HAEM5:Acute myeloid leukaemia with CBFB::MYH11 fusion - Revision history

Bailey.Glen at 17:06, 3 July 2025

2025-07-03T17:06:15Z

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	\|}		\|}

	~~==WHO Essential and Desirable Genetic Diagnostic Criteria==~~
	<span style="color:#0070C0">(''Instructions: The table will have the diagnostic criteria from the WHO book <u>autocompleted</u>; remove any <u>non</u>-genetics related criteria. If applicable, add text about other classification'' ''systems that define this entity and specify how the genetics-related criteria differ.'')</span>
	~~{\| class="wikitable"~~
	\|+
	\|WHO Essential Criteria (Genetics)*
	\|
	\|-
	\|WHO Desirable Criteria (Genetics)*
	\|
	\|-
	~~\|Other Classification~~
	\|
	\|}
	<nowiki>*</nowiki>Note: These are only the genetic/genomic criteria. Additional diagnostic criteria can be found in the [https://tumourclassification.iarc.who.int/home <u>WHO Classification of Tumours</u>].
	==Related Terminology==		==Related Terminology==

Bailey.Glen at 21:25, 25 May 2025

2025-05-25T21:25:38Z

← Older revision		Revision as of 16:25, 25 May 2025
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	{\| class="wikitable sortable"		{\| class="wikitable sortable"
	\|-		\|-
	!Chr #!!~~'''~~Gain, Loss, Amp, LOH~~'''~~!!~~'''~~Minimal Region Cytoband and/or Genomic Coordinates [Genome Build; Size]~~'''~~!!~~'''~~Relevant Gene(s)~~'''~~		!Chr #!!Gain, Loss, Amp, LOH!!Minimal Region Cytoband and/or Genomic Coordinates [Genome Build; Size]!!Relevant Gene(s)
	!~~'''~~Diagnostic, Prognostic, and Therapeutic Significance - D, P, T~~'''~~		!Diagnostic, Prognostic, and Therapeutic Significance - D, P, T
	!~~'''~~Established Clinical Significance Per Guidelines - Yes or No (Source)~~'''~~		!Established Clinical Significance Per Guidelines - Yes or No (Source)
	!~~'''~~Clinical Relevance Details/Other Notes~~'''~~		!Clinical Relevance Details/Other Notes
	\|-		\|-
	\|<span class="blue-text">EXAMPLE:</span>		\|<span class="blue-text">EXAMPLE:</span>
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	!Chromosomal Pattern		!Chromosomal Pattern
	!Molecular Pathogenesis		!Molecular Pathogenesis
	!~~'''~~Prevalence -~~'''~~		!Prevalence -
	~~'''~~Common >20%, Recurrent 5-20% or Rare <5% (Disease)~~'''~~		Common >20%, Recurrent 5-20% or Rare <5% (Disease)
	!~~'''~~Diagnostic, Prognostic, and Therapeutic Significance - D, P, T~~'''~~		!Diagnostic, Prognostic, and Therapeutic Significance - D, P, T
	!~~'''~~Established Clinical Significance Per Guidelines - Yes or No (Source)~~'''~~		!Established Clinical Significance Per Guidelines - Yes or No (Source)
	!~~'''~~Clinical Relevance Details/Other Notes~~'''~~		!Clinical Relevance Details/Other Notes
	\|-		\|-
	\|<span class="blue-text">EXAMPLE:</span>		\|<span class="blue-text">EXAMPLE:</span>
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	{\| class="wikitable sortable"		{\| class="wikitable sortable"
	\|-		\|-
	!Gene!!~~'''~~Genetic Alteration~~'''~~!!~~'''~~Tumor Suppressor Gene, Oncogene, Other~~'''~~!!~~'''~~Prevalence -~~'''~~		!Gene!!Genetic Alteration!!Tumor Suppressor Gene, Oncogene, Other!!Prevalence -
	~~'''~~Common >20%, Recurrent 5-20% or Rare <5% (Disease)~~'''~~		Common >20%, Recurrent 5-20% or Rare <5% (Disease)
	!~~'''~~Diagnostic, Prognostic, and Therapeutic Significance - D, P, T ~~'''~~		!Diagnostic, Prognostic, and Therapeutic Significance - D, P, T
	!~~'''~~Established Clinical Significance Per Guidelines - Yes or No (Source)~~'''~~		!Established Clinical Significance Per Guidelines - Yes or No (Source)
	!~~'''~~Clinical Relevance Details/Other Notes~~'''~~		!Clinical Relevance Details/Other Notes
	\|-		\|-
	\|<span class="blue-text">EXAMPLE:</span>''EGFR''		\|<span class="blue-text">EXAMPLE:</span>''EGFR''
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	{\| class="wikitable sortable"		{\| class="wikitable sortable"
	\|-		\|-
	!Gene; Genetic Alteration!!~~'''~~Presumed Mechanism (Tumor Suppressor Gene [TSG] / Oncogene / Other)~~'''~~!!~~'''~~Prevalence (COSMIC / TCGA / Other)~~'''~~!!~~'''~~Concomitant Mutations~~'''~~!!~~'''~~Mutually Exclusive Mutations~~'''~~		!Gene; Genetic Alteration!!Presumed Mechanism (Tumor Suppressor Gene [TSG] / Oncogene / Other)!!Prevalence (COSMIC / TCGA / Other)!!Concomitant Mutations!!Mutually Exclusive Mutations
	!~~'''~~Diagnostic Significance (Yes, No or Unknown)~~'''~~		!Diagnostic Significance (Yes, No or Unknown)
	!Prognostic Significance (Yes, No or Unknown)		!Prognostic Significance (Yes, No or Unknown)
	!Therapeutic Significance (Yes, No or Unknown)		!Therapeutic Significance (Yes, No or Unknown)

