PMID- 21120193 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20211020 IS - 2092-9129 (Electronic) IS - 1738-7949 (Print) IS - 1738-7949 (Linking) VI - 45 IP - 2 DP - 2010 Jun TI - A variant acute promyelocytic leukemia with t(11;17) (q23;q12); ZBTB16-RARA showing typical morphology of classical acute promyelocytic leukemia. PG - 133-5 LID - 10.5045/kjh.2010.45.2.133 [doi] AB - A subgroup of acute leukemia with morphology resembling acute promyelocytic leukemia (APL) shows variant translocations involving RARA and has a different morphology from that of classical APL. The variant APL with t(11;17)(q23;q12); ZBTB16-RARA subgroup has been reported to have leukemic cells with regular nuclei, many granules, absence of Auer rods, an increased number of Pelgeroid neutrophils, strong myeloperoxidase (MPO) activity, and all-trans-retinoic-acid (ATRA) resistance. Here, we report a case of variant APL with t(11;17)(q23;q12); ZBTB16-RARA showing typical morphological features of classical APL, including numerous Auer rods and faggot cells. The leukemic cells expressed CD13, CD33, CD117, human leukocyte antigen (HLA)-DR, and cytoplasmic-MPO on the immunophenotyping study. The diagnosis was confirmed by cytogenetic and molecular studies. To distinguish variant APL cases from classical APL cases, regardless of whether morphologically the findings are consistent with those of classical APL, combining morphologic, immunophenotypic, cytogenetic, and molecular studies before chemotherapy is very important. FAU - Han, Sang Bong AU - Han SB AD - Department of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Lim, Jihyang AU - Lim J FAU - Kim, Yonggoo AU - Kim Y FAU - Kim, Hee-Je AU - Kim HJ FAU - Han, Kyungja AU - Han K LA - eng PT - Case Reports DEP - 20100630 PL - Korea (South) TA - Korean J Hematol JT - The Korean journal of hematology JID - 101486388 PMC - PMC2983015 OTO - NOTNLM OT - APL OT - PLZF OT - ZBTB16-RARA OT - t(11;17) EDAT- 2010/12/02 06:00 MHDA- 2010/12/02 06:01 PMCR- 2010/06/01 CRDT- 2010/12/02 06:00 PHST- 2010/04/26 00:00 [received] PHST- 2010/05/23 00:00 [revised] PHST- 2010/05/24 00:00 [accepted] PHST- 2010/12/02 06:00 [entrez] PHST- 2010/12/02 06:00 [pubmed] PHST- 2010/12/02 06:01 [medline] PHST- 2010/06/01 00:00 [pmc-release] AID - 10.5045/kjh.2010.45.2.133 [doi] PST - ppublish SO - Korean J Hematol. 2010 Jun;45(2):133-5. doi: 10.5045/kjh.2010.45.2.133. Epub 2010 Jun 30.