Abstract

It is generally accepted that secondary malignancies, mainly leukemia, are iatrogenic diseases brought about by various anti-cancer treatment modalities such as chemotherapy with alkylating agents, topoisomerase II inhibitors or by radiotherapy (1-4). The exposure to these treatment modalities is associated with various chromosomal aberrations such as chromosomal breaks, gene rearrangements or translocations (5-7). Two of the most frequent genetic changes in secondary, drug induced leukemias are translocation breakpoints of the MLL (HRX) and the AML1 genes (8-9).

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