Identification of rare atypical BCR-ABL1 transcript: A case report

CML is characterized by the presence of a BCR-ABL1 fusion transcript. Several guidelines have been published for its detection and molecular monitoring. Here, a case is described of chronic myeloid leukemia presenting in the blast phase with a rare variant transcript, with a discussion on possible r...

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Main Authors: Jayesh Saha, Vipin Gopinath, Chandran K. Nair, Deepak Roshan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-07-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:https://journals.lww.com/10.4103/ijpm.ijpm_715_21
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author Jayesh Saha
Vipin Gopinath
Chandran K. Nair
Deepak Roshan
author_facet Jayesh Saha
Vipin Gopinath
Chandran K. Nair
Deepak Roshan
author_sort Jayesh Saha
collection DOAJ
description CML is characterized by the presence of a BCR-ABL1 fusion transcript. Several guidelines have been published for its detection and molecular monitoring. Here, a case is described of chronic myeloid leukemia presenting in the blast phase with a rare variant transcript, with a discussion on possible red flags in its detection and genetic testing and description of the patient's clinical characteristics. This case highlights the pitfalls of using real-time quantitative reverse-transcription polymerase chain reaction (RQ-PCR) for diagnosis of CML, especially when the clinical picture and the test results are discordant.
format Article
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institution Kabale University
issn 0377-4929
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publishDate 2023-07-01
publisher Wolters Kluwer Medknow Publications
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series Indian Journal of Pathology and Microbiology
spelling doaj-art-130b096a418b43178bc58626031856762025-02-07T13:35:03ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292023-07-0166362462610.4103/ijpm.ijpm_715_21Identification of rare atypical BCR-ABL1 transcript: A case reportJayesh SahaVipin GopinathChandran K. NairDeepak RoshanCML is characterized by the presence of a BCR-ABL1 fusion transcript. Several guidelines have been published for its detection and molecular monitoring. Here, a case is described of chronic myeloid leukemia presenting in the blast phase with a rare variant transcript, with a discussion on possible red flags in its detection and genetic testing and description of the patient's clinical characteristics. This case highlights the pitfalls of using real-time quantitative reverse-transcription polymerase chain reaction (RQ-PCR) for diagnosis of CML, especially when the clinical picture and the test results are discordant.https://journals.lww.com/10.4103/ijpm.ijpm_715_21atypical variantcmlmolecular testingrq-pcr
spellingShingle Jayesh Saha
Vipin Gopinath
Chandran K. Nair
Deepak Roshan
Identification of rare atypical BCR-ABL1 transcript: A case report
Indian Journal of Pathology and Microbiology
atypical variant
cml
molecular testing
rq-pcr
title Identification of rare atypical BCR-ABL1 transcript: A case report
title_full Identification of rare atypical BCR-ABL1 transcript: A case report
title_fullStr Identification of rare atypical BCR-ABL1 transcript: A case report
title_full_unstemmed Identification of rare atypical BCR-ABL1 transcript: A case report
title_short Identification of rare atypical BCR-ABL1 transcript: A case report
title_sort identification of rare atypical bcr abl1 transcript a case report
topic atypical variant
cml
molecular testing
rq-pcr
url https://journals.lww.com/10.4103/ijpm.ijpm_715_21
work_keys_str_mv AT jayeshsaha identificationofrareatypicalbcrabl1transcriptacasereport
AT vipingopinath identificationofrareatypicalbcrabl1transcriptacasereport
AT chandranknair identificationofrareatypicalbcrabl1transcriptacasereport
AT deepakroshan identificationofrareatypicalbcrabl1transcriptacasereport