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A Case of Therapy-Related Acute Myeloid Leukemia With a Normal Karyotype After Sustained Molecular Complete Remission of Acute Promyelocytic Leukemia

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Dear editor, Given that the current therapeutic regimen for acute promyelo- cytic leukemia (APL) includes idarubicin (a topoisomerase II in- hibitor) and methotrexate (an alkylating agent), therapy-related acute myeloid leukemia (t-AML) can develop after APL treat- ment, and several cases have been reported to date [1-13]. Most of these cases involved the development of secondary clonal cy- togenetic abnormalities following successful treatment of APL, and, to our knowledge, only 2 cases involving a normal karyotype at t-AML diagnosis have been reported [5, 12]. We report a rare case of t-AML with a normal karyotype after sustained molecular complete remission of APL.

Abstract

Dear editor, Given that the current therapeutic regimen for acute promyelo- cytic leukemia (APL) includes idarubicin (a topoisomerase II in- hibitor) and methotrexate (an alkylating agent), therapy-related acute myeloid leukemia (t-AML) can develop after APL treat- ment, and several cases have been reported to date [1-13]. Most of these cases involved the development of secondary clonal cy- togenetic abnormalities following successful treatment of APL, and, to our knowledge, only 2 cases involving a normal karyotype at t-AML diagnosis have been reported [5, 12]. We report a rare case of t-AML with a normal karyotype after sustained molecular complete remission of APL.

참고문헌 (14)

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  11. Betancourt-García RD, "Acquired acute myelogenous leukemia after therapy for acute promyelocytic leukemia with t(15;17): a case report and review of the literature", P R Health Sci J, 28, pp.146~150 (2009)
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