Switch to
Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1999-2-12
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pubmed:abstractText |
A 41-year-old man was given a diagnosis with of acute promyelocytic leukemia (APL) in August 1994. A chromosome analysis showed 46, XY, t(15; 17) and 47, XY, idem, +8 at that time. Because initial induction chemotherapy (BHAC-DMP) has not been successful, the patient was given 45 mg/m2 of all-trans retinoic acid (ATRA) and achieved complete remission (CR) after 26 days on this regimen. Following intensified chemotherapy, he received an autologous peripheral blood stem cell transplant (PBSCT) with high-dose busulfan and cyclophosphamide in April 1995. Competitive RT-PCR for PML-RAR alpha mRNA did not find any of APL cells in the collected stem-cell fraction. Although the patient remained in CR without therapy, a myeloblastoma was found in his left external auditory canal in August 1996. Recurrence in bone marrow, moreover, was discovered the following month. A chromosome analysis of bone marrow cells showed 47, XY, t(15; 17), +8 at this time. Thus, the extramedullary relapse developed after autologous PBSCT. This case provides information linking ATRA to the development of extramedullary relapse in patients with APL.
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pubmed:language |
jpn
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0485-1439
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
39
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
709-15
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9796408-Adult,
pubmed-meshheading:9796408-Antineoplastic Agents,
pubmed-meshheading:9796408-Combined Modality Therapy,
pubmed-meshheading:9796408-Ear Canal,
pubmed-meshheading:9796408-Ear Neoplasms,
pubmed-meshheading:9796408-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:9796408-Humans,
pubmed-meshheading:9796408-Leukemia, Promyelocytic, Acute,
pubmed-meshheading:9796408-Male,
pubmed-meshheading:9796408-Recurrence,
pubmed-meshheading:9796408-Tretinoin
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pubmed:year |
1998
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pubmed:articleTitle |
[Extramedullary relapse in the external auditory canal in a patient with acute promyelocytic leukemia treated with all-trans retinoic acid and autologous peripheral blood stem cell transplantation].
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pubmed:affiliation |
Department of Clinical Immunology and Hematology, Tazuke-kofukai Medical Research Institute, Kitano Hospital.
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pubmed:publicationType |
Journal Article,
English Abstract,
Review,
Case Reports
|