PMID- 22137489 OWN - NLM STAT- MEDLINE DCOM- 20120403 LR - 20111205 IS - 2210-7762 (Print) VI - 204 IP - 10 DP - 2011 Oct TI - t(9;22)(q34;q11.2) is a recurrent constitutional non-Robertsonian translocation and a rare cytogenetic mimic of chronic myeloid leukemia. PG - 572-6 LID - 10.1016/j.cancergen.2011.10.006 [doi] AB - The diagnosis of hematologic malignancy can be greatly aided by the detection of a cytogenetic abnormality. However, care must be taken to ensure that constitutional chromosomal abnormalities are not misattributed to a putative population of malignant cells. Here we present an unusual case in which a constitutional balanced t(9;22)(q34;q11.2) cytogenetically mimicked the acquired, t(9;22)(q34;q11.2), that is characteristic of chronic myeloid leukemia. Of special note, fluorescence in situ hybridization (FISH) analysis for this constitutional translocation (9;22)(q34;q11.2) using standard probes for BCR and ABL1 resulted in an abnormal pattern that was potentially misinterpretable as a BCR-ABL1 fusion. This is the first reported FISH analysis of a constitutional t(9;22)(q34;q11.2), and overall only the second report of such an abnormality. In light of the isolated prior report, our case also suggests that the constitutional t(9;22)(q34;q11.2) is one of the very few recurrent constitutional non-Robertsonian translocations described in humans. Our case underscores the necessity of complete clinical and laboratory correlation to avoid misdiagnosis of myeloid malignancy in the setting of rare constitutional cytogenetic abnormalities. CI - Copyright (c) 2011 Elsevier Inc. All rights reserved. FAU - Czuchlewski, David R AU - Czuchlewski DR AD - Department of Pathology, University of New Mexico, Albuquerque, NM, USA. dczuchlewski@salud.unm.edu FAU - Farzanmehr, Haleh AU - Farzanmehr H FAU - Robinett, Sheldon AU - Robinett S FAU - Haines, Skip AU - Haines S FAU - Reichard, Kaaren K AU - Reichard KK LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Cancer Genet JT - Cancer genetics JID - 101539150 SB - IM MH - Adult MH - *Chromosomes, Human, Pair 22 MH - *Chromosomes, Human, Pair 9 MH - Female MH - Hematologic Neoplasms/*genetics MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Karyotyping MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*genetics MH - *Translocation, Genetic EDAT- 2011/12/06 06:00 MHDA- 2012/04/04 06:00 CRDT- 2011/12/06 06:00 PHST- 2011/06/22 00:00 [received] PHST- 2011/10/14 00:00 [revised] PHST- 2011/10/17 00:00 [accepted] PHST- 2011/12/06 06:00 [entrez] PHST- 2011/12/06 06:00 [pubmed] PHST- 2012/04/04 06:00 [medline] AID - S2210-7762(11)00299-7 [pii] AID - 10.1016/j.cancergen.2011.10.006 [doi] PST - ppublish SO - Cancer Genet. 2011 Oct;204(10):572-6. doi: 10.1016/j.cancergen.2011.10.006.