Acute Leukaemia following High-Dose Chemoradiotherapy with Bone Marrow Rescue for Ovarian Teratoma
Author(s) -
Denis Guyotat,
B Coiffier,
Líllian Gonçalves Campos,
E Archimbaud,
D. Treille,
A. Ehrsam,
D Fière
Publication year - 1988
Publication title -
acta haematologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 56
eISSN - 1421-9662
pISSN - 0001-5792
DOI - 10.1159/000205598
Subject(s) - medicine , acute myelomonocytic leukemia , cyclophosphamide , chemotherapy , chemoradiotherapy , bone marrow , total body irradiation , radiation therapy , ovarian teratoma , teratoma , surgery
A case of acute leukaemia following intensive chemo- and radiotherapy for solid tumour is reported. A 15-year-old girl received four courses of chemotherapy with adriamycin, cyclophosphamide and cisplatinum after the surgical diagnosis of ovarian immature teratoma. An intensification treatment was performed with cyclophosphamide and total body irradiation, followed by marrow rescue. The diagnosis of myelomonocytic acute leukaemia was performed 8 months later. The patient died after a transient improvement following a treatment by hydroxyurea. The roles of the primary tumour, of the chemotherapy and of the marrow transplantation in the occurrence of leukaemia are discussed.
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