Zhang Yan, He Qi, Shi Yan, Dang Hui, Qiu Jing-Ying, Huang Xiao-Jun, Lu Dao-Pei
Peking University People Hospital, Peking University Institute of Hematalogy, Beijing 100044, China.
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2008 Feb;16(1):22-5.
To investigate the cytogenetic and clinical characteristics of inv(3q) (q21q26) and t(3;3) (q21; q26) aberrations as well as prognosis, cases were collected and chromosome specimens of bone marrow cells were prepared by 24-hour culture, while G-banding technique was used to perform karyotyping. The results showed that the simple inv(3q) and t(3; 3) aberrations were rare, they commonly combined with other chromosome aberrations such as -7/7q- and t (9; 22). The involved diseases included myelodysplastic syndromes, acute myeloid leukemia and chronic myelogenous leukemia in blast crisis. Out of 24 patients, 2 patients diagnosed with M(5) subtype did not achieve complete remission after multiple chemotherapy; 2 patients received allogenic stem cell transplantation relapsed. It is concluded that 3q21q26 aberration commonly combined with chromosome aberration 7/7q-, for these patients the efficacy of chemical therapy is poor, the efficacy of bone marrow transplant is too poor, these patients with inv(3q) and t(3; 3) aberrations have poor prognosis and short overall survival.
为探讨inv(3q)(q21q26)和t(3;3)(q21;q26)异常的细胞遗传学及临床特征以及预后情况,收集病例并通过24小时培养制备骨髓细胞染色体标本,采用G显带技术进行核型分析。结果显示,单纯的inv(3q)和t(3;3)异常少见,常合并其他染色体异常如-7/7q-和t(9;22)。所涉及疾病包括骨髓增生异常综合征、急性髓系白血病和慢性髓性白血病急变期。24例患者中,2例诊断为M(5)亚型的患者经多次化疗后未达完全缓解;2例接受异基因干细胞移植的患者复发。结论:3q21q26异常常合并7/7q-染色体异常,此类患者化疗疗效差,骨髓移植疗效也欠佳,具有inv(3q)和t(3;3)异常的患者预后差,总生存期短。