Cytogenetic analysis in essential thrombocythemia at diagnosis and at transformation. A 12-year study

Mario Sessarego, Raffaella Defferrari, Anna Maria Dejana, Anna Maria Rebuttato, Giuseppina Fugazza, Emanuele Salvidio, Franco Ajmar

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Abstract

Between 1979 and 1988, 86 patients with clinical and laboratory findings consistent with essential thrombocythemia (ET) were karyotyped at diagnosis. Four patients showed a Philadelphia chromosome and underwent myeloid blastic crisis 2.5-4.5 years later, strongly suggesting a diagnosis of chronic myeloid leukemia. A partial deletion of 13q was seen in another case evolving to leukemia a few months later. Five cases, with normal karyotypes at diagnosis, developed acute transformation after more than 5 years of chronic phase. Four of them showed unusual clonal karyotype abnormalities involving different chromosomal regions. The numerical abnormalities found were trisomy 22 in one case, and trisomy 8 and 19 in another, while structural changes included partial deletion of 6p, partial deletion of 6q, pericentric inversion of chromosome 12, and partial deletion of 20q. These abnormalities have not been previously reported in ET. This investigation confirms the absence of a specific cytogenetic marker for ET, and the infrequent transformation to acute leukemia, often with chromosomal clonal disorders.

Original languageEnglish
Pages (from-to)57-65
Number of pages9
JournalCancer Genetics and Cytogenetics
Volume43
Issue number1
DOIs
Publication statusPublished - 1989

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ASJC Scopus subject areas

  • Cancer Research
  • Genetics
  • Molecular Biology

Cite this

Sessarego, M., Defferrari, R., Dejana, A. M., Rebuttato, A. M., Fugazza, G., Salvidio, E., & Ajmar, F. (1989). Cytogenetic analysis in essential thrombocythemia at diagnosis and at transformation. A 12-year study. Cancer Genetics and Cytogenetics, 43(1), 57-65. https://doi.org/10.1016/0165-4608(89)90127-1