PMID- 23417757 OWN - NLM STAT- MEDLINE DCOM- 20130709 LR - 20221207 IS - 1432-0584 (Electronic) IS - 0939-5555 (Linking) VI - 92 IP - 6 DP - 2013 Jun TI - Chromosomal abnormalities by conventional cytogenetics and interphase fluorescence in situ hybridization in chronic lymphocytic leukemia in Taiwan, an area with low incidence--clinical implication and comparison between the West and the East. PG - 799-806 LID - 10.1007/s00277-013-1700-x [doi] AB - Chronic lymphocytic leukemia (CLL) is much less prevalent in Taiwan than in the West, but we have recently addressed the distinctly increasing incidence of CLL in Taiwan. We sought to find out whether there is any difference in cytogenetic abnormalities (CA) of CLL between the West and the East. We analyze the CA, by conventional cytogenetics (CG) and fluorescence in situ hybridization (FISH), and their clinical significance in 83 Taiwanese CLL patients and compared the data to those of Western countries. Thirty-five patients (42.2 %) possessed CG-CA and 58 (69.9 %) FISH-CA. By either CG or FISH, deletion of 17p or 11q was associated with poorer overall survival (OS) (P<0.001 and P=0.008, respectively), whereas isolated 13q deletion was associated with better OS (P=0.050). Trisomy 3 by CG was found in five patients; all of them were in Binet A stage but had strikingly poor OS (P<0.001). This prognostic impact was independent from the other CA and Binet stages. We conclude that, though the disease incidence is much different, the CA of CLL in Taiwan are similar to those in the West. The combined CG and FISH analysis is able to predict the patients' prognosis. The clinical significance of trisomy 3 warrants further validation. FAU - Wu, Shang-Ju AU - Wu SJ AD - Division of Hematology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, 100, Taiwan. FAU - Lin, Chien-Ting AU - Lin CT FAU - Huang, Sheng-Yi AU - Huang SY FAU - Lee, Fen-Yu AU - Lee FY FAU - Liu, Ming-Chi AU - Liu MC FAU - Hou, Hsin-An AU - Hou HA FAU - Chen, Chien-Yuan AU - Chen CY FAU - Ko, Bor-Sheng AU - Ko BS FAU - Chou, Wen-Chien AU - Chou WC FAU - Yao, Ming AU - Yao M FAU - Tang, Jih-Luh AU - Tang JL FAU - Tsay, Woei AU - Tsay W FAU - Tien, Hwei-Fang AU - Tien HF LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130217 PL - Germany TA - Ann Hematol JT - Annals of hematology JID - 9107334 SB - IM MH - Aged MH - Aneuploidy MH - Asian People/statistics & numerical data MH - Bone Marrow Examination/methods MH - *Chromosome Aberrations MH - *Chromosome Banding MH - Chromosomes, Human, Pair 3/genetics MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Incidence MH - Interphase MH - Kaplan-Meier Estimate MH - Leukemia, Lymphocytic, Chronic, B-Cell/epidemiology/*genetics MH - Male MH - Middle Aged MH - Prognosis MH - Taiwan/epidemiology MH - Trisomy MH - United States/epidemiology MH - White People/statistics & numerical data EDAT- 2013/02/19 06:00 MHDA- 2013/07/10 06:00 CRDT- 2013/02/19 06:00 PHST- 2011/11/16 00:00 [received] PHST- 2012/10/12 00:00 [accepted] PHST- 2013/02/19 06:00 [entrez] PHST- 2013/02/19 06:00 [pubmed] PHST- 2013/07/10 06:00 [medline] AID - 10.1007/s00277-013-1700-x [doi] PST - ppublish SO - Ann Hematol. 2013 Jun;92(6):799-806. doi: 10.1007/s00277-013-1700-x. Epub 2013 Feb 17.