PMID- 30472199 OWN - NLM STAT- MEDLINE DCOM- 20190313 LR - 20200413 IS - 2589-0409 (Electronic) IS - 1110-0362 (Linking) VI - 30 IP - 4 DP - 2018 Dec TI - The prognostic impact of loss of chromosome 7 material detected by fluorescence in situ hybridization (FISH) in myeloid malignancies. PG - 133-138 LID - S1110-0362(18)30064-5 [pii] LID - 10.1016/j.jnci.2018.11.001 [doi] AB - BACKGROUND: Monosomy 7 (-7) or deletion in its long arm [del(7q)] is among the most common chromosomal abnormalities in myeloid malignancies. There are prognostic variations between -7 and del(7q) in acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS). AIM: To describe the clinical characteristics, response to treatment, and survival of patients with primary AML and MDS having -7 or del(7q) detected by fluorescence in situ hybridization (FISH). PATIENTS AND METHODS: The study was conducted on 53 patients with primary AML and MDS. They were tested for chromosome 7 abnormality using FISH technique. RESULTS: Thirty-one patients had chromosome 7 abnormality and 22 did not. Lower complete remission and higher death rates were observed in patients with -7 (47.6% and 62%, respectively) when compared to patients with del(7q) (70% and 40%, respectively) with no significant difference (p = 0.218 and 0.101, respectively). The median overall survival (OS) of patients with -7, del(7q) and normal chromosome 7 were 32.0, 43.0 and 50.0 months, respectively, with significant statistical difference (p = 0.001). This difference was evident between patients with -7 and those with normal chromosome 7 (p = 0.001), and less evident between patients with -7 and those with del(7q) (p = 0.021). CONCLUSION: Chromosome 7 analysis has clear impact on the outcome of myeloid malignancies. The prognostic variations between -7 and del(7q) is attributed to multiple factors. Cases with del(7q) have better outcome than cases with -7. FISH provides a powerful tool for detecting and monitoring patients with chromosome 7 abnormalities. CI - Copyright (c) 2018 National Cancer Institute, Cairo University. Production and hosting by Elsevier B.V. All rights reserved. FAU - El-Menoufy, Mohamed Amr M AU - El-Menoufy MAM AD - Hematology Department, Medical Research Institute, Alexandria University, Alexandria, Egypt. Electronic address: mscfoh@yahoo.com. FAU - Mourad, Zeinab I AU - Mourad ZI AD - Clinical Pathology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt. FAU - Farahat, Nahla M AU - Farahat NM AD - Clinical Pathology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt. LA - eng PT - Journal Article DEP - 20181122 PL - England TA - J Egypt Natl Canc Inst JT - Journal of the Egyptian National Cancer Institute JID - 9424566 SB - IM MH - Adolescent MH - Adult MH - Aged MH - *Chromosome Deletion MH - Chromosomes, Human, Pair 7/*genetics MH - Egypt MH - Female MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Leukemia, Myeloid, Acute/genetics/mortality/*physiopathology/therapy MH - Male MH - Middle Aged MH - Myelodysplastic Syndromes/genetics/mortality/*physiopathology/therapy MH - Prognosis MH - Survival Rate MH - Young Adult OTO - NOTNLM OT - Chromosome 7 OT - FISH OT - Monosomy 7 OT - Myeloid malignancies OT - del(7q) EDAT- 2018/11/26 06:00 MHDA- 2019/03/14 06:00 CRDT- 2018/11/26 06:00 PHST- 2018/09/07 00:00 [received] PHST- 2018/11/03 00:00 [revised] PHST- 2018/11/08 00:00 [accepted] PHST- 2018/11/26 06:00 [pubmed] PHST- 2019/03/14 06:00 [medline] PHST- 2018/11/26 06:00 [entrez] AID - S1110-0362(18)30064-5 [pii] AID - 10.1016/j.jnci.2018.11.001 [doi] PST - ppublish SO - J Egypt Natl Canc Inst. 2018 Dec;30(4):133-138. doi: 10.1016/j.jnci.2018.11.001. Epub 2018 Nov 22.