PMID- 28930482 OWN - NLM STAT- MEDLINE DCOM- 20180727 LR - 20180801 IS - 1744-8352 (Electronic) IS - 1473-7159 (Linking) VI - 17 IP - 11 DP - 2017 Nov TI - Diagnostic and prognostic cytogenetics of chronic myeloid leukaemia: an update. PG - 1001-1008 LID - 10.1080/14737159.2017.1383156 [doi] AB - Despite the advent of molecular assessment, banding cytogenetics and fluorescence in situ hybridization (FISH) still have a significant role in diagnostic and prognostic approaches to chronic myeloid leukaemia (CML). Area covered: At diagnosis and during treatment with tyrosine kinase inhibitors (TKIs), cytogenetics is used to detect the Philadelphia chromosome, with its typical translocation t(9;22)(q34;q11.2), and any additional or other chromosomal aberrations (ACAs and OCAs) that may arise in 5-10% of cases, the latter associated to transformation of the disease in blast phases. In this review, the potential role of banding cytogenetics and FISH is discussed through a review of published papers on the prognostic impact of these tools in CML treatment and monitoring. Expert commentary: Cytogenetic techniques, including banding cytogenetics and FISH, continue to maintain a crucial role in CML monitoring. At diagnosis and after 3 months of therapy, banding cytogenetics will continue to be an essential test to perform, but it will become redundant after the achievement of a major molecular response (MMR) assessed with molecular techniques. FISH analysis maintains its usefulness in monitoring the response to TKIs only in special situations. FAU - Molica, Matteo AU - Molica M AD - a Hematology, Department of Cellular Biotechnologies and Hematology , Sapienza University , Rome , Italy. FAU - Massaro, Fulvio AU - Massaro F AD - a Hematology, Department of Cellular Biotechnologies and Hematology , Sapienza University , Rome , Italy. FAU - Breccia, Massimo AU - Breccia M AD - a Hematology, Department of Cellular Biotechnologies and Hematology , Sapienza University , Rome , Italy. LA - eng PT - Journal Article PT - Review DEP - 20170926 PL - England TA - Expert Rev Mol Diagn JT - Expert review of molecular diagnostics JID - 101120777 SB - IM MH - Chromosome Aberrations MH - Chromosome Banding MH - Cytogenetic Analysis MH - Genetic Testing MH - Humans MH - In Situ Hybridization, Fluorescence MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*diagnosis/genetics/*mortality MH - Philadelphia Chromosome MH - Prognosis OTO - NOTNLM OT - Banding cytogenetics OT - additional chromosome abnormalities (ACAs) OT - chronic myeloid leukaemia (CML) OT - fluorescence in situ hybridization (FISH) OT - other chromosome abnormalities (OCAs) EDAT- 2017/09/21 06:00 MHDA- 2018/07/28 06:00 CRDT- 2017/09/21 06:00 PHST- 2017/09/21 06:00 [pubmed] PHST- 2018/07/28 06:00 [medline] PHST- 2017/09/21 06:00 [entrez] AID - 10.1080/14737159.2017.1383156 [doi] PST - ppublish SO - Expert Rev Mol Diagn. 2017 Nov;17(11):1001-1008. doi: 10.1080/14737159.2017.1383156. Epub 2017 Sep 26.