PubMed Health⌕ Search

Biomedical subjects

K O Goh

Publications and source records attributed to K O Goh.

At least 19 recordsLinked to original sources

Is hypereosinophilic syndrome a malignant disease?

A patient with an abdominal mass for 4 years developed hypereosinophilia and weight loss. Bone marrow aspirations and biopsy specimens showed hypercellularity of eosinophils. No cause for hypereosinophilia was found. Biopsy specimens of several organs, including the abdominal mass, showed eosinophilic infiltration with reactive fibrosis in some. Cytogenetic studies of the bone marrow before treatment with cytoxic drugs showed chromosomal abnormalities. Several of these have been reported in association with acute or eosinophilic leukemias. Based upon these findings, the authors believe that the patient had eosinophilic leukemia and that the abdominal mass probably was an eosinophilic chloroma.

Abdominal Neoplasms↗

Chromosomal abnormalities in chronic lymphocytic leukemia.

Peripheral blood lymphocytes from five chronic lymphocytic leukemia (CLL) patients were cultured with PHA for 3-6 days. Chromosomal analysis with G-banding showed 25% of the diploid metaphases were pseudodiploid as a result of either a chromosomal deletion or a translocation. Abnormal clones with 18p- were seen in two patients, and two other patients had 18p- metaphases, but with other inconsistent abnormal chromosomes. None of the patients had trisomy 12, which has been thought by some to carry a poor prognosis. Although no conclusion can be reached regarding the significance of the chromosomal abnormalities in CLL, the type of chromosomal abnormalities in these patients suggests that they are the result of chromosomal breakage and abnormal repair.

Aged↗

Transcobalamin II deficiency associated with unusual bone marrow findings and chromosomal abnormalities.

A female infant presented at seven weeks of age with failure to thrive, progressively severe pancytopenia, hypogammaglobulinemia and, mucosal ulceration. Bone marrow morphology showed severed megaloblastic changes in the myeloid series with a shift to the left and an increased number of blasts with abnormal morphology. Erythroid precursors and megakaryocytes were markedly decreased. Cytogenetic studies showed marked aneuploidy and increased chromosomal breakage. Treatment with high doses of vitamin B12 resulted in a dramatic clinical response with hematological values becoming normal. The patient's serum showed absence of transcobalamin II, and very little TC I and TC III binding. The patient's parents had only half the lower limits of normal transcobalamin II. QUSO G-32 was used for separation of transcobalamins, and the results were confirmed by Sephacryl S-300. This case illustrates the usefulness of QUSO in the rapid diagnosis of transcobalamin II deficiency.

Blood Cell Count↗

Evidence of clastogens in acute leukemia. Chromosomal abnormalities in healthy parents of congenital leukemic patients.

If leukemia is caused by an "agent" which can pass through the placenta, it could produce leukemic transformation in the maternal cells. Cytogenetic studies were carried out in 5 acute lymphoblastic leukemic children and their parents. Significant abnormalities were found in 3 of the fathers, 4 of the mothers, and all the leukemic children. All but one abnormal metaphase from the mothers of the 2 leukemic boys had a XX sex pattern, indicating that these abnormal metaphases originated in the mother and probably were caused by a chromosomal breaking agent. The abnormal metaphases found in the fathers suggests that they too were exposed to this agent. Therefore, this agent must be present in the immediate environment, and this can pass from the material circulation to the fetus through the placenta and effect the fetus cells. The failure of the infant to eradicate these abnormal cells results in the phenotypical expression of clinical leukemia.

Acute Disease↗

Myeloproliferative disorder in a t(13q14q) carrier.

A Robertsonian balanced translocation of two D chromosomes was found in the bone marrow cytogenetic studies of a 70-year-old myeloproliferative disorder (MPD) woman. G-banding studies showed the translocation involved a 13q14q. An identical balanced t(13q14q) chromosomal pattern was found in her peripheral blood 3 years before the diagnosis of MPD as part of an investigation involving her daughter's reproductive difficulties. Her daughter is also a t(13q14q) balanced translocation carrier. The finding of a t(13q14q) in MPD may be coincidental or it may be predisposing to the development of MPD. Additional studies may elucidate this controversy.

