Distinct MLL gene rearrangements associated with successive acute monocytic and lymphoblastic leukemias in the same patient

Leukemia. 1994 Dec;8(12):2224-7.

Abstract

A patient with acute monocytic leukemia (AMoL) and t(6;11)(q27;q23) developed acute lymphoblastic leukemia (ALL) and t(4;11)(q21;23), 10 months after complete remission of the AMoL. The MLL gene, normally located at band 11q23, appeared differently rearranged in the cells of these two leukemias, showing a different origin for the two malignant clones. The responsibility of etoposide, used in treatment of the AML, in the occurrence of the ALL is probable in this patient.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Chromosomes, Human, Pair 11*
  • Chromosomes, Human, Pair 4
  • Chromosomes, Human, Pair 6
  • Etoposide / adverse effects
  • Gene Rearrangement*
  • Humans
  • In Situ Hybridization, Fluorescence
  • Leukemia, Monocytic, Acute / drug therapy
  • Leukemia, Monocytic, Acute / genetics*
  • Male
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / chemically induced
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / genetics*
  • Translocation, Genetic

Substances

  • Etoposide