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KMID : 1039020120350010062
The Ewha Medical Journal
2012 Volume.35 No. 1 p.62 ~ p.64
Sole Trisomy 22 Not Associated with inv(16) in Myelodysplastic Syndrome
Hahm Chorong

Hwang Yu-Sun
Moon Young-Chul
Seong Chu-Myong
Chung Wha-Soon
Huh Jung-Sik
Abstract
Trisomy 22 is closely associated with inv(16) or t(16;16) and could be a marker of cryptic rearrangement of CBFB/MYH11 in acute myeloid leukemia (AML). Trisomy 22 not associated with CBFB/MYH11 rearrangement is a rare event. Here, we report a case diagnosed as refractory anemia with excess blasts-2 (RAEB-2) with sole trisomy 22 in the absence of CBFB/MYH11 rearrangement. The cytogenetic study of bone marrow cells disclosed trisomy 22 in 10% of metaphase cells analyzed. The other chromosomal abnormalities were not found. Fluorescence in situ hybridization (FISH) using CBFB/MYH11 probe to detect cryptic inv(16)(p13q22) showed negative result. We also excluded rearrangements of chromosome 5, 7, 8, 20, and ETV6 by FISH. Sole trisomy 22 not associated with inv(16) is a true entity.
KEYWORD
Trisomy 22, Sole, Myelodysplastic syndrome, Auer rod
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