Isolated trisomy 2 is non-random and may be found in myelodysplastic syndrome and in acute myeloblastic leukaemia. Case 2

Catherine Roche-Lestienne, Agnès Charpentier, Sandrine Geffroy, Joris Andrieux, Jean-Loup Demory, Jean-Luc Laï  

(1) : Laboratoire de Génétique Médicale, Hôpital Jeanne de Flandre - CHRU de Lille, France; (2) : Département d Hématologie, Université Catholique de Lille, France; (3) : Laboratoire d Hématologie A, Hôpital Calmette - CHRU de Lille, France

Previous history

Preleukaemia
-
Malignant disease
-
Inborn condition
-

Clinics case report

Age
69 yrs
Sex
F
Liver
-
Spleen
-
Lymph nodes
-
Cns involv
-

Blood data

Wbc
1.7
Hb
7.4
Platelets
45
Blasts
0
Bone marrow
85 blasts

Cyto path

Immunophenotype
CD34+,CD13+, CD33+ HLA-DR+, CD14-,CD15-, CD19-, CD10-, CD2-.
Precise diagnosis
AML-M1

Survival data

Date diagnosis
12-2000
Treatment
Daunorobucin and cytosine-arabinoside.
Complete remission
+
Treatment relat death
Died after several septicemic episodes during bone marrow suppression treatment.
Relapse
-
Status
D
Date last follow
05-2001
Survival
12

Karyotype

Sample
Bone marrow
Culture time
24/48
Banding
GTG
Results
46,XX, [4]/ 47, XX,+2 [18]
Mol cytogenet technics
FISH using the BAC probe RP11-375H16 (2q23.1).
Mol cytogenet results
20% normal metaphases and 80% of metaphases with 3 chromosomes 2.

Images

Atlas Image
G-banding karyotype revealed isolated trisomy 2 of case 2.

Comments section

Comments
Trisomy 2 as single chromosomal abnormality appears to be associated with MDS on the contrary to AML where it is frequently encountered in association to other unbalanced chromosomal abnormalities [ref.1]. This observation therefore suggests that trisomy 2 could be an early genetic abnormality in MDS. Indeed, from the 9 MDS/AML described cases with isolated trisomy 2 (including our 2 cases), 7 cases revealed isolated trisomy 2 at MDS presentation. MDS in transformation was diagnosed among the 4 oldest patients, though age does not carry prognostic significance according to the IPSS [ref.2]. 5 of the 9 published cases evolved to acute leukaemia.

Bibliography

Pubmed IDLast YearTitleAuthors
90587301997International scoring system for evaluating prognosis in myelodysplastic syndromes.Greenberg P et al
104606061999Cross-validation of prognostic scores in myelodysplastic syndromes on 386 patients from a single institution confirms importance of cytogenetics.Pfeilstöcker M et al

Citation

Catherine Roche-Lestienne, Agnès Charpentier, Sandrine Geffroy, Joris Andrieux, Jean-Loup Demory, Jean-Luc Laï

Isolated trisomy 2 is non-random and may be found in myelodysplastic syndrome and in acute myeloblastic leukaemia. Case 2

Atlas Genet Cytogenet Oncol Haematol. 2006-09-01

Online version: http://atlasgeneticsoncology.org/case-report/208814/isolated-trisomy-2-is-non-random-and-may-be-found-in-myelodysplastic-syndrome-and-in-acute-myeloblastic-leukaemia-case-2