Myeloid Neoplasm with PDGFRA Rearrangement Manifesting as a Retromolar Pad Mass

被引:2
作者
Duffield, Amy S. [1 ,2 ,4 ]
Webster, Jonathan [2 ]
Smith, B. Douglas [2 ]
Necciai, Julius S. [3 ]
McCuiston, Austin [1 ,5 ]
Ware, Alisha D. [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Dept Pathol, Div Hematol Pathol, 401 N Broadway,Pathol Weinberg Bldg,Suite 2242, Baltimore, MD 21231 USA
[2] Johns Hopkins, Sidney Kimmel Comprehens Canc Ctr, Div Hematol Malignancies, Baltimore, MD USA
[3] Dent Ctr, Mt Airy, MD USA
[4] Mem Sloan Kettering Canc Ctr, Dept Pathol, Div Hematopathol, 1275 York Ave, New York, NY 10065 USA
[5] Murray Calloway Cty Hosp, Dept Pathol, 803 Popular St, Murray, KY 42071 USA
基金
美国国家卫生研究院;
关键词
Eosinophilia; Mastocytosis; PDGFRA-associated myeloproliferative neoplasm; Gingiva; Oral pathology; Tyrosine kinase inhibitor;
D O I
10.1007/s12105-021-01305-9
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Myeloid neoplasms with PDGFRA rearrangement are rare, and most commonly present with features of chronic eosinophilic leukemia; however, they rarely manifest as acute myeloid or lymphoblastic leukemia. Patients typically present with symptoms of hypereosinophilia including cardiovascular and pulmonary symptoms. An increase in mast cells is also a common feature of this disease, and there may be elevated serum tryptase with significant clinical overlap with systemic mastocytosis. Here, we present an unusual case of a myeloid neoplasm with PDGFRA rearrangement manifesting as a retromolar pad mass in a patient with a prior diagnosis of systemic mastocytosis. This case highlights the possibility of soft tissue involvement by myeloid neoplasms with PDGFRA rearrangement in the oral cavity. The identification of this entity is of significant clinical importance because many patients can be effectively treated with tyrosine kinase inhibitors.
引用
收藏
页码:1399 / 1403
页数:5
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