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Isolated tetrasomy 8 in AML, MDS and MPD

Identity

Note Isolated tetrasomy 8 is relatively rare compared to trisomy 8. A review of literature revealed only 29 cases of solely tetrasomy 8 in hematologic malignancies. Except for the implication of MLL in AML cases, no additional molecular abnormalities have been explored.
 
  GTG-banding karyotype with isolated tetrasomy 8 in AML-M5.

Clinics and Pathology

Disease Acute myeloid leukemia (AML)
Phenotype / cell stem origin FAB subtypes: M0 AML (2 cases) M1 AML (1 case) M2 AML (3 cases) M4 AML (3 cases) M5 AML (11 cases out 20).
Epidemiology Median age 56 years (range: 17-82 years); sex ratio: 13M/7F.
Clinics Tetrasomy 8 has been observed in de novo malignant hemopathies as well as in leukaemia with prior history of haematological disorder (4 cases of myelodisplastic syndrome: 2 RA and 2 RAEB), exposure to radiotherapy or treatment with cytotoxic chemotherapy (1 case of each).
Prognosis Median survival: 15 months.

Disease Myelodysplastic syndrome (MDS)
Phenotype / cell stem origin FAB subtypes: refractory anemia (RA) (1 case), refractory anemia with excess of blasts (RAEB) (1 case), refractory anemia with ringed sideroblasts (RARS) (1 case), chronic myelomonocytic leukemia (CMML) (2 cases) and MF (1 case).
Epidemiology Median age: 68 years (range: 46-91 years); sex ratio: 4M/2F.
Prognosis Median survival: 5.5 months.

Disease Myeloproliferative disorder (MPD)
Phenotype / cell stem origin Subtypes: polycytemia vera (PV) (1 case) and myelofibrosis (MMM) (2 cases).
Epidemiology Median age: 36 years (range 30-51 years); sex ratio: 0M/3F.
Prognosis Median survival: 36 months.

Cytogenetics

 
Probes Specific sequences for the centromere of chromosome 8.
No cryptic MLL rearrangements were detected in all cases.

Bibliography

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Cancer Genet Cytogenet. 1987 Aug;27(2):269-71.
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Tetrasomy 8 in acute myelomonocytic leukemia developing after a gastric cancer operation.
Yoshida J, Nakata K, Oda E, Oda S, Ueyama T, Ambe K, Shiroozu A, Shikata I, Kishikawa H, Iino H.
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Prognostic impact of karyotype and immunologic phenotype in 125 adult patients with de novo AML.
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A new case of isolated tetrasomy of chromosome 8 in a patient with therapy-related myelodysplastic syndrome: confirmation by chromosome painting in metaphase and interphase nuclei.
Flactif M, Lai JL, Deminatti MM.
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Tetrasomy 8 in acute monoblastic leukemia (AML-M5a) with myelosarcomatosis of the skin.
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Coexistence of tetrasomy 8 and trisomy 8 in a case with myeloid metaplasia with myelofibrosis.
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Isolated tetrasomy 8 in minimally differentiated acute myeloid leukemia (AML-M0).
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Trisomy/ tetrasomy of chromosome 8 and +i(8q) as the sole chromosome abnormality in three adult patients with myelomonocytic leukemia.
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Clonal evolution from trisomy into tetrasomy of chromosome 8 associated with the development of acute myeloid leukemia from myelodysplastic syndrome.
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Tetrasomy 8 is associated with a major cellular proliferative advantage and a poor prognosis. two cases of myeloid hematologic disorders and review of the literature.
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Polysomy 8 defines a clinico-cytogenetic entity representing a subset of myeloid hematologic malignancies associated with a poor prognosis: report on a cohort of 12 patients and review of 105 published cases.
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Tetrasomy 8 in a patient with acute monoblastic leukemia.
Kim J, Park TS, Song J, Lee KA, Lee SG, Cheong JW, Choi JR.
Korean J Lab Med. 2008 Aug;28(4):262-6.
PMID 18728374
 

Contributor(s)

Written09-2008Olivier Theisen, Jean-Luc Lai, Olivier Nibourel, Catherine Roche-Lestienne
Laboratoire de genetique medicale, hopital Jeanne de Flandre, CHRU de Lille, France (OT, JLL, CRL); Laboratoire d'hematologie, Centre de Biologie et Pathologie, CHRU de Lille, France (ON)

Citation

This paper should be referenced as such :
Theisen O, Lai JL, Nibourel O, Roche-Lestienne C . Isolated tetrasomy 8 in AML, MDS and MPD. Atlas Genet Cytogenet Oncol Haematol. Septem ber 2008 .
URL : http://AtlasGeneticsOncology.org/Genes/Tetra8ID1517.html

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indexed on : Sat Dec 6 18:01:39 2008


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