单次低剂量碘-131治疗甲状腺癌后伴inv(16)(p13.1q22)的治疗相关性急性髓系白血病1例。

The Korean Journal of Hematology Pub Date : 2012-09-01 Epub Date: 2012-09-25 DOI:10.5045/kjh.2012.47.3.225
Ji Hun Jeong, Jeong Yeal Ahn, Soon Ho Park, Mi Jung Park, Kyung Hee Kim, Jun Shik Hong
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引用次数: 8

摘要

放射性碘经常用于甲状腺癌的治疗,以消除甲状腺切除术后残留的恶性组织和治疗转移。由于用于治疗甲状腺癌患者的放射性碘剂量低,白血病是放射性碘暴露的罕见并发症。在这里,我们报告了一位患有治疗相关性急性髓系白血病的患者,并伴有inv(16)(p13.1q22)、CBFβ-MYH11、嗜酸性粒细胞增多和K-ras突变,并在甲状腺全切除术后接受了非常低剂量的放射性碘治疗。
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A case of therapy-related acute myeloid leukemia with inv(16)(p13.1q22) after single low-dose iodine-131 treatment for thyroid cancer.

Radioiodine is regularly used in the treatment of thyroid cancer to eliminate residual malignant tissue after thyroidectomy and to treat metastasis. Because of the low dose of radioiodine used to treat thyroid cancer patients, leukemia is an uncommon complication of exposure to radioiodine. Here, we present a patient who developed therapy-related acute myeloid leukemia with inv(16)(p13.1q22);CBFβ-MYH11, eosinophilia, and K-ras mutation and who had been treated with very low-dose radioiodine following total thyroidectomy.

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