[Complex chromosome aberrations between no. 17 and no. 21 in acute myelo-megakaryocytic leukemia: a case report].
A 10 month-old boy presented with fever. He was diagnosed as having acute myelo-megakaryocytic leukemia by electron microscopic cytochemical examination. In spite of aggressive chemotherapy, complete remission could not be achieved and he died seventeen months after the diagnosis was made. G-band karyotypes of the bone marrow cells revealed 45, XY, -17, -21, + dir tan dup (17;21) (17pter----cen----17q25::17q21----17q25;21q11 ----21qter). Furthermore, the same chromosomal aberrations were detected in the cells which were tetraploid and octaploid. Although, neoplastic changes in the progenitor cells immediately before differentiating to CFU-Meg and CFU-GM, are suggested there is a possibility of clonal evolution.
Fujita
K
K
Blood Center Department, Fujigaoka Hospital, Showa University.
Miyoshi
Y
Y
Mori
H
H
Niikura
H
H
Terada
H
H
Takei
S
S
Hirota
Y
Y
Yamada
K
K
Ishikawa
A
A
Shinohara
T
T
D002869:Chromosome Aberrations; D002886:Chromosomes, Human, Pair 17; D002890:Chromosomes, Human, Pair 20; D006801:Humans; D007223:Infant; D007947:Leukemia, Megakaryoblastic, Acute / Q000235:genetics*; D008297:Male