Adult↗

B and T lymphocytes in man. IV. Circulating B, T and "null" lymphocytes in aging population.

T, B and "Null" lymphocytes were determined in the peripheral blood of 98 adults, 26 of them were between 20 to 40 years of age and 72 between 60 to 96 years of age. The total number of lymphocytes were about the same in both groups. The percent and absolute number of T cells decreased significantly in the aged. Although the percent of B lymphocytes increased with age, the absolute number of B lymphocytes remained about the same.

Adult↗

Cytogenetic studies in basophilic chronic myelocytic leukemia.

Basophilia is found in association with many diseases and is commonly seen in patients with chronic myelocytic leukemia (CML). Substantial basophilia development during the course of CML has been considered to be a poor prognostic sign. Prominent basophilia occasionally has been seen in patients at the time of the original diagnosis. These cases have been classified as "basophilic leukemia." A patient with a basophil count of 24,080/cu mm and myeloid immaturity in his peripheral blood had typical Ph1 chromosome in his bone marrow. G-banding studies showed typical 22q-;t(9q+;22q-) of CML. Since seven of the nine basophilic leukemias so far studied cytogenetically have Ph1 chromosomes and since Ph1 chromosomes are absent in the majority of eosinophilic leukemias, we believe it more appropriate to call basophilic leukemia basophilic CML.

Aged↗

Cancer in a familial IgA deficiency patient: abnormal chromosomes and B lymphocytes.

Two primary cancers were found in a patient with a familial IgA deficiency. Although cytogenetic studies showed nonconsistent pseudodiploid chromosomal pattern in the peripheral blood lymphocyte cultures, there were two metaphases with a deleted short arm of an E (17-18) chromosome and several metaphases with an abnormally large chromosome, larger than chromosome number 1. Also, there were 37 B lymphocytes per mm3 in her peripheral blood which was much lower than other radiation-treated cancer patients. The absence of IgA, the decrease of peripheral B lymphocytes and the chromosomal abnormality might have played a role in her developing the cancers.

Adenocarcinoma↗

B and T lymphocytes in man. III. B, t, and "null" lymphocytes in multiple sclerosis.

T, B, and "null" lymphocytes were determined in peripheral blood obtained from 24 control subjects and 15 multiple sclerosis patients. The total number of lymphocytes and T lymphocytes were reduced significantly in multiple sclerosis patients as compared with those of controls. Although the percentage of B lymphocytes increased in these patients, the absolute number of B lymphocytes was similar to controls. The mitotic response of lymphocytes from multiple sclerosis patients to phytohemagglutinin and pokeweed mitogen in 7-day-old cultures was decreased as compared with that of controls.

Adult↗

Chromosome breakage studies in lymphocytes from normal women, pregnant women, and women taking oral contraceptives.

Cytogenetic studies of 977 lymphocyte cultures from ten normal men and 54 normal women have shown: (1) variations in the frequencies of chromosome breakages among consecutive cultures from the same person and among cultures from different people, indicating that many extraneous factors may affect lymphocyte chromosomes, and (2) significantly higher average breakages in cultures from nulligravidas taking oral contraceptives (OC) and in pregnant women who had had previous pregnancies than in nulligravidas who had never taken the pill. The increase in breakages in cultures from the OC users was not observed in all cultures and could not be correlated with length of time on pill or stage of the pill cycle, suggesting that synthetic hormones do not directly damage lymphocyte chromosomes. Since estrogens and progestogens are known to affect many metabolic and biochemical systems, it is possible that these substances may induce in OC users and pregnant women a slightly altered in vivo condition in which increased chromosome breakages may be expressed.

Chromosome Aberrations↗