PMID- 36405254 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221122 IS - 2307-8960 (Print) IS - 2307-8960 (Electronic) IS - 2307-8960 (Linking) VI - 10 IP - 32 DP - 2022 Nov 16 TI - t(4;11) translocation in hyperdiploid de novo adult acute myeloid leukemia: A case report. PG - 11980-11986 LID - 10.12998/wjcc.v10.i32.11980 [doi] AB - BACKGROUND: MLL gene rearrangement is a common genetic abnormality of acute myeloid leukemia (AML), which predicts poor prognosis and is important in clinical diagnosis. MLL rearrangement involves many chromosomes, among which, t(4;11) translocation is rare in AML. The present case was t(4;11) AML, accompanied by a hyperdiploid karyotype. Such cases have not been reported previously. CASE SUMMARY: An adult male with self-reported symptoms of fatigue, febrility and hyperleukocytosis was diagnosed with AML by morphology and confirmed by immunophenotype analysis. Uncommonly, chromosomal and fluorescence in situ hybridization (FISH) analysis showed a hyperdiploid karyotype with t(4;11) translocation and MLL rearrangement, and a negative MLL-AF4 fusion gene result. The patient died of respiratory and circulatory failure 5 days after diagnosis. CONCLUSION: t(4;11) AML with hyperdiploid karyotype has not been reported. In this case, t(4;11) was only detected by karyotype analysis and FISH, suggesting their importance in MLL rearrangement detection. CI - (c)The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. FAU - Zhang, Min-Yu AU - Zhang MY AD - Hematology Laboratory, Shengjing Hospital of China Medical University, Shenyang 110022, Liaoning Province, China. FAU - Zhao, Yue AU - Zhao Y AD - Hematology Laboratory, Shengjing Hospital of China Medical University, Shenyang 110022, Liaoning Province, China. FAU - Zhang, Ji-Hong AU - Zhang JH AD - Hematology Laboratory, Shengjing Hospital of China Medical University, Shenyang 110022, Liaoning Province, China. zhangjh96615@126.com. LA - eng PT - Case Reports PL - United States TA - World J Clin Cases JT - World journal of clinical cases JID - 101618806 PMC - PMC9669862 OTO - NOTNLM OT - 11) OT - Acute myeloid leukemia OT - Case report OT - FISH OT - Hyperdiploid OT - MLL gene rearrangement OT - Translocation t(4 COIS- Conflict-of-interest statement: All authors disclosed no conflict of interest. EDAT- 2022/11/22 06:00 MHDA- 2022/11/22 06:01 PMCR- 2022/11/16 CRDT- 2022/11/21 03:53 PHST- 2022/08/30 00:00 [received] PHST- 2022/09/23 00:00 [revised] PHST- 2022/10/20 00:00 [accepted] PHST- 2022/11/21 03:53 [entrez] PHST- 2022/11/22 06:00 [pubmed] PHST- 2022/11/22 06:01 [medline] PHST- 2022/11/16 00:00 [pmc-release] AID - 10.12998/wjcc.v10.i32.11980 [doi] PST - ppublish SO - World J Clin Cases. 2022 Nov 16;10(32):11980-11986. doi: 10.12998/wjcc.v10.i32.11980.