Myeloid sarcoma of the heart: Extramedullary relapse of acute myeloblastic leukemia, presenting with complete heart block and atrial flutter after second allogeneic stem cell transplantation

2021 ◽  
Author(s):  
Kadir Babaoğlu ◽  
Mehmet Azizoğlu ◽  
Eviç Zeynep Başar ◽  
Emine Zengin ◽  
Emre Usta ◽  
...  

2009 ◽  
Vol 50 (4) ◽  
pp. 551-558 ◽  
Author(s):  
Sunday Ocheni ◽  
Gabriela B. Iwanski ◽  
Philippe Schafhausen ◽  
Axel Rolf Zander ◽  
Francis Ayuk ◽  
...  


2011 ◽  
Vol 50 (24) ◽  
pp. 3003-3007 ◽  
Author(s):  
Jeong Mi Lee ◽  
Haa-Na Song ◽  
Yeojin Kang ◽  
Hosu Kim ◽  
Ji Hyun Min ◽  
...  




Blood ◽  
2012 ◽  
Vol 120 (21) ◽  
pp. 4211-4211
Author(s):  
Jimin Shi ◽  
Xiaojian Meng ◽  
Yi Luo ◽  
Yamin Tan ◽  
Xiaoli Zhu ◽  
...  

Abstract Abstract 4211 Isolated extramedullary relapse (EMR) of acute leukemia (AL) is a rare occurrence although it appears to be more common following allogeneic stem cell transplantation (allo-SCT). To characterize what has been observed in isolated EMR, we investigated a total of 287 consecutive AL patients (144 acute myeloid leukemia, 138 acute lymphocytic leukemia and 5 acute mixed lineage leukemia) who underwent allo-SCT. Forty-seven (16.4%) patients experienced relapse after allo-SCT. 12 cases (4.2%) experienced relapse of extramedullary sites without concomitant bone marrow involvement. Isolated EMR accounted for 25.5% of the overall initial relapse. The time to relapse after allo-SCT was longer in the extramedullary sites than in the marrow (median, 10 months vs. 5.5 months, P<0.05,). Sites of EMR varied widely including central nervous system, skin, bone, pelvis and breasts. The variables considered for univariate analysis included donor gender, age, primary disease, disease status, cytogenetics/molecular abnormalities, preconditioning regimen, donor type, HLA match, aGVHD and cGVHD. The variables that showed significant correlation with isolated EMR were the cytogenetics abnormalities at diagnosis. The prognosis for patients who develop EMR remained poor but was relatively better than that after bone marrow (BM) relapse (overall survival, 10 vs. 18 months, P<0.05). Compared with local or single therapy, patients treated with systemic in combination with local treatment could yield favorable prognosis. Three patients survived 63, 55 and 49 months after transplant respectively, of whom two received DLI with subsequent chemotherapy and (or) irradiation and one had surgery with subsequent chemotherapy. In conclusion, we observed a significant number of isolated EMR of AL after allo-SCT and intensive approaches combined of local and systemic therapy can produce favorable response which may cure a percentage of these patients. Disclosures: No relevant conflicts of interest to declare.



2011 ◽  
Vol 57 (12) ◽  
pp. 675-679
Author(s):  
Keinoshin WADA ◽  
Yumiko OHBAYASHI ◽  
Akinori IWASAKI ◽  
Takaaki OGAWA ◽  
Minoru MIYAKE ◽  
...  


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