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Cytogenetic abnormalities in AML may include t(8;21), inv(16), t(15;17), and monosomies/deletions in chromosomes 5 and 7.
t(15;17) is associated with PML (acute promyelocytic leukemia) where there is a fusion of the PML protein with retinoic acid receptor-α (RARα). Remember to treat with ATRA.
AML can also develop secondarily after treatment with topisomerase II inhibitors. This can result in MLL gene rearrangements on chromosome 11q23.
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