Case Report

PML-RARA Fusion Transcripts Detectable 8 Months prior to Promyelocytic Blast Crisis in Chronic Myeloid Leukemia

Table 1

Peripheral blood, bone marrow, and conventional cytogenetic findings over time.

Time relative to CML diagnosisPeripheral bloodBone marrowConventional cytogenetics
WBC (×103/μL)Hemoglobin (g/dL)Platelets (×103/μL)Promyelocytes (%)CellularityPromyelocytes (%)

−7 years7.214.92000Normocellular<146, XY [20]
04414.82250>95%146, XY, t(9;22)(q34;q11.2) [20]
10 months313.21060N/A146, XY, t(9;22)(q34;q11.2) [1]/46, XY [19]
17 months212.8564470%6746, XY, t(9;22)(q34;q11.2), t(15;17)(q22;q21) [18]/46, XY [2]

The trephine biopsy was suboptimal and unable to be accessed for cellularity. Reference ranges: WBC 4.8–10.8 × 103/μL, hemoglobin 14.0–18.0 g/dL, platelets 160–360 × 103/μL. CML, chronic myeloid leukemia; WBC, white blood count; N/A, not applicable.