Treatment of a Patient with Acute Promyelocytic Leukemia with Multiple Isolated Relapses in the Central Nervous System: A Case Report and Mini-Review of the Literature.

IF 0.7 Q4 HEMATOLOGY Case Reports in Hematology Pub Date : 2024-05-03 eCollection Date: 2024-01-01 DOI:10.1155/2024/5593775
Qixin Sun, Wenyi Chen, Ahui Wang, Zili Yang, Guiping Chen, Zhigang Zhu
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Abstract

The efficacy of therapeutics for acute promyelocytic leukemia (APL) has exhibited an increase in recent years. Only a few patients experience relapse, including extramedullary relapse, and in patients with extramedullary relapse, the central nervous system (CNS) is the most common site. To date, there is no expert consensus or clinical guidelines available for CNS relapse, at least to the best of our knowledge. The optimal therapeutic strategy and management options for these patients remain unclear. The present study reports the treatment of a patient with APL with multiple isolated relapses in the CNS. In addition, through a mini-review of the literature, the present study provides a summary of various reports of this disease and discusses possible treatment options for these patients.

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治疗中枢神经系统多次孤立复发的急性早幼粒细胞白血病患者:病例报告和文献综述。
近年来,急性早幼粒细胞白血病(APL)的疗效不断提高。只有少数患者会出现复发,包括髓外复发,而在髓外复发的患者中,中枢神经系统(CNS)是最常见的部位。迄今为止,至少就我们所知,还没有针对中枢神经系统复发的专家共识或临床指南。这些患者的最佳治疗策略和管理方案仍不明确。本研究报告了一名中枢神经系统多次孤立复发的 APL 患者的治疗情况。此外,本研究还通过对文献的小型回顾,总结了有关这种疾病的各种报道,并讨论了这些患者可能的治疗方案。
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审稿时长
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