Difference between revisions of "Chromosomal translocations"

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===EWS associated===
====EWS associated====
{| class="wikitable sortable" style="margin-left:auto;margin-right:auto"
{| class="wikitable sortable" style="margin-left:auto;margin-right:auto"
| '''Tumour'''
| '''Tumour'''
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|-
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===Lymphoma===
{| class="wikitable sortable" style="margin-left:auto;margin-right:auto"
| '''Tumour'''
| '''Translocation(s)'''
| '''Genes'''
| '''Reference(s)'''
|-
| Follicular lymphoma
| IGH-BCL2
| t(14,18)
| <ref name=pmid18684042>{{Cite journal  | last1 = Gu | first1 = K. | last2 = Chan | first2 = WC. | last3 = Hawley | first3 = RC. | title = Practical detection of t(14;18)(IgH/BCL2) in follicular lymphoma. | journal = Arch Pathol Lab Med | volume = 132 | issue = 8 | pages = 1355-61 | month = Aug | year = 2008 | doi = 10.1043/1543-2165(2008)132[1355:PDOBIF]2.0.CO;2 | PMID = 18684042 }}</ref>
|-
| Mantle cell lymphoma
| genes ???
| t(11;14)
| reference ???
|-
| Burkitt lymphoma
| genes ???
| t(8;14)
| reference ???
|-
<!-- | Tumour
| Genes
| Translocation
| Reference -->
|}
===Leukemia===
{| class="wikitable sortable" style="margin-left:auto;margin-right:auto"
| '''Tumour'''
| '''Translocation(s)'''
| '''Genes'''
| '''Reference(s)'''
|-
| Chronic myelogenous leukemia
| BCR-ABL
| t(9;22)
| <ref>{{Cite journal  | last1 = Cilloni | first1 = D. | last2 = Saglio | first2 = G. | title = CML: a model for targeted therapy. | journal = Best Pract Res Clin Haematol | volume = 22 | issue = 3 | pages = 285-94 | month = Sep | year = 2009 | doi = 10.1016/j.beha.2009.04.004 | PMID = 19959080 }}</ref>
|-
| Acute promyelocytic leukemia (APL)
| PML-RARA
| t(15;17)
| <ref name=pmid20306254>{{Cite journal  | last1 = Grimwade | first1 = D. | last2 = Mistry | first2 = AR. | last3 = Solomon | first3 = E. | last4 = Guidez | first4 = F. | title = Acute promyelocytic leukemia: a paradigm for differentiation therapy. | journal = Cancer Treat Res | volume = 145 | issue =  | pages = 219-35 | month =  | year = 2010 | doi = 10.1007/978-0-387-69259-3_13 | PMID = 20306254 }}</ref>
|-
<!-- | tumour
| genes (???)
| translocation
| reference (???) -->
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===Paediatric table===
===Paediatric table===
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| Tumour  
| Tumour  
| Reference -->
| Reference -->
|}
===Lymphoma===
{| class="wikitable sortable" style="margin-left:auto;margin-right:auto"
| '''Tumour'''
| '''Translocation(s)'''
| '''Genes'''
| '''Reference(s)'''
|-
| Follicular lymphoma
| genes ???
| t(14,18)
| reference ???
|-
| Mantle cell lymphoma
| genes ???
| t(11;14)
| reference ???
|-
| Burkitt lymphoma
| genes ???
| t(8;14)
| reference ???
|-
<!-- | Tumour
| Genes
| Translocation
| Reference -->
|}
===Leukemia===
{| class="wikitable sortable" style="margin-left:auto;margin-right:auto"
| '''Tumour'''
| '''Translocation(s)'''
| '''Genes'''
| '''Reference(s)'''
|-
| Chronic myelogenous leukemia
| BCR-ABL (???)
| t(9;22)
| reference (???)
|-
| Acute promyelocytic leukemia (APL)
| PML-RARA (???)
| t(15;17)
| reference (???)
|-
<!-- | tumour
| genes (???)
| translocation
| reference (???) -->
|}
|}



Revision as of 16:42, 20 May 2011

Chromosomal translocations, also translocations, may be characteristic of a tumour or simply narrow down the diagnosis to a set of tumours.

Key point

The key point is:

  • One should be aware of the existence of specific (i.e. diagnostic/near diagnostic) translocations and translocations which significantly narrow down the diagnosis -- which are available to (clinical) pathologists.

Unfortunate reality of residency

Translocations are often a subject of pimping and show-up on examinations.

