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4. Hrvatski kongres kliniËke citologije 4th Croatian Congress ... - Penta

4. Hrvatski kongres kliniËke citologije 4th Croatian Congress ... - Penta

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<strong>4.</strong> <strong>Hrvatski</strong> <strong>kongres</strong> <strong>kliniËke</strong> <strong>citologije</strong> / 1. <strong>Hrvatski</strong> simpozij analitiËke <strong>citologije</strong> / 2. <strong>Hrvatski</strong> simpozij citotehnologije<br />

were similar between JAK2-mutant and wild-type leukemias and included alterations of<br />

RUNX1, WT1 and TP53. Loss of the JAK2 mutation by mitotic recombination, gene conversion<br />

or deletion was excluded in all wild-type AMLs. In some patients, mutations in<br />

TP53, CBL or TET2 were present in JAK2 wild-type leukemic blasts, but absent from the<br />

JAK2-mutant MPN, demonstrating that in some patients TET2 mutations are present<br />

in a clone distinct from that harboring a JAK2 mutation. By contrast in a chronic phase<br />

patient, different clones harboring mutations in JAK2 or MPL represented the progeny of<br />

a shared TET2-mutant ancestral clone. These data uncover further clonal heterogeneity<br />

in the MPN.<br />

rkusec@irb.hr<br />

CYTOGENETIC RESULTS IN 24 CASES OF MULTIPLE MYELOMA: SHORT REPORT<br />

Lasan Trčić R1 , Kardum Skelin I2 , Šušterčić D2 , Planinc-Peraica A2 , Ajduković R3 ,<br />

Hariš V3 , Kušec R3 , Begović D1 1Cytogenetic Laboratory, Department of Pediatrics, University Hospital Zagreb, Zagreb,<br />

Croatia<br />

2 Department of Internal Medicine, Merkur University Hospital, Zagreb, Croatia<br />

3Clinical Institute of Laboratory Diagnostics, Dubrava University Hospital, Zagreb,<br />

Croatia<br />

Great studies of multiple myeloma (MM) strongly suggested that specific chromosomal<br />

changes are of prognostic significance in patients with MM1. We have performed cytogenetic<br />

analysis and recently fluorescent in situ hybridization (FISH) on 43 cases of<br />

MM. Clonal chromosomal changes were present in 24 (56%) cases. Hyperdiploid karyotype<br />

was found in 12 (50%) cases, hypodiploid in 8 (33%) cases, and 4 (17%) cases<br />

had a pseudodiploid karyotype. The most common numerical abnormalities were gains<br />

of whole chromosomes 15, 11, 3 and 6. Whole chromosome losses were also frequent<br />

involving chromosomes X, 13, 14, and 8. Most cases showed also structural rearrangments<br />

(n=17, 71%): del(1p), dup(1q), del(5q), del(13q), del(17p) and t(11;14)(q13;q32) (n=4,<br />

17%). Chromosome -13/13q deletion was found in 42% (n=10) cases; complete loss of 13<br />

was observed in 67% (n=7) cases, whereas 33% (n=3) had interstitial deletions. In the<br />

majority of the cases there was a mixture of abnormal and normal metaphases.<br />

lasan.ruzica@hotmail.com<br />

156<br />

Analitička citologija - Plenarna i pozvana predavanja

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