title: Ph1-chromosome positive acute lymphoblastic leukemia: is t(9;22) the initial abnormality?
abstract: We report a case of pre-B-cell acute lymphoblastic leukemia (ALL) with the Ph1-chromosome, t(9;22) translocation and P190 associated BCR/ABL rearrangement. One cell with the Ph1-chromosome and t(9;22) also had del(5q). Interestingly, another diploid cell with iso(17q) lacked the Ph1-chromosome and t(9;22). This finding, similar to one reported in chronic myelogenous leukemia, is consistent with the possibility that abnormality manifest as chromosome instability antedates the Ph1-chromosome and t(9;22) in some cases of Ph1-chromosome positive acute leukemia.
authors.affiliation: Department of Medicine, UCLA School of Medecine 90024-1678.
authors.forename: I
authors.initials: I
authors.lastname: Aurer
authors.forename: R S
authors.initials: RS
authors.lastname: Sparkes
authors.forename: G
authors.initials: G
authors.lastname: Schiller
authors.forename: R P
authors.initials: RP
authors.lastname: Gale
mesh_terms: D002869:Chromosome Aberrations; D025063:Chromosome Disorders; D002892:Chromosomes, Human, Pair 22; D002899:Chromosomes, Human, Pair 9; D005260:Female; D006801:Humans; D008875:Middle Aged; D010677:Philadelphia Chromosome; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000235:genetics*; D014178:Translocation, Genetic