%0 Journal Article %T Identification of concurrent STAT3::RARA and RARA::STAT5b fusions in a variant APL case. %A Tao T %A Cen J %A Xu C %A Chen Y %A Cao Y %A Gong Y %A Zhu M %A Chen S %A Zhang Q %A Yao L %J Mol Carcinog %V 63 %N 4 %D 2024 Apr 28 %M 38153216 %F 5.139 %R 10.1002/mc.23672 %X Acute promyelocytic leukemia (APL) with typically PML::RARA fusion gene caused by t (15;17) (q22; q12) was distinguished from other types of acute myeloid leukemia. In a subset of patients with APL, t (15;17) (q22;q21) and PML::RARA fusion cannot be detected. In this report, we identified the coexistence of STAT3::RARA and RARA::STAT5b fusions for the first time in a variant APL patient lacking t (15;17)(q22;q21)/PML::RARA fusion. Then, this patient was resistant to all-trans retinoic acid combined arsenic trioxide chemotherapy. Accurate detection of RARA gene partners is crucial for variant APL, and effective therapeutic regime is urgently needed.