PMID- 23664605 OWN - NLM STAT- MEDLINE DCOM- 20131029 LR - 20161125 IS - 2589-0646 (Electronic) IS - 2589-0646 (Linking) VI - 6 IP - 1 DP - 2013 Mar TI - A rare case with typical acute promyelocytic leukemia morphology associated with isolated isochromosome 17q without RARalpha rearrangement. PG - 42-5 LID - S1658-3876(13)00006-X [pii] LID - 10.1016/j.hemonc.2013.02.004 [doi] AB - Isolated isochromosome 17q has rarely been reported in hematologic tumor patients. A 37-year-old man was admitted with fever and weakness. Blood routine test showed anemia and thrombocytopenia. The morphology and immunology of bone marrow cells conform to classic acute promyelocytic leukemia (APL). But the karyotype showed isolated isochromosome 17q without t(15;17) (q22;q12). Rverse transcriptase polymerase chain reaction (RT-PCR) for PML -RARa was negative and fluorescence in situ hybridization (FISH) analysis showed no RARa gene rearrangements.The patient responded poorly to all trans retinoic acid and traditional chemotherapy with daunorubicin and cytarabine and survived only 43 days after diagnosis. The pathogenesis and the best treatment choice for this kind of patients are not clear currently. CI - Copyright (c) 2013 King Faisal Specialist Hospital & Research Centre. Published by Elsevier B.V. All rights reserved. FAU - Duan, Yanchao AU - Duan Y AD - Affiliated Hospital of Taishan Medical University, Taian, Shandong, China. duansuper@yahoo.cn FAU - Nie, Jing AU - Nie J FAU - Zhang, Zhirong AU - Zhang Z FAU - Zhou, Li AU - Zhou L FAU - Zhu, Feng AU - Zhu F FAU - Zhang, Hong AU - Zhang H FAU - Zhu, Hongbo AU - Zhu H FAU - Shang, Wenqing AU - Shang W LA - eng PT - Case Reports PT - Journal Article DEP - 20130305 PL - Saudi Arabia TA - Hematol Oncol Stem Cell Ther JT - Hematology/oncology and stem cell therapy JID - 101468532 RN - 0 (Antibiotics, Antineoplastic) RN - 0 (RARA protein, human) RN - 0 (Receptors, Retinoic Acid) RN - 0 (Retinoic Acid Receptor alpha) RN - 04079A1RDZ (Cytarabine) RN - ZS7284E0ZP (Daunorubicin) SB - IM MH - Antibiotics, Antineoplastic/therapeutic use MH - Bone Marrow/pathology MH - *Chromosomes, Human, Pair 17 MH - Cytarabine/therapeutic use MH - Daunorubicin/therapeutic use MH - Drug Therapy, Combination MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Isochromosomes MH - Karyotyping MH - Leukemia, Promyelocytic, Acute/*diagnosis/drug therapy MH - Male MH - Receptors, Retinoic Acid/*genetics MH - Retinoic Acid Receptor alpha EDAT- 2013/05/15 06:00 MHDA- 2013/10/30 06:00 CRDT- 2013/05/14 06:00 PHST- 2013/05/14 06:00 [entrez] PHST- 2013/05/15 06:00 [pubmed] PHST- 2013/10/30 06:00 [medline] AID - S1658-3876(13)00006-X [pii] AID - 10.1016/j.hemonc.2013.02.004 [doi] PST - ppublish SO - Hematol Oncol Stem Cell Ther. 2013 Mar;6(1):42-5. doi: 10.1016/j.hemonc.2013.02.004. Epub 2013 Mar 5.