Human pathology

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t(4;11)(q21;q23)

4q21 and 11q23

Tumors

- B-ALL

  • L1 B-ALL
  • L2 B-ALL

- biphenotypic AL
- some ANLL

  • some M4
  • some M5

- some treatment-related leukaemia
- exceptional T-ALL

Genes involved

- AF4 at 4q21
- MLL at 11q23

Additional anomalies in 1/4 of cases with clonal evolution to hyperploidy
- i(7q) (10%)
- +X, +6, +8, +19, +21, +13, +10, +14