A case of acute lymphoblastic leukemia with additional chromosomes X and 5 associated with a Philadelphia chromosome in the bone marrow

We report herein a very rare case of acute lymphoblastic leukemia having a chromosomal constitution of 48,XY,+X,+5,t(9;22)(q34;q11) in the bone marrow. A patient with additional chromosomes X and 5 with a Philadelphia chromosome has not been reported previously. However, no abnormal karyotype was ob...

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Main Authors: Burak Durmaz, Asude Alpman Durmaz, Emin Karaca, Güray Saydam, Özgür Çoğulu, Ferda Özkınay
Format: Article
Language:English
Published: Galenos Publishing House 2010-12-01
Series:Turkish Journal of Hematology
Subjects:
Online Access:http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-14632
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author Burak Durmaz
Asude Alpman Durmaz
Emin Karaca
Güray Saydam
Özgür Çoğulu
Ferda Özkınay
author_facet Burak Durmaz
Asude Alpman Durmaz
Emin Karaca
Güray Saydam
Özgür Çoğulu
Ferda Özkınay
author_sort Burak Durmaz
collection DOAJ
description We report herein a very rare case of acute lymphoblastic leukemia having a chromosomal constitution of 48,XY,+X,+5,t(9;22)(q34;q11) in the bone marrow. A patient with additional chromosomes X and 5 with a Philadelphia chromosome has not been reported previously. However, no abnormal karyotype was obtained from the lymphocytes in our patient, and he did not have the characteristics of Klinefelter syndrome. He achieved a complete remission with IDA-FLAG and dasatinib therapy. The mechanism of trisomy 5 or any other chromosomal aneuploidy in the pathogenesis of leukemogenesis remains unclear. Further studies involving the genes affected by this karyotype and their products may lead to strategies to further increase the understanding of drug-resistant acute lymphoblastic leukemia and may represent the next frontier in the targeted therapy of those patients.
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spelling doaj.art-7347e378128840fea97171dcd325f68e2023-02-15T16:12:56ZengGalenos Publishing HouseTurkish Journal of Hematology1300-77771308-52632010-12-012704299302A case of acute lymphoblastic leukemia with additional chromosomes X and 5 associated with a Philadelphia chromosome in the bone marrowBurak DurmazAsude Alpman DurmazEmin KaracaGüray SaydamÖzgür ÇoğuluFerda ÖzkınayWe report herein a very rare case of acute lymphoblastic leukemia having a chromosomal constitution of 48,XY,+X,+5,t(9;22)(q34;q11) in the bone marrow. A patient with additional chromosomes X and 5 with a Philadelphia chromosome has not been reported previously. However, no abnormal karyotype was obtained from the lymphocytes in our patient, and he did not have the characteristics of Klinefelter syndrome. He achieved a complete remission with IDA-FLAG and dasatinib therapy. The mechanism of trisomy 5 or any other chromosomal aneuploidy in the pathogenesis of leukemogenesis remains unclear. Further studies involving the genes affected by this karyotype and their products may lead to strategies to further increase the understanding of drug-resistant acute lymphoblastic leukemia and may represent the next frontier in the targeted therapy of those patients.http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-14632ALLX chromosomechromosome 5Philadelphia chromosome
spellingShingle Burak Durmaz
Asude Alpman Durmaz
Emin Karaca
Güray Saydam
Özgür Çoğulu
Ferda Özkınay
A case of acute lymphoblastic leukemia with additional chromosomes X and 5 associated with a Philadelphia chromosome in the bone marrow
Turkish Journal of Hematology
ALL
X chromosome
chromosome 5
Philadelphia chromosome
title A case of acute lymphoblastic leukemia with additional chromosomes X and 5 associated with a Philadelphia chromosome in the bone marrow
title_full A case of acute lymphoblastic leukemia with additional chromosomes X and 5 associated with a Philadelphia chromosome in the bone marrow
title_fullStr A case of acute lymphoblastic leukemia with additional chromosomes X and 5 associated with a Philadelphia chromosome in the bone marrow
title_full_unstemmed A case of acute lymphoblastic leukemia with additional chromosomes X and 5 associated with a Philadelphia chromosome in the bone marrow
title_short A case of acute lymphoblastic leukemia with additional chromosomes X and 5 associated with a Philadelphia chromosome in the bone marrow
title_sort case of acute lymphoblastic leukemia with additional chromosomes x and 5 associated with a philadelphia chromosome in the bone marrow
topic ALL
X chromosome
chromosome 5
Philadelphia chromosome
url http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-14632
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