A Case of a Patient with Therapy-related Core Binding Factor (CBF) Acute Myeloid Leukemia (CBF-AML).

Elizabeth Lee, Artemio Zavala, Anirudh Murthy, Luke Li, Tahmeena Ahmed, Paula Fernicola, Christina Giordano, Cynthia Poerio, Ann-Leslie Zaslav, Gabriela Evans, Carlos A Tirado
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Abstract

Objectives: Identifying therapy-related AML (t-AML) of newly diagnosed acute leukemias is of great interest. Development of t-AML can occur after cytotoxic chemotherapy and/or radiation. We report a case of t-AML with CBFB::MYH11 fusion in a patient with a distant history of treated stage IIIB nodular sclerosing Hodgkin's lymphoma. We present the clinical course of the patient and the methods used to detect and monitor the rearrangement. Core binding factor AML (CBF-AML) after exposure to treatment is considered to be a good prognostic marker. The identification of these favorable AML subtypes such as CBF-AML highlights the importance of identifying genetic alterations, especially with increasing incidences of t-AML due to changes in choice of treatment and prognosis.

一例与治疗相关的核心结合因子(CBF)急性髓性白血病(CBF-AML)患者。
目的:鉴别新诊断急性白血病中与治疗相关的急性髓细胞性白血病(t-AML)非常重要。细胞毒性化疗和/或放疗后可能发生 t-AML 。我们报告了一例伴有CBFB::MYH11融合的t-AML病例,患者曾患远处治疗的IIIB期结节性硬化性霍奇金淋巴瘤。我们介绍了患者的临床病程以及检测和监测重排的方法。接受治疗后的核心结合因子 AML(CBF-AML)被认为是一个良好的预后标志。CBF-AML等有利的AML亚型的确定凸显了确定基因改变的重要性,特别是随着治疗选择和预后的改变,t-AML的发病率越来越高。
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