Cytogenetic aberrations in adult acute lymphoblastic leukemia—A population‐based study

Abstract Cytogenetic aberrations are recognized as important prognostic factors in adult acute lymphoblastic leukemia (ALL), but studies seldom include elderly patients. From the population‐based Swedish ALL Registry, we identified 728 patients aged 18–95 years, who were diagnosed with ALL 1997–2015...

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Main Authors: Emma Bergfelt Lennmyr, Marie Engvall, Gisela Barbany, Linda Fogelstrand, Hanna Rhodin, Helene Hallböök
Format: Article
Language:English
Published: Wiley 2021-11-01
Series:eJHaem
Subjects:
Online Access:https://doi.org/10.1002/jha2.300
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author Emma Bergfelt Lennmyr
Marie Engvall
Gisela Barbany
Linda Fogelstrand
Hanna Rhodin
Helene Hallböök
author_facet Emma Bergfelt Lennmyr
Marie Engvall
Gisela Barbany
Linda Fogelstrand
Hanna Rhodin
Helene Hallböök
author_sort Emma Bergfelt Lennmyr
collection DOAJ
description Abstract Cytogenetic aberrations are recognized as important prognostic factors in adult acute lymphoblastic leukemia (ALL), but studies seldom include elderly patients. From the population‐based Swedish ALL Registry, we identified 728 patients aged 18–95 years, who were diagnosed with ALL 1997–2015 and had cytogenetic information. Registry data were complemented with original cytogenetic reports. BCR‐ABL1 was the most recurrent aberration, with a frequency of 26%, with additional cytogenetic alterations in 64%. KTM2A rearrangement was the second most frequent aberration found in 7%. Low hypodiploidy‐near triploidy and complex karyotype had negative impact, while t(1;19);TCF3‐PBX1 showed positive impact on overall survival. However, after correction for age only complex karyotype remained significant.
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spelling doaj.art-086fdd4b700f44dfa0ec8d9f82e1c2b52023-08-21T14:05:23ZengWileyeJHaem2688-61462021-11-012481381710.1002/jha2.300Cytogenetic aberrations in adult acute lymphoblastic leukemia—A population‐based studyEmma Bergfelt Lennmyr0Marie Engvall1Gisela Barbany2Linda Fogelstrand3Hanna Rhodin4Helene Hallböök5Department of Medical Sciences Uppsala University Uppsala SwedenDepartment of Immunology, Genetics and Pathology Uppsala University Uppsala SwedenDepartment of Molecular Medicine and Surgery Karolinska Institute Stockholm SwedenDepartment of Clinical Chemistry Sahlgrenska University Hospital Gothenburg SwedenDepartment of Medical Sciences Uppsala University Uppsala SwedenDepartment of Medical Sciences Uppsala University Uppsala SwedenAbstract Cytogenetic aberrations are recognized as important prognostic factors in adult acute lymphoblastic leukemia (ALL), but studies seldom include elderly patients. From the population‐based Swedish ALL Registry, we identified 728 patients aged 18–95 years, who were diagnosed with ALL 1997–2015 and had cytogenetic information. Registry data were complemented with original cytogenetic reports. BCR‐ABL1 was the most recurrent aberration, with a frequency of 26%, with additional cytogenetic alterations in 64%. KTM2A rearrangement was the second most frequent aberration found in 7%. Low hypodiploidy‐near triploidy and complex karyotype had negative impact, while t(1;19);TCF3‐PBX1 showed positive impact on overall survival. However, after correction for age only complex karyotype remained significant.https://doi.org/10.1002/jha2.300ALLclinical cytogeneticsclinical hematologycytogenetics of leukemia
spellingShingle Emma Bergfelt Lennmyr
Marie Engvall
Gisela Barbany
Linda Fogelstrand
Hanna Rhodin
Helene Hallböök
Cytogenetic aberrations in adult acute lymphoblastic leukemia—A population‐based study
eJHaem
ALL
clinical cytogenetics
clinical hematology
cytogenetics of leukemia
title Cytogenetic aberrations in adult acute lymphoblastic leukemia—A population‐based study
title_full Cytogenetic aberrations in adult acute lymphoblastic leukemia—A population‐based study
title_fullStr Cytogenetic aberrations in adult acute lymphoblastic leukemia—A population‐based study
title_full_unstemmed Cytogenetic aberrations in adult acute lymphoblastic leukemia—A population‐based study
title_short Cytogenetic aberrations in adult acute lymphoblastic leukemia—A population‐based study
title_sort cytogenetic aberrations in adult acute lymphoblastic leukemia a population based study
topic ALL
clinical cytogenetics
clinical hematology
cytogenetics of leukemia
url https://doi.org/10.1002/jha2.300
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