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Table 2 Clinical, cytogenetic and molecular features of a patient with Ph-positive CML who developed Ph-negative acute lymphoblastic leukemia after IFN-α and imatinib mesylate therapy

From: Evolution of T-cell clonality in a patient with Ph-negative acute lymphocytic leukemia occurring after interferon and imatinib therapy for Ph-positive chronic myeloid leukemia

Date

Disease stage (Treatment)

Karyotype

BCR/ABL

   

FISH

RT-PCR

8/10/2000

CP

46, XX, t(9;22), t(11;18), der(16), t(16;?)[25]

+ve(95%)

+ve

3/3/2001

CP(IFN-α)

ND

+ve(95%)

ND

21/12/2001

CP(IFN-α)

45, XX,-22,16q+ t(11;18)[1]/45, XX,-22,16q+ t(9;22)t(11;18)[1]/46, XX,-22,16q+ t(9;22)t(11;18)[18]/46, XX [5]

+ve(90%)

ND

28/11/2002

CP(IFN-α)

ND

+ve(100%)

ND

28/11/2003

CP(IFN-α)

ND

+ve(90%)

ND

6/5/2004

CP(IFN-α)

ND

+ve(90%)

ND

1/6/2005

CP(IFN-α)

ND

+ve(75%)

ND

27/1/2006

CCR(IFN-α)

ND

-ve

ND

8/3/2006

CCR (IM)

ND

-ve

ND

11/5/2006

CCR (IM)

ND

-ve

ND

9/8/2006

CCR (IM)

ND

-ve

ND

8/10/2006

Ph-negative ALL

46, XX [25]

-ve

-ve

18/12/2006

Post CT for ALL

46, XX [25]

-ve

-ve

  1. CP: chronic phase; ALL: acute lymphoblastic leukemia; CCR: complete cytogenetic response; Hu: hydroxyurea; IM: imatinib mesylate; CT: chemotherapy; +ve: positive; -ve: negative; ND: not done.