Secondary myelodysplastic syndrome in a patient with Philadelphia-positive acute lymphoblastic leukemia after achieving a major molecular response with hyperCVAD plus imatinib mesylate

被引:0
作者
Vega-Ruiz, Arturo [1 ]
O'Brien, Susan [1 ]
Cortes, Jorge [1 ]
Kebriaei, Partow [2 ]
Thomas, Deborah [1 ]
Kantarjian, Hagop [1 ]
Ravandi, Farhad [1 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, Dept Leukemia, Houston, TX 77030 USA
[2] Univ Texas MD Anderson Canc Ctr, Dept Stem Cell Transplantat & Cellular Therapy, Houston, TX 77030 USA
关键词
Philadelphia-positive acute lymphoblastic leukemia; imatinib mesylate; myelodysplastic syndrome;
D O I
10.1016/j.leukres.2008.02.001
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The addition of imatinib to high-intensity chemotherapy has improved the outcome of patients with Philadelphia chromosome (Ph)-positive acute lymphoblastic leukemia (ALL). However, the possible long-term side effects of this combination are not yet known. Development of new clonal abnormalities in complete cytogenetic remission after treatment with imatinib has been reported in patients with chronic myeloid leukemia but not in patients with Ph-positive ALL. Here, we present a patient with Ph-positive ALL who received hyperCVAD plus imatinib and achieved hematologic, cytogenetic, and major molecular responses. The patient then developed myelodysplastic syndrome and solitary central nervous system relapse of ALL. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1468 / 1471
页数:4
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