Detection of t(3;5) and NPM1/MLF1 rearrangement in an elderly patient with acute myeloid leukemia: Clinical and laboratory study with review of the literature

Gayoung Lim, Jong Rak Choi, Min Jin Kim, So Young Kim, Hee Joo Lee, Jin Tae Suh, Hwi Joong Yoon, Juhie Lee, Sanggyu Lee, Woo In Lee, Tae Sung Park

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25 Scopus citations

Abstract

We present a novel case of acute myeloid leukemia with an NPM1/MLF1 rearrangement in a 78-year-old Korean woman. The bone marrow chromosome study showed a complex karyotype: 46,XX,t(2;13) (q13;q32),der(3)t(3;5)(q25.1;q34),der(5)del(5)(?q31q34)t(3;5),inv(9)(p11q13)c,del(20)(q11.2)[13]/49,idem,+5,+8,+der(13)t(2;13)[7]. Multiplex gene rearrangement testing, cloning, and sequencing analyses revealed an NPM1/MLF1 fusion rearrangement between exon 6 of NPM1 (ENSG00000181163) and exon 2 of MLF1 (ENSG00000178053). Although t(3;5)(q25.1;q34) or the NPM1/MLF1 rearrangement has been reported mostly as a sole karyotypic abnormality in younger patients, it should also be considered in elderly patients with complex chromosomal abnormalities in acute myeloid leukemia or myelodysplastic syndrome.

Original languageEnglish
Pages (from-to)101-109
Number of pages9
JournalCancer Genetics and Cytogenetics
Volume199
Issue number2
DOIs
StatePublished - Jun 2010

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