PMID- 20513535 OWN - NLM STAT- MEDLINE DCOM- 20100617 LR - 20131121 IS - 1873-4456 (Electronic) IS - 0165-4608 (Linking) VI - 200 IP - 1 DP - 2010 Jul 1 TI - Acute myeloid leukemia with inv(16) with CBFB-MYH11, 3'CBFB deletion, variant t(9;22) with BCR-ABL1, and del(7)(q22q32) in a pediatric patient: case report and literature review. PG - 54-9 LID - 10.1016/j.cancergencyto.2010.03.001 [doi] AB - Coexistence of inv(16) and t(9;22) is a rare chromosomal aberration, one that has been described in chronic myelogenous leukemia (CML), mainly in myeloid blast crisis, and de novo acute myeloid leukemia (AML). Approximately 14 cases have been reported, including only 1 pediatric case. Here we present the case of a 13-year-old boy with a new diagnosis of AML with some features of monocytic differentiation. Conventional cytogenetic analyses on unstimulated blood showed three related abnormal clones with inv(16) in the stemline: 46,XY,inv(16)(p13.1q22)[2]/46,idem,del(7)(q22q32)[16]/46,idem,t(9;22;19)(q34;q11.2;p13.1)[2]. Fluorescence in situ hybridization (FISH) studies on interphase nuclei and previously G-banded metaphases showed a 3'CBFB deletion and confirmed the presence of the Philadelphia chromosome in a t(9;22;19) rearrangement. Deletion 7q31 was also confirmed by interphase FISH analysis. The patient was treated with standard AML chemotherapy plus gemtuzumab as part of a clinical trial. At 10-months follow-up, he was in remission. To the best of our knowledge, this is the first description of a pediatric case of de novo AML with a stemline showing inv(16) along with 3'CBFB deletion, an abnormal clone revealing in addition a del(7)(q22q32), and another clone with a t(9;22;19)(q34;q11.2;p13.1) as an additional abnormality. CI - 2010 Elsevier Inc. All rights reserved. FAU - Tirado, Carlos A AU - Tirado CA AD - Department of Pathology, The University of Texas Southwestern Medical Center at Dallas, 75390-9073, USA. carlos1.tirado@utsouthwestern.edu FAU - Valdez, Federico AU - Valdez F FAU - Klesse, Laura AU - Klesse L FAU - Karandikar, Nitin J AU - Karandikar NJ FAU - Uddin, Naseem AU - Uddin N FAU - Arbini, Arnaldo AU - Arbini A FAU - Fustino, Nicholas AU - Fustino N FAU - Collins, Robert AU - Collins R FAU - Patel, Sangeeta AU - Patel S FAU - Smart, Ruth L AU - Smart RL FAU - Garcia, Rolando AU - Garcia R FAU - Doolittle, Jeff AU - Doolittle J FAU - Chen, Weina AU - Chen W LA - eng PT - Case Reports PT - Journal Article PT - Review PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 RN - 0 (CBFbeta-MYH11 fusion protein) RN - 0 (Oncogene Proteins, Fusion) RN - EC 2.7.10.2 (Fusion Proteins, bcr-abl) SB - IM MH - Adolescent MH - *Chromosome Deletion MH - *Chromosome Inversion MH - *Chromosomes, Human, Pair 16 MH - *Chromosomes, Human, Pair 22 MH - *Chromosomes, Human, Pair 7 MH - *Chromosomes, Human, Pair 9 MH - Flow Cytometry MH - Fusion Proteins, bcr-abl/*genetics MH - Humans MH - Leukemia, Myeloid, Acute/*genetics/pathology MH - Male MH - Oncogene Proteins, Fusion/*genetics MH - *Translocation, Genetic RF - 16 EDAT- 2010/06/02 06:00 MHDA- 2010/06/18 06:00 CRDT- 2010/06/02 06:00 PHST- 2009/09/08 00:00 [received] PHST- 2010/02/12 00:00 [revised] PHST- 2010/03/03 00:00 [accepted] PHST- 2010/06/02 06:00 [entrez] PHST- 2010/06/02 06:00 [pubmed] PHST- 2010/06/18 06:00 [medline] AID - S0165-4608(10)00113-5 [pii] AID - 10.1016/j.cancergencyto.2010.03.001 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 2010 Jul 1;200(1):54-9. doi: 10.1016/j.cancergencyto.2010.03.001.