eJHaem (Jun 2024)

Concurrent BCR‐ABL1 and core binding factor beta rearrangement in de novo acute myeloid leukemia: A case report and review of literature

  • Brittany Salter,
  • Sarah Ge,
  • Amy Tam,
  • Suzanne Demczuk,
  • Darci Butcher,
  • Elizabeth McCready,
  • Dina Khalaf

DOI
https://doi.org/10.1002/jha2.895
Journal volume & issue
Vol. 5, no. 3
pp. 607 – 615

Abstract

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Abstract A distinct subset of acute myeloid leukemia (AML) is characterized by the presence of the Philadelphia chromosome (Ph+), due to reciprocal translocation t(9;22)(q34;q11.2). This chromosomal rearrangement leads to the fusion of the breakpoint cluster region (BCR) gene on chromosome 22 with the ABL1 gene on chromosome 9, generating the BCR::ABL1 fusion gene. The Ph+ AML subtype is associated with poor prognosis and resistance to conventional chemotherapy. Beyond the well‐established BCR::ABL1 fusion, recent studies have shed light on additional genetic abnormalities in Ph+ AML, including associations with rearrangements involving core binding factor beta (CBFB). We describe a case of de novo AML with concurrent BCR::ABL1 and CBFB::MYH11 rearrangements.

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