List of translocations

Soft tissue table

Tumour Translocation(s) Genes Reference(s)
Ewing sarcoma/PNET t(11;22) FLI1-EWS [1][2]
Myxoid liposarcoma, round-cell type liposarcoma t(12;16) CHOP-TLS [1][3][4]
Synovial sarcoma t(X;18) SYT-SSX [1]
Alveolar rhabdomyosarcoma t(1;13)
t(2,13)
PAX7-FKHR
PAX3-FKHR
[1]
Extraskeletal myxoid chondrosarcoma t(9;22) CHN-EWS [1]
Desmoplastic small round cell tumour t(11;22) EWS-WT1 [1]
Clear cell sarcoma t(12;22) EWS-ATF1 [1]
Dermatofibrosarcoma protuberans t(17;22) COLA1-PDGFB [1]
Alveolar soft part sarcoma t(X;17) TFE3-ASPL [1]
Congenital fibrosarcoma t(12;15) ETV6-NTRK3 [1]

EWS associated

Tumour Translocation(s) Genes Reference(s)
Ewing sarcoma/PNET t(11;22) FLI1-EWS [1][2]
Extraskeletal myxoid chondrosarcoma t(9;22) CHN-EWS [1]
Desmoplastic small round cell tumour t(11;22) EWS-WT1 [1]
Clear cell sarcoma t(12;22) EWS-ATF1 [1]

Lymphoma

Tumour Translocation(s) Genes Reference(s)
Follicular lymphoma IGH-BCL2 t(14,18) [5]
Mantle cell lymphoma genes ??? t(11;14) reference ???
Burkitt lymphoma genes ??? t(8;14) reference ???

Leukemia

Tumour Translocation(s) Genes Reference(s)
Chronic myelogenous leukemia BCR-ABL t(9;22) [6]
Acute promyelocytic leukemia (APL) PML-RARA t(15;17) [7]


Paediatric table

Translocation Genes Tumour(s) Reference
t(12;16) FUS/ATF1 angiomatoid fibrous histiocytoma [8]
t(12;22) EWS/ATF1 angiomatoid fibrous histiocytoma [8]
t(12;16) EWS/CHOP myxoid liposarcoma [8]
t(16;22) EWS/ATF1 myxoid liposarcoma [8]
t(12;22) EWS/ATF1 clear cell sarcoma [8]
t(21;22) EWS/ATF1 Ewing sarcoma [8]
t(12;21) FUS/ERG Ewing sarcoma [8]
t(12;21) FUS/ERG acute myeloid leukemia [8]

See also

References

  1. 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 1.13 Kumar, Vinay; Abbas, Abul K.; Fausto, Nelson; Aster, Jon (2009). Robbins and Cotran pathologic basis of disease (8th ed.). Elsevier Saunders. pp. 1249. ISBN 978-1416031215.
  2. 2.0 2.1 Online 'Mendelian Inheritance in Man' (OMIM) 133450
  3. Antonescu CR, Tschernyavsky SJ, Decuseara R, et al. (December 2001). "Prognostic impact of P53 status, TLS-CHOP fusion transcript structure, and histological grade in myxoid liposarcoma: a molecular and clinicopathologic study of 82 cases". Clin. Cancer Res. 7 (12): 3977–87. PMID 11751490.
  4. Online 'Mendelian Inheritance in Man' (OMIM) 613488
  5. Gu, K.; Chan, WC.; Hawley, RC. (Aug 2008). "Practical detection of t(14;18)(IgH/BCL2) in follicular lymphoma.". Arch Pathol Lab Med 132 (8): 1355-61. doi:10.1043/1543-2165(2008)132[1355:PDOBIF]2.0.CO;2. PMID 18684042.
  6. Cilloni, D.; Saglio, G. (Sep 2009). "CML: a model for targeted therapy.". Best Pract Res Clin Haematol 22 (3): 285-94. doi:10.1016/j.beha.2009.04.004. PMID 19959080.
  7. Grimwade, D.; Mistry, AR.; Solomon, E.; Guidez, F. (2010). "Acute promyelocytic leukemia: a paradigm for differentiation therapy.". Cancer Treat Res 145: 219-35. doi:10.1007/978-0-387-69259-3_13. PMID 20306254.
  8. 8.0 8.1 8.2 8.3 8.4 8.5 8.6 8.7 PST. 14 February 2011.

Further reading

Rowley JD (September 2008). "Chromosomal translocations: revisited yet again". Blood 112 (6): 2183–9. doi:10.1182/blood-2008-04-097931. PMID 18779403. http://bloodjournal.hematologylibrary.org/content/112/6/2183.full.