TY - JOUR A1 - Stölzel, Friedrich A1 - Mohr, Brigitte A1 - Kramer, Michael A1 - Oelschlägel, Uta A1 - Bochtler, Tilmann A1 - Berdel, Wolfgang E. A1 - Kaufmann, Martin A1 - Baldus, Claudia A1 - Schäfer-Eckart, Kerstin A1 - Stuhlmann, Reingard A1 - Einsele, Hermann A1 - Krause, Stefan W. A1 - Serve, Hubert A1 - Hänel, Mathias A1 - Herbst, Regina A1 - Neubauer, Andreas A1 - Sohlbach, Kristina A1 - Mayer, Jiri A1 - Middeke, Jan Moritz A1 - Platzbecker, Uwe A1 - Schaich, Markus A1 - Krämer, Alwin A1 - Röllig, Christoph A1 - Schetelig, Johannes A1 - Bornhäuser, Martin A1 - Ehninger, Gerhard T1 - Karyotype complexity and prognosis in acute myeloid leukemia T2 - Blood cancer journal N2 - A complex aberrant karyotype consisting of multiple unrelated cytogenetic abnormalities is associated with poor prognosis in patients with acute myeloid leukemia (AML). The European Leukemia Net classification and the UK Medical Research Council recommendation provide prognostic categories that differ in the definition of unbalanced aberrations as well as the number of single aberrations. The aim of this study on 3526 AML patients was to redefine and validate a cutoff for karyotype complexity in AML with regard to adverse prognosis. Our study demonstrated that (1) patients with a pure hyperdiploid karyotype have an adverse risk irrespective of the number of chromosomal gains, (2) patients with translocation t(9;11)(p21~22;q23) have an intermediate risk independent of the number of additional aberrations, (3) patients with greater than or equal to4 abnormalities have an adverse risk per se and (4) patients with three aberrations in the absence of abnormalities of strong influence (hyperdiploid karyotype, t(9;11)(p21~22;q23), CBF-AML, unique adverse-risk aberrations) have borderline intermediate/adverse risk with a reduced overall survival compared with patients with a normal karyotype. Y1 - 2016 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/41719 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-417198 SN - 2044-5385 N1 - This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. VL - 6 IS - e386 PB - Nature Publishing Group CY - London [u.a.] ER -