Abstract
This study concerns a patient with minor (m)-BCR/ABL transcript-positive and Philadelphia (Ph) chromosome-negative myelodysplastic syndrome (MDS). The patient was a 78-year-old man whose condition was diagnosed as refractory anemia with excess of blasts in transformation. Molecular genetic studies, using reverse transcriptase polymerase chain reaction analysis detected m-BCR/ABL messenger RNA. We used spectral karyotyping to analyze metaphase cells but could not detect a Ph chromosome. Fluorescence in situ hybridization, however, revealed fusion signals of BCR and ABL probes on an apparently normal chromosome 22.
MeSH terms
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Aged
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Anemia, Refractory, with Excess of Blasts / blood
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Anemia, Refractory, with Excess of Blasts / classification*
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Anemia, Refractory, with Excess of Blasts / diagnosis
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Anemia, Refractory, with Excess of Blasts / genetics
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Anemia, Refractory, with Excess of Blasts / pathology
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Bone Marrow / pathology
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Chromosomes, Human, Pair 17 / genetics
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Chromosomes, Human, Pair 17 / ultrastructure
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Chromosomes, Human, Pair 22 / genetics
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Chromosomes, Human, Pair 9 / genetics
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Fatal Outcome
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Fusion Proteins, bcr-abl / genetics*
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Humans
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Immunophenotyping
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In Situ Hybridization, Fluorescence
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Karyotyping
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Male
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RNA, Messenger / genetics
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RNA, Messenger / isolation & purification
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Reverse Transcriptase Polymerase Chain Reaction
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Translocation, Genetic
Substances
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RNA, Messenger
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Fusion Proteins, bcr-abl