Bailey.Glen at 20:02, 25 May 2025

2025-05-25T20:02:02Z

← Older revision		Revision as of 15:02, 25 May 2025
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	<nowiki>*</nowiki>Note: These are only the genetic/genomic criteria. Additional diagnostic criteria can be found in the [https://tumourclassification.iarc.who.int/home <u>WHO Classification of Tumours</u>].		<nowiki>*</nowiki>Note: These are only the genetic/genomic criteria. Additional diagnostic criteria can be found in the [https://tumourclassification.iarc.who.int/home <u>WHO Classification of Tumours</u>].
	==Related Terminology==		==Related Terminology==
	~~<span style="color:#0070C0">(''Instructions: The table will have the related terminology from the WHO <u>autocompleted</u>.)''</span>~~
	{\| class="wikitable"		{\| class="wikitable"
	\|+		\|+
	\|Acceptable		\|Acceptable
	\|		\|Acute myeloid leukaemia with CBFB rearrangement; acute myeloid leukaemia with t(16;16)(p13.1;q22); acute myeloid leukaemia with inv(16)(p13.1q22)
	\|-		\|-
	\|Not Recommended		\|Not Recommended
	\|		\|N/A
	\|}		\|}

Bailey.Glen at 17:29, 24 March 2025

2025-03-24T17:29:38Z

← Older revision		Revision as of 12:29, 24 March 2025
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	{{DISPLAYTITLE:Acute myeloid leukaemia with CBFB::MYH11 fusion}}		{{DISPLAYTITLE:Acute myeloid leukaemia with CBFB::MYH11 fusion}}

	[[HAEM5:Table_of_Contents\|Haematolymphoid Tumours (WHO Classification, 5th ed.)]]		[[HAEM5:Table_of_Contents\|Haematolymphoid Tumours (WHO Classification, 5th ed.)]]

