JMML/JCML/(j)CMML MZ type | Karyotype Twin_01 | Karyotype Twin_02 | Reference | Comments |
(j)MML+ monochorionic |
46,XY | 46,XY; at final stage of the disease Ph+ |
Arch. of disease in childhood, 1977, 52: 72-74 | Both twins deceased after a similar course of the disease |
(j)MML | No Karyotypic marker | No Karyotypic marker | Cancer, 1984, 54: 675-686 | Twin sister disease after a different course of disease |
JMML No data monozygotic type |
46,XX | 46,XX | Cancer Genet Cytogenet 1989, 38: 205-213 | Karyotypes of both twins evolved with hyperdiploid clones; Both twins deceased after a similar course of the disease |
JCML Monozygosity 98% |
46,XY, -7, +mar | 46,XY, -7, +mar | Leukemia 1997, 11: 306-312 | Both twins responded well to therapy |
CMML ND monozygotic type |
46,XY, t(7;16)(p10;q10)* | 46,XY, t(7;16)(p10;q10 | BLOOD, 1995, 85: 1742-1750 | Twin_01 deceased at 5 month after diagnosis Twin_02 is alive at 11 month after diagnosis** |
JCML ND on twin type | ND | ND | BJH, 1995.90: 353-357 | In one twin B-lineage clonality was demonstrated |
JMML monochorionic- biamniotic |
46,XX with NRAS mutation |
Free of disease | Pediatric Blood Cancer 2008, 50: 665-667 | Discordant JMML in two twins |
+This twin pair was included here since the Ph+ karyotype was found only in the terminal phase of the disease and because it is the 'oldest' case reporting a twin pair with a myelomonocytic leukemia. *constitutional translocation also present in the father without hematologic abnormalities; ** alive at time of publication (1995);