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Leucémie aiguë myéloblastique sans maturation (LAM1) avec éléments basophiles associée à la translocation t(6;9)


Annales de Biologie Clinique. Volume 61, Number 3, 352-7, Mai 2003, Pratique quotidienne


Résumé   Summary  

Author(s) : S. Dimicoli, A. Fohlen-Walter, L. Mansuy, J. Buisine, M.-J. Grégoire, T. Lecompte, P. Bordigoni, P. Jonveaux, J.-F. Lesesve , Hématologie biologique, Médecine infantile, Laboratoire de génétique, CHU de Nancy, 54511 Vandœuvre-Les-Nancy anne.fohlen.walterwanadoo.fr .

Summary : The clinical, hematological, and cytogenetic data from a 4 year-old child with acute myeloid (AML-M1) and basophilia is reported. Interestingly, cytogenetic investigations revealed the presence of the translocation t(6\;9) (p23\;q34). This abnormality is rare and associated with myelodysplastic syndromes or with subtypes of acute myeloid leukemia (M1, M2, M4, M7), usually with preceding or underlying myelodysplasia. The prognosis is poor, without response to chemotherapy regimen alone. Allogeneic bone marrow transplantation appears likely to be a more appropriate treatment.

Keywords : translocation (6\;9), basophil, acute myeloid leukaemia

Pictures

Figure 1. Moelle osseuse (MGG × 1 000). Un blaste avec corps d’Auer et un polynucléaire basophile.

Figure 2. Moelle osseuse (MGG × 1 000). Blastes indifférenciés, un blaste avec granulations basophiles et un polynucléaire basophile.


 

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