Rapid transformation of atypical myeloproliferative disorder with consistent t(8;13) to B-cell acute lymphoblastic leukemia: a case report.


Şahin F., Sercan Z., Ertan Y., Ocakci S., Ay E., Vural F., ...More

Hematology (Amsterdam, Netherlands), vol.12, no.6, pp.489-92, 2007 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 12 Issue: 6
  • Publication Date: 2007
  • Doi Number: 10.1080/10245330701562204
  • Journal Name: Hematology (Amsterdam, Netherlands)
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.489-92
  • Keywords: atypical myeloproliferative disorders, acute lymphoblastic leukemia, t(8;13), FGFR, GROWTH-FACTOR RECEPTOR-1, TRANSLOCATION, LYMPHOMA, FUSION, ZNF198, T(8/13)(P12,Q12), EOSINOPHILIA, MALIGNANCY, PATIENT
  • Dokuz Eylül University Affiliated: Yes

Abstract

8p11 myeloproliferative syndrome (EMS; also known as the stem cell leukemia syndrome-SCLL) is a rare atypical myeloproliferative disorder associated with chromosomal abnormalities involving the 8p11 chromosomal band. Translocations associated with this syndrome result in the fusion of the fibroblast growth factor receptor I (FGFR 1) gene with various partners, resulting in ligand independent FGFR activity. The most commonly observed translocation of this syndrome is t(8;13), which results in the expression of a chimeric ZNF198-FGFR1 tyrosine kinase. Disease phenotype associated with this translocation has some typical features such as poor prognosis, and transformation to mainly acute leukemia and non-Hodgkin lymphoma; commonly with a T-cell phenotype in which obtaining and maintenance of remission is difficult by conventional chemotherapy. We hereby present a case diagnosed as atypical chronic myeloproliferative disease with consistent t(8;13)(p12;q12) and transformed rapidly to pre-B-cell acute lymphoblastic leukemia which is a rare clinical presentation.