We report a unique case of de novo acute promyelocytic leukemia (APL) with
cryptic 15;17 rearrangements. Cytogenetically, structural rearrangements of
the 6p23 region has been reported mainly in secondary leukemia. This patie
nt had a karyotype of 46, XY, del(6)(p23) and no additional chromosomal abn
ormalities. Molecular analyses revealed the presence of PML-RAR alpha fusio
n genes. Deletion of the 6p23 region is extremely rare in APL. (C) 1999 Els
evier Science Ltd. All rights reserved.