Korean J Med > Volume 80(2); 2011 > Article
The Korean Journal of Medicine 2011;80(2):268-272.
A Case of Acute Promyelocytic Leukemia with a De novo t(11;19) Chromosomal Translocation
Sung-Yeon Cho1, Ju-Youn Kim1, Ju-Yeon Heo1, Seong-Jin Lee1, Chi-Wha Han1, Je-Hoon Lee2
De novo t(11:19) 염색체 전위를 보인 급성전골수성백혈병 1예
조성연1, 김주연1, 허주연1, 이성진1, 한치화1, 이제훈2
Abstract
Acute promyelocytic leukemia (APL), which is usually defined by the morphological features of the leukemic cells, is characterized by the t(15;17) (q22;q21) chromosomal translocation and disseminated intravascular coagulation. This specific translocation results in a new fusion transcript between the promyelocytic leukemia (PML) gene and the retinoic acid receptor-alpha (RARα) gene. Although the presence of this fusion gene can predict a favorable clinical response to all-trans-retinoic-acid (ATRA) treatment, APL with chromosomal translocations other than t(15;17) (q22;q21) is extremely rare and is associated with a poor prognosis. We experienced a case of APL with de novo t(11;19).
Key Words: Acute promyelocytic leukemia; Chromosomal translocation; Molecular pathology


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