Author/Editor     Podgornik, Helena; Prijatelj, Alenka; Černelč, Peter
Title     Citogenetske preiskave pri slovenskih bolnikih z akutno levkemijo
Translated title     Cytogenetic analysis in Slovenian acute leukemia patients
Type     članek
Source     Zdrav Vestn
Vol. and No.     Letnik 77, št. Suppl 1
Publication year     2008
Volume     str. I-43-6
Language     slo
Abstract     Background Modern therapeutic concepts in acute leukemia are based on individual risk stratification at diagnosis and during follow-up. Cytogenetics plays a central role for classification and for prognostication in acute myeloid (AML) and considering t(9;22) determination also in acute lymphoblastic leukemia (ALL). This method also helps to determine a suitable genetic marker for later monitoring of minimal residual disease (MRD). Results of standard cytogenetics obtained in our laboratory were analyzed and compared with literature data. Methods During the last two years cytogenetic analysis was done in 120 adults and children who were diagnosed with acute leukemia. Bone marrow cells were short-time cultivated to obtain metaphases which were analyzed after G-banding (Giemsa-trypsin). In majority of cases fluorescent in situ hybridization (FISH) was also applied to determine or confirm the suspected chromosomal aberrations. Results The standard cytogenetics was successful in 90% of samples. In 70% of AL patients clonal chromosomal changes were found. Recurrent chromosomal aberrations were determined with expected frequency as previously published for other populations. Also the frequencies of patients with a normal karyotype and complex chromosomal changes were in the expected range. Conclusions Using molecular cytogenetic and genetic methods a possibility that some of chromosomal changes were overlooked was considerably minimized. On the basis of the analyzed data we can be confident that the cytogenetic diagnostic approach in our acute leukemia patients is in accordance with international guidelines.
Descriptors     LEUKEMIA, MYELOCYTIC, ACUTE
CYTOGENETICS
CHROMOSOME ABERRATIONS
IN SITU HYBRIDIZATION, FLUORESCENCE