Cup Like acute myeloid leukemia is the rarest form of children leukemia. We present a case of Cup Like Acute Myeloid Leukemia (AML) with t(4;12) (q12;p13) associated with two other clones t(1;16)(q12;q24) and t(12;13)(p13;q13). Cytogenetic and iFISH are highly relevant for the prognosis of and therapeutic decisions in LAM.