Source:http://linkedlifedata.com/resource/pubmed/id/11753602
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rdf:type | |
lifeskim:mentions |
umls-concept:C0001675,
umls-concept:C0010802,
umls-concept:C0023448,
umls-concept:C0023449,
umls-concept:C0023981,
umls-concept:C0032520,
umls-concept:C0205178,
umls-concept:C0599161,
umls-concept:C0936012,
umls-concept:C1511726,
umls-concept:C1707455,
umls-concept:C1961102,
umls-concept:C1977882,
umls-concept:C2347947
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pubmed:issue |
12
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pubmed:dateCreated |
2001-12-25
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pubmed:abstractText |
The reliability of routine BCR-ABL RT-nested-PCR was evaluated in 1453 B-lineage ALL or hybrid leukemia at initial diagnosis by RT-nested-PCR. All BCR-ABL-positive (n = 642) and 176 BCR-ABL-negative samples underwent a second RT-PCR. In 518 patients, karyotyping and/or FISH was compared to the BCR-ABL status. The second RT-PCR revealed in 155/642 initially positive samples a divergent result (153 BCR-ABL-negative, two other transcripts) that in most cases turned out to be caused by contaminations in the first RT-nested-PCR. Confirmatory RT-PCR detected 2/176 false negative first RT-nested-PCR results. Thirty-nine specimens remained ambiguous despite different RT-PCR approaches. As far as cytogenetic evaluation and FISH is available (n = 23), the majority but not all patients with an ambiguous RT-PCR result were Ph-negative (n = 18). RT-nested-PCR and cytogenetics yielded in 346 of 383 evaluable samples a concordant result. Differing results are given and account in part to the lower sensitivity of karyotyping. Taken together, confirmed RT-PCR detected BCR-ABL fusion transcripts consistently in 487 out of 1453 ALL samples (c-ALL: 43%, pre-B ALL: 34%, pro-B ALL: 5%, B-ALL: 0%, hybrid leukemia: 5/11). Since false positive initial RT-nested-PCR data were frequent, either confirmatory second RT-PCR or FISH analysis is warranted to guarantee sensitive and reliable results of utmost clinical relevance.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0887-6924
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pubmed:author |
pubmed-author:BartramC RCR,
pubmed-author:FonatschCC,
pubmed-author:GleissnerBB,
pubmed-author:GoekbugetNN,
pubmed-author:HeinzeBB,
pubmed-author:HoelzerDD,
pubmed-author:JanssenJ WJW,
pubmed-author:JanssenL ALA,
pubmed-author:MaurerJJ,
pubmed-author:RiederHH,
pubmed-author:SchochCC,
pubmed-author:ThielEE
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pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1834-40
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:11753602-Adult,
pubmed-meshheading:11753602-Burkitt Lymphoma,
pubmed-meshheading:11753602-Cytogenetic Analysis,
pubmed-meshheading:11753602-Diagnostic Errors,
pubmed-meshheading:11753602-Fusion Proteins, bcr-abl,
pubmed-meshheading:11753602-Humans,
pubmed-meshheading:11753602-Philadelphia Chromosome,
pubmed-meshheading:11753602-Precursor Cell Lymphoblastic Leukemia-Lymphoma,
pubmed-meshheading:11753602-Prospective Studies,
pubmed-meshheading:11753602-Reproducibility of Results,
pubmed-meshheading:11753602-Reverse Transcriptase Polymerase Chain Reaction,
pubmed-meshheading:11753602-Sensitivity and Specificity
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pubmed:year |
2001
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pubmed:articleTitle |
Prospective BCR-ABL analysis by polymerase chain reaction (RT-PCR) in adult acute B-lineage lymphoblastic leukemia: reliability of RT-nested-PCR and comparison to cytogenetic data.
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pubmed:affiliation |
Department of Hematology, University Hospital Benjamin Franklin, Berlin, Germany.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't,
Multicenter Study,
Evaluation Studies
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