TY  - JOUR
TI  - The Impact of Cytogenetic Aberrations in the Clonal Evolution of Chronic Myeloid Leukemia: A Single-Center Experience Among 450 Turkish Patients (Cohort Study)
AB  - Objective: Chronic myeloid leukemia (CML) is a clonal hematologic disorder characterized by t(9;22) translocation, in which cytogenetic aberrations can occur in Ph(+) and (-) clones. These aberrations develop due to clonal evolution as well as treatment and they have prognostic significance. They are grouped as major and minor route anomalies in terms of their effects on prognostic parameters, such as treatment response, overall survival (OS), disease stage, complete cytogenetic response (CCyR), and major molecular response (MMR). It is stated that major route anomalies have unfavorable prognostic effects compared to minor route anomalies. We aimed to investigate the frequency and prognostic effects of cytogenetic anomalies detected in Ph(+) and (-) clones. Materials and Methods: In this study, we retrospectively analyzed the cytogenetic results of 450 patients diagnosed with CML between 2005 and 2020. Results: We detected cytogenetic aberrations in Ph-positive and negative clones in 41 of 450 patients. The most common anomalies were trisomy 8 (+8), additional Ph chromosome (+Ph), and loss of chromosome Y. Rarely, aneuploidy of the Y chromosome, dup (22), +11, and +6 were seen in CML patients. We observed that these identified aberrations negatively affected MMR and CCyR, and generally resulted in changing imatinib treatment for second-generation tyrosine kinase activity inhibitors. Our results are compatible with the literature.Conclusion: We suggest that cytogenetic aberrations detected in Ph(+) and (-) clones should be a warning sign in terms of treatment and require close observation. The use of cytogenetic methods for the identification of these anomalies is also important.
AU  - IŞIK, SEVGİ
AU  - ÇILINGIR, OGUZ
AU  - Artan, Sevilhan
AU  - durak aras, beyhan
AU  - Oguz Davutoglu, Nur
AU  - Üsküdar Teke, Hava
AU  - günden, gülçin
AU  - akay, olga meltem
AU  - Aslan, Vahap
AU  - KARAGÜLLE, Mustafa
AU  - Ozen, Hulya
DO  - 10.4274/tjh.galenos.2022.2022.0045
PY  - 2022
JO  - Turkish Journal of Hematology
VL  - 39
IS  - 4
SN  - 1300-7777
SP  - 237
EP  - 244
DB  - TRDizin
UR  - http://search/yayin/detay/1174285
ER  -