Abstract
The detection of recurrent chromosomal rearrangements in B-lymphoblastic leukemia/lymphoma (B-ALL/LBL) is critical for patient management decisions. We present a newly diagnosed case of B-ALL in a young adult with a cryptic KMT2A/AFF1 fusion that was unappreciable by conventional chromosome and fluorescence in situ hybridization (FISH) KMT2A break-apart probe studies. To further characterize this abnormality, a next-generation sequencing strategy, mate-pair sequencing (MPseq) was performed and characterized a cryptic, insertional rearrangement that created KMT2A/AFF1 gene fusion. This case highlights the superior precision and resolution capabilities of NGS when compared to traditional cytogenetic methodologies, including conventional chromosome and FISH studies.
Original language | English (US) |
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Pages (from-to) | 99-104 |
Number of pages | 6 |
Journal | Journal of Hematopathology |
Volume | 12 |
Issue number | 2 |
DOIs | |
State | Published - Jun 1 2019 |
Keywords
- AFF1(AF4)
- B-lymphoblastic leukemia/lymphoma (B-ALL/LBL)
- KMT2A(MLL)
- Mate-pair sequencing (MPseq)
- Next-generation sequencing (NGS)
ASJC Scopus subject areas
- Pathology and Forensic Medicine
- Histology
- Hematology