Case Report

Cytogenetically Unrelated Clones in Acute Myeloid Leukemia Showing Different Responses to Chemotherapy

Table 1

Summary of bone marrow, FISH, and cytogenetic findings.

TimingBlast (%)FISHKaryotype
CEP ×3
(normal: 0.0–2.0%)
CEP7 ×1
(normal: 0.0–6.0%)

At diagnosis82.465% [325/500]23.4% [117/500]51,XY,+6,+8,inv(9)(p12q13)c,+11,+13,+19[]/52,idem,+Y[]

After induction
(IDA-AraC)
3.20.6% [3/500]73.4% [367/500]45,XY,-7,inv(9)(p12q13)c[]/46,XY,inv(9)(p12q13)c[]

After consolidation
(Mit-VP16-AraC)
5.41.2% [6/500]65.8% [329/500]45,XY,-7,inv(9)(p12q13)c[]/46,XY,inv(9)(p12q13)c[]

After Azacytidine4.40.6% [3/500]84.4% [422/500]n/a

After HSCT0.20.8% [4/500]0.6% [3/500]46,XY[]

Relapse45.40.2% [1/500]56.4% [282/500]n/a

IDA: Idamycin; AraC: cytarabine; Mit: mitoxantrone; VP16: etoposide; HSCT: Hematopoietic Stem Cell Transplantation.
Centromere probe for chromosome 7. Centromere probe for chromosome 8.