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	<br>		<br>
	Beth Israel Deaconess Medical Center, Boston, MA		Beth Israel Deaconess Medical Center, Boston, MA

	~~__TOC__~~

	==WHO Classification of Disease==		==WHO Classification of Disease==

Jennelleh at 16:07, 8 March 2025

2025-03-08T16:07:28Z

← Older revision		Revision as of 11:07, 8 March 2025
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			inv(16)(p13.1q22), a pericentric inversion of chromosome 16, and the less common t(16;16)(p13.1;q22), a translocation involving the short arm of one chromosome 16 and the long arm of the other chromosome 16, define a distinctive cytogenetic subtype of acute myeloid leukemia. Both of these chromosome rearrangements result in the CBFB-MYH11 gene fusion.
	~~<br />~~

	* inv(16)(p13.1q22), a pericentric inversion of chromosome 16, and the less common t(16;16)(p13.1;q22), a translocation involving the short arm of one chromosome 16 and the long arm of the other chromosome 16, define a distinctive cytogenetic subtype of acute myeloid leukemia. Both of these chromosome rearrangements result in the CBFB-MYH11 gene fusion.

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Jennelleh at 16:06, 8 March 2025

2025-03-08T16:06:50Z

← Older revision		Revision as of 11:06, 8 March 2025
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	<br />		<br />

			* inv(16)(p13.1q22), a pericentric inversion of chromosome 16, and the less common t(16;16)(p13.1;q22), a translocation involving the short arm of one chromosome 16 and the long arm of the other chromosome 16, define a distinctive cytogenetic subtype of acute myeloid leukemia. Both of these chromosome rearrangements result in the CBFB-MYH11 gene fusion.

	*		*

Jennelleh at 16:05, 8 March 2025

2025-03-08T16:05:22Z

← Older revision		Revision as of 11:05, 8 March 2025
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	*Standard induction 7 + 3 chemotherapy regimen of cytarabine for 7 days plus an anthracycline or anthracenedione for 3 days. In first complete remission patients younger than 60 years without a KIT mutation are treated with at least three courses of high dose cytarabine. If a ''KIT'' mutation is present, bone marrow transplant is performed in first complete remission<ref>{{Cite journal\|last=Yoon\|first=J.-H.\|last2=Kim\|first2=H.-J.\|last3=Kim\|first3=J.-W.\|last4=Jeon\|first4=Y.-W.\|last5=Shin\|first5=S.-H.\|last6=Lee\|first6=S.-E.\|last7=Cho\|first7=B.-S.\|last8=Eom\|first8=K.-S.\|last9=Kim\|first9=Y.-J.\|date=2014-12\|title=Identification of molecular and cytogenetic risk factors for unfavorable core-binding factor-positive adult AML with post-remission treatment outcome analysis including transplantation\|url=https://pubmed.ncbi.nlm.nih.gov/25111512\|journal=Bone Marrow Transplantation\|volume=49\|issue=12\|pages=1466–1474\|doi=10.1038/bmt.2014.180\|issn=1476-5365\|pmid=25111512}}</ref>. Other therapies under investigation include gemtuzumab ozogamicin, histone deacetylase inhibitors, DNA methyl transferase inhibitors, proteasome inhibition and tyrosine kinase inhibitors<ref name=":1" />.		*Standard induction 7 + 3 chemotherapy regimen of cytarabine for 7 days plus an anthracycline or anthracenedione for 3 days. In first complete remission patients younger than 60 years without a KIT mutation are treated with at least three courses of high dose cytarabine. If a ''KIT'' mutation is present, bone marrow transplant is performed in first complete remission<ref>{{Cite journal\|last=Yoon\|first=J.-H.\|last2=Kim\|first2=H.-J.\|last3=Kim\|first3=J.-W.\|last4=Jeon\|first4=Y.-W.\|last5=Shin\|first5=S.-H.\|last6=Lee\|first6=S.-E.\|last7=Cho\|first7=B.-S.\|last8=Eom\|first8=K.-S.\|last9=Kim\|first9=Y.-J.\|date=2014-12\|title=Identification of molecular and cytogenetic risk factors for unfavorable core-binding factor-positive adult AML with post-remission treatment outcome analysis including transplantation\|url=https://pubmed.ncbi.nlm.nih.gov/25111512\|journal=Bone Marrow Transplantation\|volume=49\|issue=12\|pages=1466–1474\|doi=10.1038/bmt.2014.180\|issn=1476-5365\|pmid=25111512}}</ref>. Other therapies under investigation include gemtuzumab ozogamicin, histone deacetylase inhibitors, DNA methyl transferase inhibitors, proteasome inhibition and tyrosine kinase inhibitors<ref name=":1" />.

