Association of the Philadelphia chromosome and 5q- in secondary blood disorder
A patient developed a secondary blood disorder 7 years after radiotherapy for a gastric lymphoma. The initial myelodysplastic syndrome evolved to a myeloproliferative phase with transient polycythemia, progressive thrombocythemia, and hyperleukocytosis. Chromosome analysis performed in the terminal phase showed del(5)(q13q31),t(9;22)(q34;q11), and a complex rearrangement involving chromosomes number2 and number3. A correlation between chromosomal abnormalities and hematologic findings could be established. In this case, we have assumed that the Philadelphia translocation is a late event, due to prior mutagen exposure, and its association with a common secondary abnormality (5q-), followed by a progressively developing myeloproliferative phase. Furthermore, the association of Ph and 5q- in a single clone seems to indicate that the same stem cell is affected by these two abnormalities.
- Research Organization:
- Laboratoire Central d'Hematologie et de Genetique, C.H.U. Purpan-Toulouse (France)
- OSTI ID:
- 5288048
- Journal Information:
- Cancer Genet. Cytogenet.; (United States), Vol. 30:2
- Country of Publication:
- United States
- Language:
- English
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HEMATOPOIETIC SYSTEM
GENETIC RADIATION EFFECTS
LYMPHOMAS
RADIOTHERAPY
SIDE EFFECTS
PATIENTS
PHILADELPHIA CHROMOSOME
RADIATION INJURIES
STEM CELLS
ANIMAL CELLS
BIOLOGICAL EFFECTS
BIOLOGICAL RADIATION EFFECTS
BODY
CHROMOSOMES
DISEASES
GENETIC EFFECTS
INJURIES
MEDICINE
NEOPLASMS
NUCLEAR MEDICINE
RADIATION EFFECTS
RADIOLOGY
SOMATIC CELLS
THERAPY
560151* - Radiation Effects on Animals- Man