Donor cell leukemia after allogeneic hematopoietic stem cell transplantation: a case report

A. Abedi, Serhat Çelik, Zeynep Dilan Özçelik Yılmaz, Z. Güven, H. Akalın, L. Kaynar
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Abstract

A 48-year-old man was diagnosed Acute myeloid leukemia with FLT3 ITD positive and PML/RAR?- negative. Remission was achieved after induction and consolidation chemotherapy. Allogeneic hematopoietic stem cell transplantation was performed from his full matched sibling donor. He relapsed after 5 years and his bone marrow examination revealed PML/RAR?- positive Acute promyelocytic leukemia. t(15:17) was positive and FLT-3 ITD was negative. Cytogenetic and molecular analysis confirmed donor cell origin. Donor didn’t develop Acute promyelocytic leukemia.
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异基因造血干细胞移植后致供体细胞白血病1例报告
一名48岁男性被诊断为急性髓性白血病,FLT3 ITD阳性,PML/RAR?- - - - - - -。诱导和巩固化疗后缓解。同种异体造血干细胞移植来自他完全匹配的兄弟姐妹供体。5年后复发,骨髓检查显示PML/RAR?-阳性急性早幼粒细胞白血病。t(15:17)为阳性,FLT-3 ITD为阴性。细胞遗传学和分子分析证实了供体细胞的来源。供体未患急性早幼粒细胞白血病。
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