A Case of Acute Myeloid Leukemia with a Previously Unreported Translocation (14; 15) (q32; q13)

Background. We hereby describe what we believe to be the first reported case of t (14; 15) (q32; q13) associated with acute myeloid leukemia (AML). Methods. PubMed, Embase, and OVID search engines were used to review the related literature and similar published cases. Case. A47-year-old female prese...

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Main Authors: Mohamad Khawandanah, Bradley Gehrs, Shibo Li, Jennifer Holter Chakrabarty, Mohamad Cherry
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Genetics
Online Access:http://dx.doi.org/10.1155/2014/921240
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author Mohamad Khawandanah
Bradley Gehrs
Shibo Li
Jennifer Holter Chakrabarty
Mohamad Cherry
author_facet Mohamad Khawandanah
Bradley Gehrs
Shibo Li
Jennifer Holter Chakrabarty
Mohamad Cherry
author_sort Mohamad Khawandanah
collection DOAJ
description Background. We hereby describe what we believe to be the first reported case of t (14; 15) (q32; q13) associated with acute myeloid leukemia (AML). Methods. PubMed, Embase, and OVID search engines were used to review the related literature and similar published cases. Case. A47-year-old female presented in December 2011 with AML (acute myelomonocytic leukemia) with normal cytogenetics; molecular testing revealed FLT-3 internal tandem duplication (ITD) mutation, while no mutations involving FLT3 D385/I836, NPM1 exon 12, or KIT exons 8 and 17 were detected. She was induced with 7 + 3 (cytarabine + idarubicin) and achieved complete remission after a second induction with high-dose cytarabine (HiDAC) followed by uneventful consolidation. She presented 19 months after diagnosis with relapsed disease. Of note, at relapse cytogenetic analysis revealed t (14; 15) (q32; q13), while FLT-3 analysis showed a codon D835 mutation (no ITD mutation was detected). She proved refractory to the initial clofarabine-based regimen, so FLAG-idarubicin then was used. She continued to have persistent disease, and she was discharged on best supportive care. Conclusion. Based on this single case of AML with t (14; 15) (q32; q13), this newly reported translocation may be associated with refractory disease.
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spelling doaj-art-130cd46dea714ee3a582b809c58ef7a82025-08-20T02:01:42ZengWileyCase Reports in Genetics2090-65442090-65522014-01-01201410.1155/2014/921240921240A Case of Acute Myeloid Leukemia with a Previously Unreported Translocation (14; 15) (q32; q13)Mohamad Khawandanah0Bradley Gehrs1Shibo Li2Jennifer Holter Chakrabarty3Mohamad Cherry4Hematology-Oncology Section, Department of Medicine, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USADepartment of Pathology, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USADepartment of Pediatrics, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USAHematology-Oncology Section, Department of Medicine, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USAHematology-Oncology Section, Department of Medicine, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USABackground. We hereby describe what we believe to be the first reported case of t (14; 15) (q32; q13) associated with acute myeloid leukemia (AML). Methods. PubMed, Embase, and OVID search engines were used to review the related literature and similar published cases. Case. A47-year-old female presented in December 2011 with AML (acute myelomonocytic leukemia) with normal cytogenetics; molecular testing revealed FLT-3 internal tandem duplication (ITD) mutation, while no mutations involving FLT3 D385/I836, NPM1 exon 12, or KIT exons 8 and 17 were detected. She was induced with 7 + 3 (cytarabine + idarubicin) and achieved complete remission after a second induction with high-dose cytarabine (HiDAC) followed by uneventful consolidation. She presented 19 months after diagnosis with relapsed disease. Of note, at relapse cytogenetic analysis revealed t (14; 15) (q32; q13), while FLT-3 analysis showed a codon D835 mutation (no ITD mutation was detected). She proved refractory to the initial clofarabine-based regimen, so FLAG-idarubicin then was used. She continued to have persistent disease, and she was discharged on best supportive care. Conclusion. Based on this single case of AML with t (14; 15) (q32; q13), this newly reported translocation may be associated with refractory disease.http://dx.doi.org/10.1155/2014/921240
spellingShingle Mohamad Khawandanah
Bradley Gehrs
Shibo Li
Jennifer Holter Chakrabarty
Mohamad Cherry
A Case of Acute Myeloid Leukemia with a Previously Unreported Translocation (14; 15) (q32; q13)
Case Reports in Genetics
title A Case of Acute Myeloid Leukemia with a Previously Unreported Translocation (14; 15) (q32; q13)
title_full A Case of Acute Myeloid Leukemia with a Previously Unreported Translocation (14; 15) (q32; q13)
title_fullStr A Case of Acute Myeloid Leukemia with a Previously Unreported Translocation (14; 15) (q32; q13)
title_full_unstemmed A Case of Acute Myeloid Leukemia with a Previously Unreported Translocation (14; 15) (q32; q13)
title_short A Case of Acute Myeloid Leukemia with a Previously Unreported Translocation (14; 15) (q32; q13)
title_sort case of acute myeloid leukemia with a previously unreported translocation 14 15 q32 q13
url http://dx.doi.org/10.1155/2014/921240
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