Bunin G R, Emanuel B S, Meadows A T, Buckley J D, Woods W G, Hammond G D
Children's Hospital of Philadelphia, PA.
J Natl Cancer Inst. 1989 Mar 1;81(5):370-4. doi: 10.1093/jnci/81.5.370.
We studied peripheral blood lymphocyte karyotypes of 203 patients with retinoblastoma. Twelve (5.9%) had a constitutional chromosomal abnormality involving 13q, of whom six had unilateral and six had bilateral disease. Two patients had mosaic deletions, eight had nonmosaic deletions, one had a de novo translocation, and one had a 13q14 deletion and a de novo direct insertion (10;6). Of the total, 4.9% of unilateral and 7.5% of bilateral patients had 13q abnormalities. None of 19 familial retinoblastoma patients had a visible cytogenetic abnormality. The unilateral patients with 13q abnormalities represent prezygotically determined (potentially heritable) cases which would have been classified as postzygotic (sporadic) without cytogenetic analysis. The observed 1% frequency of mosaic deletions is lower than that previously reported.
我们研究了203例视网膜母细胞瘤患者的外周血淋巴细胞核型。12例(5.9%)存在涉及13q的染色体结构异常,其中6例为单侧病变,6例为双侧病变。2例患者为嵌合性缺失,8例为非嵌合性缺失,1例为新发易位,1例为13q14缺失和新发直接插入(10;6)。总体而言,4.9%的单侧患者和7.5%的双侧患者存在13q异常。19例家族性视网膜母细胞瘤患者均未出现可见的细胞遗传学异常。具有13q异常的单侧患者代表合子前确定(潜在可遗传)的病例,若没有细胞遗传学分析,这些病例会被归类为合子后(散发)病例。观察到的1%的嵌合性缺失频率低于先前报道的频率。