PMID- 7819102 OWN - NLM STAT- MEDLINE DCOM- 19950214 LR - 20190705 IS - 0007-1048 (Print) IS - 0007-1048 (Linking) VI - 88 IP - 4 DP - 1994 Dec TI - Metaphase fluorescence in situ hybridization (FISH) in the follow-up of 60 patients with haemopoietic malignancies. PG - 778-83 AB - Metaphase DNA fluorescence in situ hybridization (metaphase-FISH) was performed on follow-up samples from 60 patients suffering from haemopoietic malignancies (acute and chronic myeloid leukaemia, acute lymphoblastic leukaemia, non-Hodgkin's lymphoma and myelodysplastic syndrome). All patients had clonal chromosomal trisomies or translocations at diagnosis, and were treated by bone marrow transplantation (BMT), chemotherapy (CT) or interferon-alpha therapy. Metaphase-FISH was performed during therapy-induced complete haematological remission (CR) (BMT and CT patients) using biotin-labelled whole chromosome paint probes. 28% of all patients in CR were shown by FISH to have abnormal metaphase cells, and 62% of this group suffered a clinical relapse. Of those with negative FISH results (72%), 12% relapsed. In three CML patients treated with BMT a small population of t(9;22)-positive cells was demonstrated. These cells disappeared during follow-up without causing a relapse. One ALL patient had abnormal cells a short time after start of therapy but was also later found FISH-negative. Furthermore, we demonstrated that metaphase-FISH is a suitable method for quantifying the proportion of abnormal cells in CML patients during interferon-alpha therapy. Metaphase-FISH was also employed to detect a local relapse in an ALL patient. Thus, metaphase-FISH was found reliable and sensitive for detection of minimal residual disease in patients with haemopoietic malignancies. FAU - Nylund, S J AU - Nylund SJ AD - Department of Medical Genetics, University of Helsinki, Finland. FAU - Ruutu, T AU - Ruutu T FAU - Saarinen, U AU - Saarinen U FAU - Knuutila, S AU - Knuutila S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Br J Haematol JT - British journal of haematology JID - 0372544 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Anemia, Refractory/*genetics/therapy MH - Child MH - *Chromosome Aberrations MH - Female MH - Follow-Up Studies MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Leukemia/*genetics/therapy MH - Lymphoma, Non-Hodgkin/*genetics/therapy MH - Male MH - Metaphase MH - Middle Aged MH - Neoplasm, Residual MH - Remission Induction MH - Translocation, Genetic MH - Trisomy EDAT- 1994/12/01 00:00 MHDA- 1994/12/01 00:01 CRDT- 1994/12/01 00:00 PHST- 1994/12/01 00:00 [pubmed] PHST- 1994/12/01 00:01 [medline] PHST- 1994/12/01 00:00 [entrez] AID - 10.1111/j.1365-2141.1994.tb05117.x [doi] PST - ppublish SO - Br J Haematol. 1994 Dec;88(4):778-83. doi: 10.1111/j.1365-2141.1994.tb05117.x.