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Severe aplastic anemia preceding acute monocytic leukemia in an adult with acquired trisomy 21: A case report
Author(s) -
Dongmei Guo,
Qinqin Liu,
Banban Li,
Qingliang Teng
Publication year - 2013
Publication title -
oncology letters
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.766
H-Index - 54
eISSN - 1792-1082
pISSN - 1792-1074
DOI - 10.3892/ol.2013.1724
Subject(s) - acute monocytic leukemia , medicine , aplastic anemia , trisomy 8 , monocytic leukemia , acute leukemia , induction chemotherapy , chemotherapy , trisomy , anemia , leukemia , immunology , pediatrics , cytogenetics , bone marrow , chromosome , biology , gene , biochemistry , genetics
The current case report presents a patient with acute monocytic leukemia (AML-M5) occurring 14 years following the successful treatment of severe aplastic anemia (SAA) with immunosuppressants and androgens. The patient was treated with induction chemotherapy, but did not achieve remission. The patient succumbed to central nervous system bleeding 2 weeks following the first cycle of chemotherapy. Chromosomal examination revealed 47,XX,+21[10]/46,XX[1]. To the best of our knowledge the present case is the first to be reported of SAA 14 years preceding AML-M5 with acquired trisomy 21.

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