Mesh : Adult Child Hematopoietic Stem Cell Transplantation Histone-Lysine N-Methyltransferase / genetics Humans Kinesins / genetics Leukemia, Myeloid, Acute / diagnosis genetics therapy Myeloid-Lymphoid Leukemia Protein / genetics Myosins / genetics Neoplasm Recurrence, Local / diagnosis genetics Translocation, Genetic

来  源:   DOI:10.1097/MPH.0000000000001989

Abstract:
Acute myeloid leukemia (AML) is a heterogenous group of diseases affecting ~500 children in the United States annually. With current therapy, 90% of these children will obtain complete remission. However, 30% to 40% of these patients will relapse, most commonly within the first 3 years. Very late relapses, defined as relapse occurring >5 years after complete remission, are rare, accounting for 1% to 3% of relapses. We describe a patient with AML harboring an AFDN/KMT2A translocation who relapsed 12 years after matched sibling stem cell transplant, provide a brief review of the relevant literature, and describe proposed mechanisms to explain very late relapse AML.
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