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KMID : 0985420140360020107
Laboratory Medicine and Quality Assurance
2014 Volume.36 No. 2 p.107 ~ p.112
Chromothripsis Identified by Copy Number Profiling in a Case of Plasma Cell Leukaemia
Sohn Min-Ji

Moon Young-Chul
Seong Chu-Myong
Chung Wha-Soon
Huh Jung-Won
Abstract
A genomic instability called chromothripsis occurs as a single catastrophic event, generating massive complex genomic rearrangement with a possible characteristic pattern of copy number oscillations. Here, we report a case of secondary plasma cell leukaemia (PCL) showing chromothripsis identified by single nucleotide polymorphism array (SNP-A)- based karyotyping. A 53-year-old male patient was diagnosed as having secondary PCL four years after he was diagnosed with multiple myeloma, and he died four days later due to intracerebral haemorrhage. Chromosomal analysis and fluorescence in situ hybridization (FISH) revealed the deletions of 13q and 17p and an insertion of 1q. Further, genomic aberrations that were not detected by chromosomal analysis and FISH were identified by SNP-A. In particular, SNP-A revealed numerous alternating copy number state switches involving one, two, or three copy number states on chromosome 7q, suggesting the presence of chromothripsis. The present case suggests that chromothripsis may occur in secondary PCL and can be inferred from genomic copy number profiles identified by SNP-A.
KEYWORD
Chromothripsis, Plasma cell leukaemia, Copy number, Array
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