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A Case of Acute Myeloid Leukemia Concurrent With Untreated Chronic Lymphocytic Leukemia

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초록

Dear Editor, The association of CLL with hematologic malignancies such as AML is relatively rare [1, 2], with mostly associated with prior cytotoxic chemotherapy [3]. Few reports of untreated CLL manifesting with or followed by AML suggested that each tumor probably evolved from simultaneous expansion of two independent clones, not a common clone [1]. Concomitant AML and CLL having a common clonal origin is exceptional, and to our knowledge, only two cases were reported previously [4, 5]. We present a case of de novo AML concurrent with untreated CLL, with two karyotypic abnormalities in the same clone.

Abstract

Dear Editor, The association of CLL with hematologic malignancies such as AML is relatively rare [1, 2], with mostly associated with prior cytotoxic chemotherapy [3]. Few reports of untreated CLL manifesting with or followed by AML suggested that each tumor probably evolved from simultaneous expansion of two independent clones, not a common clone [1]. Concomitant AML and CLL having a common clonal origin is exceptional, and to our knowledge, only two cases were reported previously [4, 5]. We present a case of de novo AML concurrent with untreated CLL, with two karyotypic abnormalities in the same clone.

참고문헌 (8)

  1. Lai R, "Untreated chronic lymphocytic leukemia concurrent with or followed by acute myelogenous leukemia or myelodysplastic syndrome. A report of five cases and review of the literature", Am J Clin Pathol, 111, pp.373~378 (1999)
  2. Muta T, "Acute myelogenous leukemia concurrent with untreated chronic lymphocytic leukemia", Int J Hematol, 75, pp.187~190 (2002)
  3. Stern N, "Chronic lymphatic leukemia terminating in acute myeloid leukemia: review of the literature", Cancer, 47, pp.1849~1851 (1981)
  4. Conlan MG, "Concomitant chronic lymphocytic leukemia, acute myeloid leukemia, and thrombosis with protein C deficiency. Case report and review of the literature", Cancer, 63, pp.1398~1401 (1989)
  5. Lima M, "Cytogenetic findings in a patient presenting simultaneously with chronic lymphocytic leukemia and acute myeloid leukemia", Cancer Genet Cytogenet, 87, pp.38~40 (1996)
  6. Gottardi M, "Concomitant chronic lymphocytic leukemia and acute myeloid leukemia: evidence of simultaneous expansion of two independent clones", Leuk Lymphoma, 47, pp.885~889 (2006)
  7. Graf T, "Differentiation plasticity of hematopoietic cells", Blood, 99, pp.3089~3101 (2002)
  8. Hou YH, "Identification of a human B-cell", myeloid common progenitor by the absence of CXCR4, 2005, pp.105, 3488~3492

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