PMID- 8974790 OWN - NLM STAT- MEDLINE DCOM- 19970102 LR - 20191101 IS - 1269-3286 (Print) IS - 1269-3286 (Linking) VI - 38 IP - 3 DP - 1996 Jul TI - Childhood B-cell acute lymphoblastic leukemia with FAB-L1 morphology and a t(9;11) translocation involving the MLL gene. PG - 265-8 AB - The t(9;11) (p21-22;q23) translocation is frequently associated with acute monoblastic leukemia but may occasionally be seen in patients with acute lymphoblastic leukemia (ALL). We report a case of childhood ALL associated with t(9;11) (p21-22;q23) as the unique recurring chromosomal abnormality. A 3-month-old girl presented with "lymphomatous" ALL (renal enlargement), a high leukocyte count and central nervous system (CNS) involvement. Leukemic cell typing revealed a sIg+ B-cell immunophenotype without CD10 and CD34 antigenic expression while the blast cell morphology was of the FAB-L1 type. Splitting of a YAC encompassing the MLL gene was shown by fluorescence in situ hybridization (FISH) studies of the patient's metaphase chromosomes. Rearrangement of the MLL gene was confirmed by Southern blot analysis. Despite treatment with an hyperintensive polychemotherapeutic regimen, the patient achieved a complete remission but relapsed 9 months later. These results provide further evidence that the t(9;11) may be observed in ALL, involves the MLL gene and is associated with a poor outcome. Moreover, this observation clearly illustrates that sIg+ B-cell ALL is not necessarily associated with a Burkitt (L3) morphology. FAU - Talmant, P AU - Talmant P AD - Unite de Cytogenetique Hematologique, Institut de Biologie, Nantes, France. FAU - Berger, R AU - Berger R FAU - Robillard, N AU - Robillard N FAU - Mechineau-Lacroix, F AU - Mechineau-Lacroix F FAU - Garand, R AU - Garand R LA - eng PT - Case Reports PT - Journal Article PL - France TA - Hematol Cell Ther JT - Hematology and cell therapy JID - 9613253 RN - 0 (DNA-Binding Proteins) RN - 0 (Immunoglobulin Fab Fragments) RN - 0 (KMT2A protein, human) RN - 0 (Transcription Factors) RN - 149025-06-9 (Myeloid-Lymphoid Leukemia Protein) RN - EC 2.1.1.43 (Histone-Lysine N-Methyltransferase) SB - IM MH - B-Lymphocytes/immunology MH - *Chromosomes, Human, Pair 11 MH - *Chromosomes, Human, Pair 9 MH - DNA-Binding Proteins/*genetics MH - Female MH - Histone-Lysine N-Methyltransferase MH - Humans MH - Immunoglobulin Fab Fragments MH - Infant MH - Myeloid-Lymphoid Leukemia Protein MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/*genetics/immunology MH - *Proto-Oncogenes MH - *Transcription Factors MH - *Translocation, Genetic EDAT- 1996/07/01 00:00 MHDA- 1996/07/01 00:01 CRDT- 1996/07/01 00:00 PHST- 1996/07/01 00:00 [pubmed] PHST- 1996/07/01 00:01 [medline] PHST- 1996/07/01 00:00 [entrez] AID - 10.1007/s00282-996-0265-8 [doi] PST - ppublish SO - Hematol Cell Ther. 1996 Jul;38(3):265-8. doi: 10.1007/s00282-996-0265-8.