:00 MHDA- 2009/09/18 06:00 CRDT- 2009/08/22 09:00 PHST- 2009/08/22 09:00 [entrez] PHST- 2009/08/22 09:00 [pubmed] PHST- 2009/09/18 06:00 [medline] PST - ppublish SO - Pol Arch Med Wewn. 2009 Jun;119(6):366-72.