PMID- 21045428 OWN - NLM STAT- MEDLINE DCOM- 20110203 LR - 20161125 IS - 0974-5130 (Electronic) IS - 0377-4929 (Linking) VI - 53 IP - 4 DP - 2010 Oct-Dec TI - Cryptic PML-RARalpha positive acute promyelocytic leukemia with unusual morphology and cytogenetics. PG - 817-9 LID - 10.4103/0377-4929.72097 [doi] AB - Acute Promyelocytic Leukemia (APL) is different from other forms of acute myeloid leukemia (AML), to the reason being the potential devastating coagulopathy and the sensitivity to all-trans retinoic acid (ATRA) and arsenic trioxide (As 2 O 3 ). We hereby present a case of APL, morphologically distinct from the hypergranular APL; however, the flow cytometry revealed a characteristic phenotype showing dim CD45, bright CD13, bright CD33 and dim CD117 positivity. These were negative for CD34, HLA-DR, B-lymphoid and T-lymphoid lineage markers. Conventional cytogenetics revealed a distinct karyotype of a male with translocation t(4;15)(q34.2:q26.3). However, interphase fluorescence-in-situ hybridization (FISH) revealed PML/RARA fusion signal on chromosome 15 in 90% cells. The cryptic translocations may be missed on conventional cytogenetics, however, need to be picked by other techniques as FISH. FAU - Goyal, Manu AU - Goyal M AD - Department of Laboratory Medicine, Indo-American Cancer Institute and Research Centre, Hyderabad, India. dr_manu31@yahoo.com FAU - Dattatreya, Palinki S AU - Dattatreya PS FAU - Goud, Irawathy AU - Goud I FAU - Murthy, Sudha S AU - Murthy SS LA - eng PT - Case Reports PT - Journal Article PL - India TA - Indian J Pathol Microbiol JT - Indian journal of pathology & microbiology JID - 7605904 RN - 0 (Antigens, CD) RN - 0 (HLA Antigens) RN - 0 (Nuclear Proteins) RN - 0 (Promyelocytic Leukemia Protein) RN - 0 (RARA protein, human) RN - 0 (Receptors, Retinoic Acid) RN - 0 (Retinoic Acid Receptor alpha) RN - 0 (Transcription Factors) RN - 0 (Tumor Suppressor Proteins) RN - 143220-95-5 (PML protein, human) SB - IM MH - Antigens, CD/analysis MH - Cell Nucleus/genetics MH - Flow Cytometry MH - Gene Fusion MH - HLA Antigens/analysis MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Leukemia, Promyelocytic, Acute/*diagnosis/*pathology MH - Leukocytes/*cytology MH - Male MH - Middle Aged MH - Nuclear Proteins/genetics MH - Promyelocytic Leukemia Protein MH - Receptors, Retinoic Acid/genetics MH - Retinoic Acid Receptor alpha MH - Transcription Factors/genetics MH - Translocation, Genetic MH - Tumor Suppressor Proteins/genetics EDAT- 2010/11/04 06:00 MHDA- 2011/02/04 06:00 CRDT- 2010/11/04 06:00 PHST- 2010/11/04 06:00 [entrez] PHST- 2010/11/04 06:00 [pubmed] PHST- 2011/02/04 06:00 [medline] AID - IndianJPatholMicrobiol_2010_53_4_817_72097 [pii] AID - 10.4103/0377-4929.72097 [doi] PST - ppublish SO - Indian J Pathol Microbiol. 2010 Oct-Dec;53(4):817-9. doi: 10.4103/0377-4929.72097.