A Cytogeneticist’s quandary - chromosome abnormalities detected by cytogenetic studies on hematological specimens: is it acquired or constitutional?

Conventional cytogenetics is a useful diagnostic and prognostic tool for hematological disorders. The abnormal karyotypes observed in hematological disorders are not necessarily due to an acquired disease state but could reflect a constitutional chromosomal aberration. The suspicion of a constitutio...

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Main Author: Yao, Siwei.
Other Authors: Lim, Alvin Soon Tiong
Format: Final Year Project (FYP)
Language:English
Published: 2013
Subjects:
Online Access:http://hdl.handle.net/10356/52702
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author Yao, Siwei.
author2 Lim, Alvin Soon Tiong
author_facet Lim, Alvin Soon Tiong
Yao, Siwei.
author_sort Yao, Siwei.
collection NTU
description Conventional cytogenetics is a useful diagnostic and prognostic tool for hematological disorders. The abnormal karyotypes observed in hematological disorders are not necessarily due to an acquired disease state but could reflect a constitutional chromosomal aberration. The suspicion of a constitutional abnormality arises when the same chromosomal aberration appears in all cells analyzed in the bone marrow. However, a further correlation with a cytogenetic analysis of the peripheral blood, bone marrow or flow cytometry report that the marrow is in remission is needed to rule out the probability of an acquired abnormality. In this study, only a limited data is available as only 32.5% of the cases understudy were confirmed with a constitutional follow-up study. This emphasizes the importance of peripheral blood follow-ups. It is important for the disease state of the hematological disorder to be determined as treatment is highly dependent on it. Acquired chromosomal aberrations are found to be involved in the pathogenesis of the hematological disorder and treatments targeting them have proved to be effective as seen in the Chronic Myeloid Leukemia (CML) cases. This study also investigated the association between constitutional karyotypes and specific hematological disorders and concludes that larger prospective studies need to be performed.
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spelling ntu-10356/527022023-02-28T18:02:55Z A Cytogeneticist’s quandary - chromosome abnormalities detected by cytogenetic studies on hematological specimens: is it acquired or constitutional? Yao, Siwei. Lim, Alvin Soon Tiong School of Biological Sciences Singapore General Hospital Singhealth DRNTU::Science Conventional cytogenetics is a useful diagnostic and prognostic tool for hematological disorders. The abnormal karyotypes observed in hematological disorders are not necessarily due to an acquired disease state but could reflect a constitutional chromosomal aberration. The suspicion of a constitutional abnormality arises when the same chromosomal aberration appears in all cells analyzed in the bone marrow. However, a further correlation with a cytogenetic analysis of the peripheral blood, bone marrow or flow cytometry report that the marrow is in remission is needed to rule out the probability of an acquired abnormality. In this study, only a limited data is available as only 32.5% of the cases understudy were confirmed with a constitutional follow-up study. This emphasizes the importance of peripheral blood follow-ups. It is important for the disease state of the hematological disorder to be determined as treatment is highly dependent on it. Acquired chromosomal aberrations are found to be involved in the pathogenesis of the hematological disorder and treatments targeting them have proved to be effective as seen in the Chronic Myeloid Leukemia (CML) cases. This study also investigated the association between constitutional karyotypes and specific hematological disorders and concludes that larger prospective studies need to be performed. Bachelor of Science in Biological Sciences 2013-05-22T07:23:01Z 2013-05-22T07:23:01Z 2013 2013 Final Year Project (FYP) http://hdl.handle.net/10356/52702 en Nanyang Technological University 37 p. application/pdf
spellingShingle DRNTU::Science
Yao, Siwei.
A Cytogeneticist’s quandary - chromosome abnormalities detected by cytogenetic studies on hematological specimens: is it acquired or constitutional?
title A Cytogeneticist’s quandary - chromosome abnormalities detected by cytogenetic studies on hematological specimens: is it acquired or constitutional?
title_full A Cytogeneticist’s quandary - chromosome abnormalities detected by cytogenetic studies on hematological specimens: is it acquired or constitutional?
title_fullStr A Cytogeneticist’s quandary - chromosome abnormalities detected by cytogenetic studies on hematological specimens: is it acquired or constitutional?
title_full_unstemmed A Cytogeneticist’s quandary - chromosome abnormalities detected by cytogenetic studies on hematological specimens: is it acquired or constitutional?
title_short A Cytogeneticist’s quandary - chromosome abnormalities detected by cytogenetic studies on hematological specimens: is it acquired or constitutional?
title_sort cytogeneticist s quandary chromosome abnormalities detected by cytogenetic studies on hematological specimens is it acquired or constitutional
topic DRNTU::Science
url http://hdl.handle.net/10356/52702
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AT yaosiwei cytogeneticistsquandarychromosomeabnormalitiesdetectedbycytogeneticstudiesonhematologicalspecimensisitacquiredorconstitutional