Myelodysplastic Syndrome with Ph Negative Monosomy 7 Chromosome following Transient Bone Marrow Dysplasia during Imatinib Treatment for Chronic Myeloid Leukemia

  • Karimata Kaori
    Division of Hematology, Niigata University Medical and Dental Hospital, Japan
  • Masuko Masayoshi
    Division of Stem Cell Transplantation, Niigata University Medical and Dental Hospital, Japan
  • Ushiki Takashi
    Division of Hematology, Niigata University Medical and Dental Hospital, Japan
  • Kozakai Takashi
    Division of Hematology, Niigata University Medical and Dental Hospital, Japan
  • Shibasaki Yasuhiko
    Division of Hematology, Niigata University Medical and Dental Hospital, Japan
  • Yano Toshio
    Division of Hematology, Niigata University Medical and Dental Hospital, Japan
  • Abe Takashi
    Division of Hematology, Niigata University Medical and Dental Hospital, Japan
  • Moriyama Masato
    Division of Hematology, Niigata University Medical and Dental Hospital, Japan
  • Toba Ken
    Division of Hematology, Niigata University Medical and Dental Hospital, Japan
  • Furukawa Tatsuo
    Division of Stem Cell Transplantation, Niigata University Medical and Dental Hospital, Japan
  • Aizawa Yoshifusa
    Division of Hematology, Niigata University Medical and Dental Hospital, Japan

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Abstract

We describe a 60-year-old Japanese patient with chronic myeloid leukemia (CML) who developed myelodysplastic syndrome (MDS) with Ph negative monosomy 7 chromosome following transient bone marrow dysplasia during imatinib treatment. Most cases that developed chromosomal abnormality in Ph negative cells during imatinib therapy were reported to have less clinical implications, while rare cases developed MDS/AML. The present case suggested that metaphase karyotype analysis and bone marrow examination should be performed for the long term follow-up under imatinib treatment in cases showing cytopenia. The results also suggested that monosomy 7 in Ph negative cells may be an indicator of a poor prognosis.<br>

Journal

  • Internal Medicine

    Internal Medicine 50 (5), 481-485, 2011

    The Japanese Society of Internal Medicine

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