Case Report
Cytogenetically Unrelated Clones in Acute Myeloid Leukemia Showing Different Responses to Chemotherapy
Table 1
Summary of bone marrow, FISH, and cytogenetic findings.
| Timing | Blast (%) | FISH | Karyotype | CEP ×3 (normal: 0.0–2.0%) | CEP7 ×1 (normal: 0.0–6.0%) |
| At diagnosis | 82.4 | 65% [325/500] | 23.4% [117/500] | 51,XY,+6,+8,inv(9)(p12q13)c,+11,+13,+19[]/52,idem,+Y[] |
| After induction (IDA-AraC) | 3.2 | 0.6% [3/500] | 73.4% [367/500] | 45,XY,-7,inv(9)(p12q13)c[]/46,XY,inv(9)(p12q13)c[] |
| After consolidation (Mit-VP16-AraC) | 5.4 | 1.2% [6/500] | 65.8% [329/500] | 45,XY,-7,inv(9)(p12q13)c[]/46,XY,inv(9)(p12q13)c[] |
| After Azacytidine | 4.4 | 0.6% [3/500] | 84.4% [422/500] | n/a |
| After HSCT | 0.2 | 0.8% [4/500] | 0.6% [3/500] | 46,XY[] |
| Relapse | 45.4 | 0.2% [1/500] | 56.4% [282/500] | n/a |
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IDA: Idamycin; AraC: cytarabine; Mit: mitoxantrone; VP16: etoposide; HSCT: Hematopoietic Stem Cell Transplantation. Centromere probe for chromosome 7. Centromere probe for chromosome 8.
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