Abstract
The translocation (8;21)(q22;q22) is frequently associated with M2 subtype of AML. The authors herein present a case of AML-M2 in a nine-year-old boy without hepatosplenomegaly, lymphadenopathy or any bleeding diathesis. Bone marrow examination revealed high number of eosinophilic precursors (60%) among the total nucleated bone marrow cells. Cytogenetic study with G- banding method showed 46, XY, t (8;21)(q22;q22). The morphological abnormalities in eosinophils observed in AML suggested that eosinophils may be a part of leukemic process.
References
Swerdlow SH, Campo E, Harris NL, et al. WHO classification of tumours of haematopoietic and lymphoid tissues. Lyon: IARC; 2008. p. 110–1.
Ishii Y, Sashida G, Takaku TI, Sumi M, Nakajima A, Ohyashiki K. Cryptic chromosomal anomaly in a patient with acute myeloid leukaemia leading to AML1-ETO fusion with unfavorable prognostic factors. Cancer Genet Cytogenet. 2005;160:94–5.
Swirsky DM, Li YS, Matthews JG, Flemans RJ, Rees JKH, Hayhoe FGJ. 8;21 translocation in acute granulocytic leukemia. Cytological, cytochemical and clinical features. Br J Haematol. 1984;56:199.
The Fourth International Workshop on Chromosomes in Leukemia. Cancer Genet Cytogenet. 1984;11:249–360.
Kita K, Nakase K, Miwa H, et al. Phenotypical characteristics of acute myelocytic leukemia associated with the t(8;21)(q22;q22) chromosomal abnormality: frequent expression of immature B-cell antigen CD19 together with the stem cell antigen CD34. Blood. 1992;80:470–7.
Nakamura H, Sadamori N, Tagawa M, et al. Inversion of chromosome 16 in bone marrow eosinophils of acute myelomonocytic leukemia (M4) with eosinophilia. Cancer Genet Cytogenet. 1987;29:327–30.
Hideo E, Kiyoshi K, Toshio S, et al. In vitro differentiation of leukemic cells to eosinophils in the presence of interleukin-5 in two cases of acute myeloid leukemia with the translocation (8;21)(q22;q22). Blood. 1990;75:350–6.
Chen Z, Sandberg AA. Molecular cytogenetic aspects of haematological malignancies: clinical implications. Am J Med Genet. 2002;15:130–41.
Bloomfield CD, Lawrence D, Byrd JC, et al. Frequency of prolonged remission duration after high-dose cytarabine intensification in acute myeloid leukemia varies by cytogenetic subtype. Cancer Res. 1998;58:4173–9.
Kulkarni KP, Marwaha RK. Childhood acute myeloid leukaemia: an Indian perspective. Pediatr Hematol Oncol. 2011;28:257–68.
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Gupta, O., Aggarwal, R. & Prasad, R. Acute Myeloid Leukemia (AML-M2) with Translocation (8;21) (q22;q22) and Abnormal Eosinophilic Precursors in the Bone Marrow—A Case Report. Indian J Pediatr 79, 256–259 (2012). https://doi.org/10.1007/s12098-011-0481-2
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DOI: https://doi.org/10.1007/s12098-011-0481-2