PMID- 22994157 OWN - NLM STAT- MEDLINE DCOM- 20131104 LR - 20190116 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 54 IP - 5 DP - 2013 May TI - Genomic arrays in chronic lymphocytic leukemia routine clinical practice: are we ready to substitute conventional cytogenetics and fluorescence in situ hybridization techniques? PG - 986-95 LID - 10.3109/10428194.2012.731598 [doi] AB - Chronic lymphocytic leukemia (CLL) is characterized by a highly variable clinical course. Del(11q) and del(17p), routinely studied by conventional G-banding cytogenetics (CGC) and fluorescence in situ hybridization (FISH), have been related to progression and shorter overall survival. Recently, array-based karyotyping has gained acceptance as a high-resolution new tool for detecting genomic imbalances. The aim of the present study was to compare genomic arrays with CGC and FISH to ascertain whether the current techniques could be substituted in routine procedures. We analyzed 70 patients with CLL using the Cytogenetics Whole-Genome 2.7M Array and CytoScan HD Array (Affymetrix), CGC and FISH with the classical CLL panel. Whereas 31.4% and 68.6% of patients presented abnormalities when studied by CGC and FISH, respectively, these rates increased when arrays were also analyzed (78.6% and 80%). Although abnormality detection is higher when arrays are applied, one case with del(11q) and three with del(17p) were missed by genomic arrays due to their limited sensitivity. We consider that the complete substitution of CGC and FISH by genomic arrays in routine laboratories could negatively affect the management of some patients harboring 11q or 17p deletions. In conclusion, genomic arrays are valid to detect known and novel genomic imbalances in CLL, but should be maintained as a complementary tool to the current techniques. FAU - Puiggros, Anna AU - Puiggros A AD - Programa de Recerca en Cancer, Grup de Recerca Translacional en Neoplasies Hematologiques (GRETNHE), IMIM-Hospital del Mar, Barcelona, Spain. FAU - Puigdecanet, Eulalia AU - Puigdecanet E FAU - Salido, Marta AU - Salido M FAU - Ferrer, Ana AU - Ferrer A FAU - Abella, Eugenia AU - Abella E FAU - Gimeno, Eva AU - Gimeno E FAU - Nonell, Lara AU - Nonell L FAU - Herranz, Maria Jose AU - Herranz MJ FAU - Galvan, Ana Belen AU - Galvan AB FAU - Rodriguez-Rivera, Maria AU - Rodriguez-Rivera M FAU - Melero, Carme AU - Melero C FAU - Pairet, Silvia AU - Pairet S FAU - Bellosillo, Beatriz AU - Bellosillo B FAU - Serrano, Sergi AU - Serrano S FAU - Florensa, Lourdes AU - Florensa L FAU - Sole, Francesc AU - Sole F FAU - Espinet, Blanca AU - Espinet B LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121016 PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Chromosome Aberrations MH - Chromosome Banding MH - *Comparative Genomic Hybridization MH - DNA Copy Number Variations MH - Female MH - *Genomics/methods MH - Humans MH - In Situ Hybridization, Fluorescence MH - Leukemia, Lymphocytic, Chronic, B-Cell/*diagnosis/genetics MH - Loss of Heterozygosity MH - Male MH - Middle Aged EDAT- 2012/09/22 06:00 MHDA- 2013/11/05 06:00 CRDT- 2012/09/22 06:00 PHST- 2012/09/22 06:00 [entrez] PHST- 2012/09/22 06:00 [pubmed] PHST- 2013/11/05 06:00 [medline] AID - 10.3109/10428194.2012.731598 [doi] PST - ppublish SO - Leuk Lymphoma. 2013 May;54(5):986-95. doi: 10.3109/10428194.2012.731598. Epub 2012 Oct 16.