Schilling Georgia, Dierlamm Judith, Murga Penas Eva Maria, Hinz Kristina, Seeger Doris, Hossfeld Dieter Kurt
Medizinische Klinik II, University Hospital Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany.
Cancer Genet Cytogenet. 2004 Jul 15;152(2):129-31. doi: 10.1016/j.cancergencyto.2003.10.018.
We report on a patient with Philadelphia chromosome-positive acute lymphoblastic leukemia, who acquired a novel chromosomal abnormality, a dic(19;21)(p13;p13), during relapse of the disease. The cytogenetic result was confirmed by fluorescence in situ hybridization using alpha-satellite and library probes specific for chromosomes 19 and 21, respectively, as well as a chromosome 19q13.1-specific DNA probe. In our case, the dic(19;21) represents a secondary genetic change and was associated with disease progression and poor prognosis.
我们报告了一名费城染色体阳性急性淋巴细胞白血病患者,该患者在疾病复发期间获得了一种新的染色体异常,即双着丝粒染色体dic(19;21)(p13;p13)。通过分别使用针对19号和21号染色体的α卫星和文库探针以及19号染色体q13.1特异性DNA探针进行荧光原位杂交,证实了细胞遗传学结果。在我们的病例中,dic(19;21)代表一种继发性基因改变,与疾病进展和不良预后相关。