Abe S, Kohno S, Kubonishi I, Minowada J, Sandberg A A
Am J Hematol. 1979;6(3):259-66. doi: 10.1002/ajh.2830060310.
The case of a 4-year-old boy with ALL, possibly developing subsequent to a lymphoma involving the thoracic cavity, which was shown to be of the T-cell type, is presented. The leukemic cells had a 5q-- anomaly, which had previously been described only in cases of refractory anemia and/or AML. The 5q-- abnormality was invariably accompanied by a 9p-- chromosome in the leukemic cells. The interstitial deletion leading to the 5q-- chromosome was shown with banding techniques to be similar to that described previously in myeloproliferative disorders. Some aspects of the 5q-- anomaly in ALL and its relation to previous experience with this karyotypic change are discussed.
本文介绍了一名4岁患急性淋巴细胞白血病(ALL)男孩的病例,其ALL可能继发于累及胸腔的淋巴瘤,该淋巴瘤经证实为T细胞型。白血病细胞存在5号染色体长臂缺失(5q--)异常,此前仅在难治性贫血和/或急性髓系白血病(AML)病例中有所描述。白血病细胞中的5q--异常总是伴有9号染色体短臂缺失(9p--)。通过显带技术显示,导致5q--染色体的中间缺失与先前在骨髓增殖性疾病中描述的类似。本文讨论了ALL中5q--异常的某些方面及其与这种核型变化既往经验的关系。