Abstract
A 61-year-old woman with chronic-type adult T-cell leukemia-lymphoma (ATL) had been taking low-dose oral etoposide for progressive lymphocytosis. After taking this for 3.5 years, she was diagnosed with therapy-related acute myeloid leukemia (t-AML), with a chromosomal translocation of t (6:11) (q27; q23). She thus received remission induction therapy, consolidation therapy, and allogeneic hematopoietic stem cell transplantation. Although both t-AML and ATL were in remissive states, she died of a therapy-related infection within 1 year. We reviewed 12 reported cases of AML complicating ATL to better characterize this unusual disease. We should therefore include t-AML in the differential diagnosis when administering low-dose etoposide for ATL over a long period of time.
Original language | English |
---|---|
Pages (from-to) | 1879-1884 |
Number of pages | 6 |
Journal | Internal Medicine |
Volume | 56 |
Issue number | 14 |
DOIs | |
Publication status | Published - 2017 |
Externally published | Yes |
Keywords
- ATL
- Allogeneic hematopoietic stem cell transplantation (allo-HSCT)
- HTLV-1
- t-AML
ASJC Scopus subject areas
- Internal Medicine