Cellular War: The Dominance Struggle of Polycythemia Vera and Chronic Lymphocytic Leukemia Clones Within a Patient.

IF 0.6 4区 医学 Q4 MEDICAL LABORATORY TECHNOLOGY Clinical laboratory Pub Date : 2025-02-01 DOI:10.7754/Clin.Lab.2024.240925
Pusem Patir, Firdevs P Eskin, Gozde Ilhan, Sinem E P Unal, Sena U Coskuner, Dinc Suren, Erdal Kurtoglu
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Abstract

Background: Polycythemia vera (PV) and chronic lymphocytic leukemia (CLL) are distinct hematological malignancies. While their coexistence is rare, it poses unique diagnostic and therapeutic challenges.

Methods: A 50-year-old male patient presented with elevated hemoglobin levels and a marked lymphocytosis. Diagnostic investigations revealed the presence of both PV and CLL. The patient received treatment for PV followed by CLL.

Results: Initial treatment with hydroxyurea for PV led to progression of CLL. Subsequent treatment with rituximab and venetoclax effectively managed CLL, although the JAK2V617F mutation re-emerged.

Conclusions: This case highlights the potential for independent origins of myeloid and lymphoid neoplasms. Further research is needed to understand the interplay between these two malignancies and optimize their management.

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细胞战争:真性红细胞增多症和慢性淋巴细胞白血病克隆在患者体内的优势斗争。
背景:真性红细胞增多症(PV)和慢性淋巴细胞白血病(CLL)是两种不同的血液系统恶性肿瘤。虽然它们的共存是罕见的,但它提出了独特的诊断和治疗挑战。方法:一名50岁男性患者,表现为血红蛋白水平升高和明显的淋巴细胞增多。诊断调查显示PV和CLL的存在。患者接受PV治疗后再接受CLL治疗。结果:初始用羟基脲治疗PV导致CLL进展。随后的利妥昔单抗和venetoclax治疗有效地控制了CLL,尽管JAK2V617F突变再次出现。结论:该病例强调了髓系和淋巴系肿瘤独立起源的可能性。需要进一步的研究来了解这两种恶性肿瘤之间的相互作用并优化其管理。
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来源期刊
Clinical laboratory
Clinical laboratory 医学-医学实验技术
CiteScore
1.50
自引率
0.00%
发文量
494
审稿时长
3 months
期刊介绍: Clinical Laboratory is an international fully peer-reviewed journal covering all aspects of laboratory medicine and transfusion medicine. In addition to transfusion medicine topics Clinical Laboratory represents submissions concerning tissue transplantation and hematopoietic, cellular and gene therapies. The journal publishes original articles, review articles, posters, short reports, case studies and letters to the editor dealing with 1) the scientific background, implementation and diagnostic significance of laboratory methods employed in hospitals, blood banks and physicians'' offices and with 2) scientific, administrative and clinical aspects of transfusion medicine and 3) in addition to transfusion medicine topics Clinical Laboratory represents submissions concerning tissue transplantation and hematopoietic, cellular and gene therapies.
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