	\|}[[File:t(16;16)(p13.1;q22).png\|t(16;16)(p13.1;q22)\|frame\|alt=\|left]] [[File:inv(16)(p13.1q22).png\|inv(16)(p13.1q22)\|frame\|alt=\|left]] [[File:Inv(16)(p13.1q22) karyogram and insert (8-7-18).png\|inv(16)(p13.1q22). Courtesy of Karen Kundinger, Comprehensive Genetic Services, Milwaukee, WI\|frame\|~~center~~]]		\|}[[File:t(16;16)(p13.1;q22).png\|t(16;16)(p13.1;q22)\|frame\|alt=\|left]] [[File:inv(16)(p13.1q22).png\|inv(16)(p13.1q22)\|frame\|alt=\|left]] [[File:Inv(16)(p13.1q22) karyogram and insert (8-7-18).png\|inv(16)(p13.1q22). Courtesy of Karen Kundinger, Comprehensive Genetic Services, Milwaukee, WI\|frame\|alt=\|none]]



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Jennelleh at 16:04, 8 March 2025

2025-03-08T16:04:14Z

← Older revision		Revision as of 11:04, 8 March 2025
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	<br />		<br />


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Jennelleh at 16:02, 8 March 2025

2025-03-08T16:02:53Z

← Older revision		Revision as of 11:02, 8 March 2025
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	\|}[[File:t(16;16)(p13.1;q22).png\|t(16;16)(p13.1;q22)\|frame\|alt=\|left]] [[File:inv(16)(p13.1q22).png\|inv(16)(p13.1q22)\|frame\|alt=\|left]] [[File:Inv(16)(p13.1q22) karyogram and insert (8-7-18).png\|inv(16)(p13.1q22). Courtesy of Karen Kundinger, Comprehensive Genetic Services, Milwaukee, WI\|frame\|center]]		\|}[[File:t(16;16)(p13.1;q22).png\|t(16;16)(p13.1;q22)\|frame\|alt=\|left]] [[File:inv(16)(p13.1q22).png\|inv(16)(p13.1q22)\|frame\|alt=\|left]] [[File:Inv(16)(p13.1q22) karyogram and insert (8-7-18).png\|inv(16)(p13.1q22). Courtesy of Karen Kundinger, Comprehensive Genetic Services, Milwaukee, WI\|frame\|center]]

Jennelleh at 16:02, 8 March 2025

2025-03-08T16:02:07Z

← Older revision		Revision as of 11:02, 8 March 2025
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	\|}[[File:t(16;16)(p13.1;q22).png\|t(16;16)(p13.1;q22)\|frame\|alt=\|left]] [[File:inv(16)(p13.1q22).png\|inv(16)(p13.1q22)\|frame\|alt=\|left]] [[File:Inv(16)(p13.1q22) karyogram and insert (8-7-18).png\|inv(16)(p13.1q22). Courtesy of Karen Kundinger, Comprehensive Genetic Services, Milwaukee, WI\|frame\|center]]		\|}[[File:t(16;16)(p13.1;q22).png\|t(16;16)(p13.1;q22)\|frame\|alt=\|left]] [[File:inv(16)(p13.1q22).png\|inv(16)(p13.1q22)\|frame\|alt=\|left]] [[File:Inv(16)(p13.1q22) karyogram and insert (8-7-18).png\|inv(16)(p13.1q22). Courtesy of Karen Kundinger, Comprehensive Genetic Services, Milwaukee, WI\|frame\|center]]