Should patients with acute lymphoblastic leukemia receive hematopoietic stem-cell transplant from an unrelated donor?

2005 ◽  
Vol 2 (1) ◽  
pp. 18-19
Author(s):  
Stephen J Forman
2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Leslie Skeith ◽  
Alejandro Lazo-Langner ◽  
Joy Mangel

Extramedullary relapse of acute lymphoblastic leukemia (ALL) is rare and has been primarily reported in pediatric patients or hematopoietic stem cell transplant recipients. We report a case of a 62-year-old woman who presented with relapsed ALL involving her kidneys, pancreas, and bone marrow 2 years after completing chemotherapy with a standard ALL protocol. Unfortunately, her extramedullary disease progressed despite treatment. To the best of our knowledge, this is the first reported case of extramedullary relapse of B-cell ALL to the kidneys and pancreas occurring in an adult patient who had not previously undergone a hematopoietic stem cell transplant. A literature review of kidney and pancreatic extramedullary relapse in ALL is also included.


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