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ID 54829
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Author
Iwasaki, Yuka Department of Pediatrics, Kochi Health Sciences Center
Nishiuchi, Rituo Department of Pediatrics, Kochi Health Sciences Center
Aoe, Michinori Division of Medical Support, cDepartment of Pediatrics, Okayama University Hospital
Takahashi, Takahide Division of Medical Support, cDepartment of Pediatrics, Okayama University Hospital
Watanabe, Hirokazu Department of Pediatrics, Kochi Health Sciences Center
Tokorotani, Chiho Department of Pediatrics, Kochi Health Sciences Center
Kikkawa, Kiyoshi Department of Pediatrics, Kochi Health Sciences Center
Shimada, Akira Department of Pediatrics, Okayama University Hospital ORCID Kaken ID researchmap
Abstract
Acute myeloid leukemia (AML) patients with fms-related tyrosine kinase 3 (FLT3)-internal tandem duplication (ITD) often have a poor prognosis, even after hematopoietic stem cell transplantation (HSCT). We report a case of AML with FLT3-ITD identified upon initial diagnosis, who received HSCT at complete remission after 3 consecutive chemotherapies. However, the patient relapsed when the same FLT3-ITD clone emerged, and finally died. Retrospective analysis revealed an allelic ratio of FLT3-ITD/wild type of 1.1 and 0.0096 upon initial diagnosis and before HSCT, respectively. The detection of any minimal residual FLT3-ITD clone before HSCT is useful in the treatment of AML with FLT3-ITD.
Keywords
acute myeloid leukemia
relapse
FLT3-ITD
HSCT
minimal residual disease
Published Date
2017-02
Publication Title
Acta Medica Okayama
Volume
volume71
Issue
issue1
Publisher
Okayama University Medical School
Start Page
79
End Page
83
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
English
Copyright Holders
CopyrightⒸ 2017 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
Amo Type
Case Report
Submission Path
amo/vol71/iss1/11
JaLCDOI