Document Details
Document Type |
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Article In Journal |
Document Title |
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A Novel four-way complex variant translocation involving chromosome 46, XY, t (4; 9; 19; 22)(q25: q34; p13. 3; q11. 2) in a chronic myeloid leukemia patient A Novel four-way complex variant translocation involving chromosome 46, XY, t (4; 9; 19; 22)(q25: q34; p13. 3; q11. 2) in a chronic myeloid leukemia patient |
Document Language |
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English |
Abstract |
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Philadelphia (Ph) chromosome (9;22)(q34;q11) is well established in more than 90%
of chronic myeloid leukemia (CML) patients, and the remaining 5–8% of CML patients
show variant and complex translocations, with the involvement of third, fourth, or fifth
chromosome other than 9;22. However, in very rare cases, the fourth chromosome is
involved. Here, we found a novel case of four-way Ph+ chromosome translocation involving
46,XY,t(4;9;19;22)(q25:q34;p13.3;q11.2) with CML in the chronic phase. Complete
blood cell count of the CML patient was carried out to obtain total leukocytes count,
hemoglobin, and platelets. Fluorescence in situ hybridization technique was used for
the identification of BCR–ABL fusion gene, and cytogenetic test for the confirmation of
Ph (9;22)(q34;q11) and the mechanism of variant translocation in the bone marrow. The
patient is successfully treated with a dose of 400 mg/day imatinib mesylate (Gleevec). We
observed a significant decrease in white blood cell count of 11.7 × 109/L after 48-month
follow-up. Patient started feeling better generally. There was a reduction in the swelling
of the body, fatigue, and anxiety. |
ISSN |
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103-389 |
Journal Name |
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Frontiers in Oncology |
Volume |
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6 |
Issue Number |
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1 |
Publishing Year |
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1437 AH
2016 AD |
Article Type |
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Article |
Added Date |
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Wednesday, July 12, 2017 |
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Researchers
Muhammad Asif | Asif, Muhammad | Researcher | Doctorate | |
Mohammad Sarwar Jamal | Jamal, Mohammad Sarwar | Researcher | Doctorate | |
Abdul Rehman Khan | Khan, Abdul Rehman | Researcher | Doctorate | |
Muhammad Imran Naseer | Naseer, Muhammad Imran | Researcher | Doctorate | |
Abrar Hussain | Hussain, Abrar | Researcher | Doctorate | |
Hani Choudhry | Choudhry, Hani | Researcher | Doctorate | |
Arif Malik | Malik, Arif | Researcher | Doctorate | |
Shahida Aziz Khan | Khan, Shahida Aziz | Researcher | Doctorate | |
Maged Mostafa Mahmoud | Mahmoud, Maged Mostafa | Researcher | Doctorate | |
Ashraf Ali | Ali, Ashraf | Researcher | Doctorate | |
Saima Iram | Iram, Saima | Researcher | Doctorate | |
Kashif Kamran | Kamran, Kashif | Researcher | Doctorate | |
Asim Iqbal | Iqbal, Asim | Researcher | Doctorate | |
Zainularifeen Abduljaleel | Abduljaleel, Zainularifeen | Researcher | Doctorate | |
Peter Natesan Pushparaj | Pushparaj, Peter Natesan | Researcher | Doctorate | |
Mahmood Rasool | Rasool, Mahmood | Researcher | Doctorate | |
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