Human pathology

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therapy-related acute lymphoblastic leukemia

A highly increased risk of myelodysplasia (MDS) and acute myeloid leukaemia (AML) is well established in patients previously treated for other malignancies with alkylating agents or topoisomerase II inhibitors. Single cases of acute lymphoblastic leukaemia (ALL), often presenting balanced translocations involving chromosome band 11q23, have been observed.

Cytogenetics

- 11q23 rearrangements

Molecular biology

- MLL fusion genes

References

- Andersen MK, Christiansen DH, Jensen BA, Ernst P, Hauge G, Pedersen-Bjergaard J. Therapy-related acute lymphoblastic leukaemia with MLL rearrangements following DNA topoisomerase II inhibitors, an increasing problem: report on two new cases and review of the literature since 1992. Br J Haematol. 2001 Sep;114(3):539-43. PMID: 11552977

- Thandla S, Alashari M, Green DM, Aplan PD.Therapy-related T cell lymphoblastic lymphoma with t(11;19)(q23;p13) and MLL gene rearrangement.Leukemia. 1999 Dec;13(12):2116-8. PMID: 10602439