PMID- 24061469 OWN - NLM STAT- MEDLINE DCOM- 20140320 LR - 20220330 IS - 1998-4774 (Electronic) IS - 0019-509X (Linking) VI - 50 IP - 3 DP - 2013 Jul-Sep TI - Clinico-pathological impact of cytogenetic subgroups in B-cell chronic lymphocytic leukemia: experience from India. PG - 261-7 LID - 10.4103/0019-509X.118730 [doi] AB - BACKGROUND: The present study of 238 B-cell Chronic Lymphocytic Leukemia (B-CLL) patients were undertaken to seek the prevalence and to evaluate clinico-pathological significance of recurrent genetic abnormalities such as del(13q14.3), trisomy 12, del(11q22.3) (ATM), TP53 deletion, del(6q21) and IgH translocation/deletion. MATERIALS AND METHODS: We applied interphase - fluorescence in situ hybridization (FISH) on total 238 cases of B-CLL. RESULTS: Our study disclosed 69% of patients with genetic aberrations such as 13q deletion (63%), trisomy 12 (28%), 11q deletion (18%), 6q21 deletion (11%) with comparatively higher frequency of TP53 deletion (22%). Deletion 13q displayed as a most frequent sole abnormality. In group with coexistence of >/=2 aberrations, 13q deletion was a major clone indicating del(13q) as a primary event followed by 11q deletion, TP53 deletion, trisomy 12, 6q deletion as secondary progressive events. In comparison with del(13q), trisomy 12, group with coexistence of >/=2 aberrations associated with poor risk factors such as hyperleukocytosis, advanced stage, and multiple nodes involvement. In a separate study of 116 patients, analysis of IgH abnormalities revealed either partial deletion (24%) or translocation (5%) and were associated with del(13q), trisomy 12, TP53 and ATM deletion. Two of 7 cases had t(14;18), one case had t(8;14), and four cases had other variant IgH translocation t(?;14). CONCLUSION: Detail characterization and clinical impact are necessary to ensure that IgH translocation positive CLL is a distinct pathological entity. Our data suggests that CLL with various cytogenetic subsets, group with coexistence of >/=2 aberrations seems to be a complex cytogenetic subset, needs more attention to understand biological significance and to seek clinical impact for better management of disease. FAU - Amare, P S Kadam AU - Amare PS AD - Cancer Cytogenetics Laboratory, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India. FAU - Gadage, V AU - Gadage V FAU - Jain, H AU - Jain H FAU - Nikalje, S AU - Nikalje S FAU - Manju, S AU - Manju S FAU - Mittal, N AU - Mittal N FAU - Gujral, S AU - Gujral S FAU - Nair, R AU - Nair R LA - eng PT - Journal Article PL - India TA - Indian J Cancer JT - Indian journal of cancer JID - 0112040 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - *Chromosome Aberrations MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - India MH - Leukemia, Lymphocytic, Chronic, B-Cell/*genetics/*pathology MH - Male MH - Middle Aged MH - Young Adult EDAT- 2013/09/26 06:00 MHDA- 2014/03/22 06:00 CRDT- 2013/09/25 06:00 PHST- 2013/09/25 06:00 [entrez] PHST- 2013/09/26 06:00 [pubmed] PHST- 2014/03/22 06:00 [medline] AID - IndianJournalofCancer_2013_50_3_261_118730 [pii] AID - 10.4103/0019-509X.118730 [doi] PST - ppublish SO - Indian J Cancer. 2013 Jul-Sep;50(3):261-7. doi: 10.4103/0019-509X.118730.