RT Journal Article SR Electronic T1 Double Inv(3)(q21q26), a Rare but Recurrent Chromosomal Abnormality in Myeloid Hemopathies JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 639 OP 642 VO 33 IS 2 A1 ETIENNE DE BRAEKELEER A1 NATHALIE DOUET-GUILBERT A1 MARIE-JOSEE LE BRIS A1 JEAN-CHRISTOPHE IANOTTO A1 CHRISTIAN BERTHOU A1 NADIA GUEGANIC A1 CLEMENT BOVO A1 AUDREY BASINKO A1 FREDERIC MOREL A1 MARC DE BRAEKELEER YR 2013 UL http://ar.iiarjournals.org/content/33/2/639.abstract AB Inv(3)(q21q26)/t(3;3)(q21;q26) is a feature of a distinctive entity of acute myeloid leukemia (AML) associated with normal or elevated platelet count, atypical megakaryocytes and multilineage dysplasia in the bone marrow, as well as minimal to no response to chemotherapy and poor clinical outcome. The presence of an inversion on both chromosome 3s is a rare event, as only eight cases have been reported in the literature. Recently, we identified two patients with AML carrying a double inv(3)(q21q26). Using librairies of bacterial artificial chromosome clones mapping to bands 3q21 and 3q26, we found that the regions in which the breakpoints occurred were different in both patients, but located in the same restricted areas in each patient. Although it cannot be excluded that inversion occurred independently on both chromosome 3s, it is more likely that the presence of a double inv(3) is the result of loss of the normal chromosome 3 followed by a duplication of the inverted chromosome, or segmental loss of heterozygosity followed by a somatic repair mechanism.