CASE REPORTS in HAEMATOLOGY

A new case of t(8;14)(q11;q32) in an acute lymphoblastic leukemia

Clinics

Age and sex :	13 year(s) old male patient.
Previous History :	no preleukemia
	no previous malignant disease
	no inborn condition of note
Organomegaly :	no hepatomegaly ; no splenomegaly ; no enlarged lymph nodes ; no central nervous system involvement

Blood

WBC : 21 x 109/l; Hb : : 9.1 g/dl; platelets : 32 x 109/l; blasts : 79%

Bone marrow : 97%

Cyto pathology classification

Cytology : neutrophils : 11 %; eosinophils : 0 %; basophils : 0%; lymphocytes : 9 %; monocytes : 1%

Immunophenotype : HLA DR+ (high), CD34+ (high), CD10+ (low), CD19+ (high), c mu -, CD79a+ (high). Blasts were myeloperoxydase negative.

Precise diagnosis : Diagnosis of precursor B-cell acute lymphoblastic leukemia (WHO classification), LAL-B II (EGIL classification).

Survival

Date of diagnosis: 04-2003

Complete remission was obtained

Karyotype

Sample : Blood and bone marrow. ; culture time : Overnight unstimulated culture ; banding : R-BANDING

Results : 45, X, - Y, t(8;14)(q11;q32) [ 16 ] / 46, XY [ 4 ]

Other molecular cytogenetics technics : 2- FISH was performed using a chimeric X/Y direct labelled coktail probe (Qbiogene) according to the manufacturer's instructions. FISH confirmed the loss of chromosome Y in 90% on interphase cells (data not shown).

Other molecular studies

results : BCR/ABL : negative TEL /AML1 : negative MLL gene : no rearrangement

Figure 1: Bone marrow (MGG-stained ) x 50: Increased cellularity, no megakaryocyte. Blasts : 97 % ; Neutrophils : 3%.

Figure 2: Karyotype ( R-bands) : 45, X, -Y, t(8;14)(q11;q32).

Figure 3: Fluorescence in situ hybridization using WCP 8 probe ( Spectrum Orange) and LSI-IgH locus probe ( FITC): partial karyotype results ( R-banding and FISH ).

Comments

To our knowledge, the number of t(8 ;14)(q11;q32) cases reported in the literature is 44. In 10 cases, it was the sole acquired abormality. In 34 cases, the t(8;14)(q11;q32) is associated with others numerical or structural abnormalities. 12 patients showed a constitutional trisomy 21. This case, an eleven year old boy represents an additional case. He does not present Down syndrome (this association is further strengthened). Using EGIL classification, bone marrow immunophenotypage classified this case as a common ALL (negative c mu and CD10 positive expression though a low level). It is the first report showing association of a t(8 ;14)(q11 ;q32) and loss of chromosome Y. Splitting of the IgH gene was demonstrated in our case by FISH technique. As in translocations described in leukemias and lymphomas implicating the locus 14q32, the rearrangement could be crucial in this leukemic event. The breakpoint at 8q11 has not yet been cloned.

Internal links

Atlas Card	t(8;14)(q11;q32)
Case Report	A case of pre-B ALL with t(8;14)(q11;q32)
Case Report	A case of Down syndrome with acute lymphoblastic leukemia and t(8;14)(q11;q32)

Bibliography

Proposals for the immunological classification of acute leukemias. European Group for the Immunological Characterization of Leukemias (EGIL).

Bene MC, Castoldi G, Knapp W, Ludwig WD, Matutes E, Orfao A, van't Veer MB

Leukemia : official journal of the Leukemia Society of America, Leukemia Research Fund, U.K. 1995 ; 9 (10) : 1783-1786.

PMID 7564526

World Health Organization classification of neoplastic diseases of the hematopoietic and lymphoid tissues: report of the Clinical Advisory Committee meeting-Airlie House, Virginia, November 1997.

Harris NL, Jaffe ES, Diebold J, Flandrin G, Muller-Hermelink HK, Vardiman J, Lister TA, Bloomfield CD

Journal of clinical oncology : official journal of the American Society of Clinical Oncology. 1999 ; 17 (12) : 3835-3849.

PMID 10577857

Acute lymphoblastic leukemia with an unusual t(8;14)(q11.2;q32): a Pediatric Oncology Group Study.

Kaleem Z, Shuster JJ, Carroll AJ, Borowitz MJ, Pullen DJ, Camitta BM, Zutter MM, Watson MS

Leukemia : official journal of the Leukemia Society of America, Leukemia Research Fund, U.K. 2000 ; 14 (2) : 238-240.

PMID 10673739

Acute lymphoblastic leukemia characterized by t(8;14)(q11.2;q32).

Moore S, Suttle J, Bain S, Story C, Rice M

Cancer genetics and cytogenetics. 2003 ; 141 (1) : 1-4.

PMID 12581891

Acute lymphoblastic leukemia characterized by t(8;14)(q11.2;q32).

Moore S, Suttle J, Bain S, Story C, Rice M

Cancer genetics and cytogenetics. 2003 ; 141 (1) : 1-4.

PMID 12581891

Acute lymphoblastic leukemia characterized by t(8;14)(q11.2;q32).

Moore S, Suttle J, Bain S, Story C, Rice M

Cancer genetics and cytogenetics. 2003 ; 141 (1) : 1-4.

PMID 12581891

Contributor(s)

Written	05-2003	Benoit Quilichini, Helene Zattara, François Casalonga, Laure-Anne Bastide-Alliez, Catherine Curtillet, Chantal Fossat, Gérard Michel
		Cytogenetic Oncology Laboratory : CHU Timone 264, rue Saint-Pierre 13385 Marseille cedex 5, France ; Tel : +33-491387402 • Fax : +33-491384663 e-mail : Helene.Cannoni@mail.ap-hm.fr, Benoit.Quilichini@mail.ap-hm.fr

Citation

This paper should be referenced as such :

Quilichini B, Zattara H, Casalonga F, Bastide-Alliez LA, Curtillet C, Fossat C, Michel G . . Atlas Genet Cytogenet Oncol Haematol. May 2003 . URL : http://AtlasGeneticsOncology.org/Genes/814QuilichiniID100007.html

This paper is referenced by INIST as such :

© Atlas of Genetics and Cytogenetics in Oncology and Haematology

indexed on : Sat Mar 9 12:39:51 CET 2013

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