急性髓系白血病伴t(8;16)(p11.2;p13.3)/ KAT6A-CREBBP的NF1种系突变患者的临床表现与急性早幼粒细胞白血病相似

Liam Donnelly, Casey Rankins, Ximena Jordan Bruno, Wendy McKinnon, Katherine Devitt, Juli-Anne Gardner
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引用次数: 0

摘要

急性髓性白血病(AML)伴t(8;16)(p11.2;p13.3)/KAT6A-CREBBP是一种罕见的AML亚型,占AML病例的不到0.5%。AML伴t(8;16)/KAT6A-CREBBP具有弥散性血管内凝血(DIC)、白血病表皮、噬血细胞症、单核细胞或髓单核细胞分化等特征性临床和病理特征,常与治疗相关性AML相关,预后较差。我们报告了一例典型的AML合并t(8;16)/KAT6A-CREBBP的病例,该患者同时患有种系NF1突变和最近的胚胎横纹肌肉瘤细胞毒性治疗。
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Acute Myeloid Leukemia with t(8;16)(p11.2;p13.3)/ KAT6A-CREBBP in a Patient with an NF1 Germline Mutation and Clinical Presentation Mimicking Acute Promyelocytic Leukemia.

Objectives: Acute myeloid leukemia (AML) with t(8;16)(p11.2;p13.3)/KAT6A-CREBBP is an uncommon subtype of AML accounting for less than 0.5% of AML cases. AML with t(8;16)/KAT6A-CREBBP has characteristic clinical and pathologic features including disseminated intravascular coagulation (DIC), leukemia cutis, hemophagocytosis, monocytic or myelomonocytic differentiation, is frequently associated with therapy-related AML and has a poor prognosis. We present a classic case of AML with t(8;16)/KAT6A-CREBBP occurring in a patient with both a germline NF1 mutation and recent cytotoxic therapy for embryonal rhabdomyosarcoma.

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