scholarly journals Acute WT1-positive promyelocytic leukemia with hypogranular variant morphology, bcr-3 isoform of PML-RARα and Flt3-ITD mutation: a rare case report

2017 ◽  
Vol 135 (2) ◽  
pp. 179-184 ◽  
Author(s):  
Xi Zhang ◽  
Cheng Yang ◽  
Xiangui Peng ◽  
Xinghua Chen ◽  
Yimei Feng

ABSTRACT CONTEXT: Acute promyelocytic leukemia (APL) accounts for 8% to 10% of cases of acute myeloid leukemia (AML). Remission in cases of high-risk APL is still difficult to achieve, and relapses occur readily. CASE REPORT: Here, we describe a case of APL with high white blood cell counts in blood tests and hypogranular variant morphology in bone marrow, together with fms-like tyrosine kinase-3 with internal tandem duplication mutations (FLT3-ITD), and bcr-3 isoform of PML-RARα. Most importantly, we detected high level of Wilms’ tumor gene (WT1) in marrow blasts, through the reverse transcription polymerase chain reaction (RT-PCR). To date, no clear conclusions about an association between WT1 expression levels and APL have been reached. This patient successively received a combined treatment regimen consisting of hydroxycarbamide, arsenic trioxide and idarubicin plus cytarabine, which ultimately enabled complete remission. Unfortunately, he subsequently died of sudden massive hemoptysis because of pulmonary infection. CONCLUSION: Based on our findings and a review of the literature, abnormal functioning of WT1 may be a high-risk factor in cases of APL. Further studies aimed towards evaluating the impact of WT1 expression on the prognosis for APL patients are of interest.

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Christos Kaselas ◽  
Charikleia Demiri ◽  
Vasilios Mouravas ◽  
Eleni Koutra ◽  
Kleanthis Anastasiadis ◽  
...  

Localized Cystic Disease of the Kidney (LCDK) is an extremely rare benign disease in pediatric population. Although its management is conservative and generally requires no treatment, the unfamiliarity with the disease can expose such patients to misdiagnosis as renal malignancies or uncertainty for proper treatment. We report such a case in an infant and review the current literature.


2015 ◽  
Vol 2 (4) ◽  
Author(s):  
Elizaveta Chernetsova ◽  
Ahmed Nasr ◽  
Luis Gerra ◽  
Bilaal Kabir ◽  
Marie JeongMin Kim ◽  
...  

Author(s):  
Masaru Kurihara ◽  
Michitaka Nasu ◽  
David Itokazu ◽  
Yasuharu Tokuda

This report describes Streptococcus suis meningitis with ventriculitis in a 66-year-old kushiyaki chef, which presented with fever and meningeal irritation signs. Cerebrospinal fluid testing revealed increased cell counts and protein levels, and presence of gram-positive cocci. Kushiyaki chefs are at high risk of this infection and prophylaxis should be considered.


2018 ◽  
Vol 42 (3) ◽  
pp. 155-158
Author(s):  
AKMA Morshed ◽  
S Islam ◽  
K Alam

A teratoma of the mediastinum is an uncommon germ cell tumor. Five percent of germ cell tumors are extragonadally located and men are affected more than women .Most mediastinal teratoma produce no symptoms, but we are presenting a case which was present with respiratory distress in early childhood. Classical wilm’s tumor usually found within the kidney but rarely it can occur in extra renal situations. Combination of these two is not reported until today we have searched extensively. We are presenting a 26 month old boy with mediastinal cystic teratoma with right sided extra renal wilms’ tumor which may be the first reported case. Combined effort of various concern departments ensures the diagnosis and management of such a rare case. Bangladesh J Child Health 2018; VOL 42 (3) :155-158


2017 ◽  
Vol 14 (2) ◽  
pp. 206-218
Author(s):  
M. Rezky Iqbal P.

Heavy equipment trading industry is an industry that has a high level of risk. The heavy equipment trading industry is influenced by several factors that determine the condition of the mining industry, the condition of the property industry, the forestry industry and the price of the world's coal commodities. Segmentation to heavy equipment unit is very focused on the company because the heavy equipment unit has a high risk. When viewed from the impact of the impact of the industry is highly a requirement of risk. In accepting and managing these risks, it is necessary to apply risk management with the objective to minimize the risk of loss to the company.


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