De novo acute myelogenous leukemia with trilineage myelodysplasia associated with t(8;21)(q22;q22).
We describe a rare case of de novo acute myelogenous leukemia with trilineage myelodysplasia (AML/TMDS) associated with t(8;21)(q22;q22). The patient was admitted to our hospital with leukocytopenia. AML/TMDS was diagnosed by excess myeloblasts and morphological findings of bone marrow. The karyotype revealed 45, X, -Y, t(8;21)(q22;q22) in 17 of 20 analyzed mitoses, and also AML1/MTG8 transcripts were detected by the reverse transcription polymerase chain reaction (RT-PCR) method. The patient achieved a complete remission with a combination chemotherapy of daunorubicin, cytarabine, and prednisolone. This case suggests that t(8;21)(q22;q22) may participate in the pathogenesis of AML/TMDS, although this type is usually found as one of the chromosomal abnormalities in de novo acute myelogenous leukemia (AML) with maturation.
Fujisawa
S
S
First Department of Internal Medicine, Yokohama City University School of Medicine, Yokohama.
Togawa
J
J
Tanaka
M
M
Koharazawa
H
H
Aoba
M
M
Fujita
H
H
Murata
T
T
Kanamori
H
H
Matsuzaki
M
M
Mohri
H
H
Ishigatsubo
Y
Y
D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D002891:Chromosomes, Human, Pair 21 / Q000235:genetics*; D002898:Chromosomes, Human, Pair 8 / Q000235:genetics*; D003561:Cytarabine / Q000008:administration & dosage; D003630:Daunorubicin / Q000008:administration & dosage; D006801:Humans; D007621:Karyotyping; D015470:Leukemia, Myeloid, Acute / Q000150:complications* / Q000188:drug therapy / Q000235:genetics*; D008297:Male; D008875:Middle Aged; D009190:Myelodysplastic Syndromes / Q000150:complications* / Q000188:drug therapy / Q000235:genetics*; D011239:Prednisolone / Q000008:administration & dosage; D014178:Translocation, Genetic
D003561:Cytarabine; D011239:Prednisolone; D003630:Daunorubicin