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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Akay, Olga Meltem Sahin, Deniz Goren Gunduz, Eren Gulbas, Zafer |
| Description | Author Affiliation: Sahin DG ( Department of Hematology, Eskisehir Osmangazi University, Eskisehir, Turkey. drdenizgoren@gmail.com) |
| Abstract | Extramedullary relapse is an uncommon complication of acute promyelocytic leukaemia (APL). The most common site of extramedullary relapse is the central nervous system (CNS), and the majority of CNS relapses occur in patients with high-risk disease in which white blood cell count at presentation is greater than 10×10(3)/µL. The best management of such patients is still controversial. We describe a 47-year-old man with APL who developed two CNS relapses which were diagnosed through the presence of t(15;17)(q22;q21) on PCR of the cerebrospinal fluid (CSF), despite presenting initially with intermediate-risk disease. We conclude that the intermediate risk group is very heterogeneous and these patients sometimes may behave like high-risk patients. Also, clinicians should take into account symptoms that can be related to CNS relapse in patients with APL and consider lumbar puncture even if radiological imaging does not reveal anything. |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Volume Number | 2013 |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Central Nervous System Neoplasms Pathology Leukemia, Promyelocytic, Acute Antineoplastic Combined Chemotherapy Protocols Therapeutic Use Cerebrospinal Fluid Drug Therapy Genetics Chromosomes, Human, Pair 15 Chromosomes, Human, Pair 17 Fatal Outcome Magnetic Resonance Imaging Polymerase Chain Reaction Recurrence Risk Factors Translocation, Genetic Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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