Abstract
This study concerns a patient with minor (m)-BCR/ABL transcript-positive and Philadelphia (Ph) chromosome-negative myelodysplastic syndrome (MDS). The patient was a 78-year-old man whose condition was diagnosed as refractory anemia with excess of blasts in transformation. Molecular genetic studies, using reverse transcriptase polymerase chain reaction analysis detected m-BCR/ABL messenger RNA. We used spectral karyotyping to analyze metaphase cells but could not detect a Ph chromosome. Fluorescence in situ hybridization, however, revealed fusion signals ofBCR andABL probes on an apparently normal chromosome 22.
Similar content being viewed by others
References
Melo JV, Myint H, Galton DA, Goldman JM. p190bcr-abl chronic myeloid leukemia: the missing link with chronic myelomonocytic leukemia?Leukemia. 1994;8:208–211.
Faderl S, Talpaz M, Estrov Z, O’Brien S, Kurzrock R, Kantrjian HM. The biology of chronic myeloid leukemia.N Engl J Med. 1999;341:164–171.
Verhoef G, Meeus P, Stul M, et al. Cytogenetic and molecular studies of the Philadelphia translocation in myelodysplastic syndromes: report of two cases and review of the literature.Cancer Genet Cytogenet. 1992;59:161–166.
Katsuno M, Yamashita S, Sadamura S, et al. Late-appearing Philadelphia chromosome in a patient with acute nonlymphocytic leukemia derived from myelodysplastic syndrome: detection of p210- and p190-type BCR/ABL fusion gene transcripts at the leukaemic stage.Br J Haematol. 1994;87:51–56.
Kohno T, Amemori T, Atogami S, et al. Progression from myelodysplastic to acute lymphoblastic leukemia with Philadelphia chromosome and p190 BCR-ABL transcript.Br J Haematol. 1996;93:389–391.
Lesesve JF, Troussard X, Bastard C, et al. p190BCR/ABL rearrangement in myelodysplastic syndromes: two reports and review of the literature.Br J Haematol. 1996;95:372–375.
Greenber P, Cox C, LeBeau MM, et al. International scoring system for evaluating prognosis in myelodysplastic syndromes.Blood. 1997;89:2079–2088.
Schröck E, duManoir S, Veldman T, et al. Multicolor spectral karyotyping of human chromosomes.Science. 1996;273:494–497.
Kakazu N, Taniwaki M, Horiike S, et al. Combined spectral karyotyping and DAPI banding analysis of chromosome abnormalities in myelodysplastic syndrome.Genes Chromosomes Cancer. 1999;26:336–345.
Bennett JM, Catovsky D, Daniel MT, et al. The chronic myeloid leukaemias: guidelines for distinguishing chronic granulocytic, atypical chronic myeloid, and chronic myelomonocytic leukaemia. Proposals by the French-American-British Cooperative Leukaemia Group.Br J Haematol. 1994;87:746–754.
Oscier DG. Atypical chronic myeloid leukaemia, a distinct clinical entity related to the myelodysplastic syndrome?Br J Haematol. 1996;92:582–586.
Inazawa J, Nishigaki H, Takahira H, et al. Rejoining between 9q+ and Philadelphia chromosomes results in normal-looking chromosomes 9 and 22 in Ph1-negative chronic myelocytic leukemia.Hum Genet. 1989;83:115–118.
Verhoef GEG, Demuynck H, Zachee P, Boogaerts MA. Myelodysplastic syndrome evolving into a myeloproliferative disorder: one disease or two?Leukemia. 1994;8:714–715.
Neuwirtova R, Mocikova K, Musilova J, et al. Mixed myelodysplastic and myeloproliferative syndromes.Leuk Res. 1996;20:717–726.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Wakayama, T., Maniwa, Y., Ago, H. et al. A Variant Form of Myelodysplastic Syndrome With Ph− Minor-BCR/ABL Transcript. Int J Hematol 74, 58–63 (2001). https://doi.org/10.1007/BF02982550
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF02982550