Double leukemias simultaneously showing lymphoblastic leukemia of the bone marrow and monocytic leukemia of the central nervous system

A rare case of different leukemias simultaneously occurring in the bone marrow (BM) and the central nervous system (CNS) was encountered. A 4‐year‐old girl was diagnosed with acute lymphoblastic leukemia and achieved a complete remission with chemotherapy. Two years after diagnosis, she was found to...

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Veröffentlicht in:American journal of hematology 2004-03, Vol.75 (3), p.164-167
Hauptverfasser: Ikarashi, Yukie, Kakihara, Toshio, Imai, Chihaya, Tanaka, Atsushi, Watanabe, Akihiro, Uchiyama, Makoto
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container_issue 3
container_start_page 164
container_title American journal of hematology
container_volume 75
creator Ikarashi, Yukie
Kakihara, Toshio
Imai, Chihaya
Tanaka, Atsushi
Watanabe, Akihiro
Uchiyama, Makoto
description A rare case of different leukemias simultaneously occurring in the bone marrow (BM) and the central nervous system (CNS) was encountered. A 4‐year‐old girl was diagnosed with acute lymphoblastic leukemia and achieved a complete remission with chemotherapy. Two years after diagnosis, she was found to have acute monocytic leukemia at first relapse in the BM. One month after the second course of induction therapy, lymphoblastic leukemia in the BM and monocytic leukemia in the CNS were found simultaneously. Chromosomal analysis of leukemia cells in the BM and CNS showed distinct results. The mechanism of double leukemias occurring was obscure, although a lineage switch, therapy‐related, or de novo leukemia could be considered as possibilities. Double leukemias should be kept in mind when leukemias relapse in several sites. Am. J. Hematol. 75:164–167, 2004. © 2004 Wiley‐Liss, Inc.
doi_str_mv 10.1002/ajh.10478
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Malignant lymphomas. Malignant reticulosis. 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Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>lineage switch</topic><topic>Medical sciences</topic><topic>mixed leukemia</topic><topic>Neoplasm Recurrence, Local - pathology</topic><topic>Remission Induction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ikarashi, Yukie</creatorcontrib><creatorcontrib>Kakihara, Toshio</creatorcontrib><creatorcontrib>Imai, Chihaya</creatorcontrib><creatorcontrib>Tanaka, Atsushi</creatorcontrib><creatorcontrib>Watanabe, Akihiro</creatorcontrib><creatorcontrib>Uchiyama, Makoto</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of hematology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ikarashi, Yukie</au><au>Kakihara, Toshio</au><au>Imai, Chihaya</au><au>Tanaka, Atsushi</au><au>Watanabe, Akihiro</au><au>Uchiyama, Makoto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Double leukemias simultaneously showing lymphoblastic leukemia of the bone marrow and monocytic leukemia of the central nervous system</atitle><jtitle>American journal of hematology</jtitle><addtitle>Am J Hematol</addtitle><date>2004-03</date><risdate>2004</risdate><volume>75</volume><issue>3</issue><spage>164</spage><epage>167</epage><pages>164-167</pages><issn>0361-8609</issn><eissn>1096-8652</eissn><coden>AJHEDD</coden><abstract>A rare case of different leukemias simultaneously occurring in the bone marrow (BM) and the central nervous system (CNS) was encountered. 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subjects Biological and medical sciences
Biomarkers, Tumor - analysis
Bone Marrow Neoplasms - blood
Bone Marrow Neoplasms - drug therapy
Bone Marrow Neoplasms - genetics
Bone Marrow Neoplasms - pathology
central nervous system
Central Nervous System Neoplasms - blood
Central Nervous System Neoplasms - drug therapy
Central Nervous System Neoplasms - genetics
Central Nervous System Neoplasms - pathology
Child, Preschool
double leukemias
Female
Hematologic and hematopoietic diseases
Histocytochemistry
Humans
Karyotyping
Leukemia, Lymphoid - blood
Leukemia, Lymphoid - drug therapy
Leukemia, Lymphoid - genetics
Leukemia, Lymphoid - pathology
Leukemia, Monocytic, Acute - blood
Leukemia, Monocytic, Acute - drug therapy
Leukemia, Monocytic, Acute - genetics
Leukemia, Monocytic, Acute - pathology
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
lineage switch
Medical sciences
mixed leukemia
Neoplasm Recurrence, Local - pathology
Remission Induction
title Double leukemias simultaneously showing lymphoblastic leukemia of the bone marrow and monocytic leukemia of the central nervous system
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