PMID- 31366525 OWN - NLM STAT- MEDLINE DCOM- 20190807 LR - 20190807 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 39 IP - 8 DP - 2019 Aug TI - Unusual Karyotype in Acute Myelomonocitic Leukemia: A Case Report. PG - 4329-4332 LID - 10.21873/anticanres.13599 [doi] AB - BACKGROUND/AIM: Acute myeloid leukemia is well characterized by chromosomal aberrations that correspond to various subtypes of acute leukemias. The t(8;21)(q22;q22) is a frequent chromosomal abnormality strongly associated with acute myeloblastic leukemia with maturation (AML-M2), but is rarely associated with other subtypes. Translocation involving a third chromosome could produce new genetic rearrangements that lead to leukemogenesis. PATIENTS AND METHODS: Conventional cytogenetic analysis and fluorescence in situ hybridization (FISH) were performed to identify the karyotype. Reverse transcriptase polymerase chain reaction (RT-PCR) was used to detect the AML1/ETO transcript. RESULTS/CONCLUSION: We herein report a novel rearrangement with a three-way translocation involving chromosomes 8, 21 and another unknown chromosome, in an 83-year-old female patient diagnosed as AML-M4, with an ALM1/ETO negative transcript. This is an uncommon case of AML-M4 with three-way translocation in a new variant of t(8;21) acute myeloid leukaemia. The detailed mechanism of different phenotype expression is unclear. Further study is needed to identify the leukemogenetic transformation resulting from t(8;21) translocation. CI - Copyright(c) 2019, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. FAU - Consoli, Maria Letizia AU - Consoli ML AD - Division of Hematology and Bone Marrow Transplant, A.O.U. Policlinico Vittorio Emanuele, Catania, Italy marzia.consoli@libero.it. FAU - Romano, Alessandra AU - Romano A AD - Division of Hematology and Bone Marrow Transplant, A.O.U. Policlinico Vittorio Emanuele, Catania, Italy. FAU - Parrinello, Nunziatina Laura AU - Parrinello NL AD - Division of Hematology and Bone Marrow Transplant, A.O.U. Policlinico Vittorio Emanuele, Catania, Italy. FAU - Tambe, Loredana AU - Tambe L AD - Division of Hematology and Bone Marrow Transplant, A.O.U. Policlinico Vittorio Emanuele, Catania, Italy. FAU - Romeo, Maria Anna AU - Romeo MA AD - Division of Hematology and Bone Marrow Transplant, A.O.U. Policlinico Vittorio Emanuele, Catania, Italy. FAU - Salemi, Domenico AU - Salemi D AD - Division of Hematology and Bone Marrow Transplant, A.O. Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy. FAU - Santoro, Alessandra AU - Santoro A AD - Division of Hematology and Bone Marrow Transplant, A.O. Ospedali Riuniti Villa Sofia-Cervello, Palermo, Italy. FAU - DI Raimondo, Francesco AU - DI Raimondo F AD - Division of Hematology and Bone Marrow Transplant, A.O.U. Policlinico Vittorio Emanuele, Catania, Italy. LA - eng PT - Case Reports PT - Journal Article PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 SB - IM MH - Aged, 80 and over MH - Chromosomes, Human, Pair 21/genetics MH - Chromosomes, Human, Pair 8/genetics MH - *Cytogenetic Analysis MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - *Karyotype MH - Karyotyping/methods MH - Leukemia, Myelomonocytic, Acute/diagnosis/*genetics/pathology MH - Translocation, Genetic/*genetics OTO - NOTNLM OT - AML OT - three-way translocation OT - variant t(8;21) EDAT- 2019/08/02 06:00 MHDA- 2019/08/08 06:00 CRDT- 2019/08/02 06:00 PHST- 2019/06/25 00:00 [received] PHST- 2019/07/02 00:00 [revised] PHST- 2019/07/04 00:00 [accepted] PHST- 2019/08/02 06:00 [entrez] PHST- 2019/08/02 06:00 [pubmed] PHST- 2019/08/08 06:00 [medline] AID - 39/8/4329 [pii] AID - 10.21873/anticanres.13599 [doi] PST - ppublish SO - Anticancer Res. 2019 Aug;39(8):4329-4332. doi: 10.21873/anticanres.13599.