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甲磺酸伊马替尼停药后慢性髓性白血病分子复发超过2年维持完全分子反应状态

[Molecular relapse of chronic myeloid leukemia after discontinuation of imatinib mesylate for maintaining complete molecular response for more than 2 years].

作者信息

Kiguchi Toru, Tauchi Tetsuzo, Ohyashiki Kazuma

机构信息

First Department of Internal Medicine, Tokyo Medical University.

出版信息

Rinsho Ketsueki. 2009 Jan;50(1):52-4.

Abstract

Although imatinib mesylate therapy is effective for chronic myeloid leukemia (CML) patients, there are still some unanswered questions. It is unclear whether imatinib can actually cure CML and whether this therapy can be safely discontinued in patients showing complete cytogenetic and molecular responses. This report describes the clinical outcome of a patient with chronic phase CML who discontinued imatinib therapy after achieving molecular remission. This patient has shown a relapse based on transcription-mediated amplification-hybridization protection assay (TMA-HPA) to monitor BCR-ABL transcripts, highlighting the uncertainty of discontinuing imatinib therapy for five months.

摘要

虽然甲磺酸伊马替尼治疗对慢性髓性白血病(CML)患者有效,但仍存在一些未解决的问题。目前尚不清楚伊马替尼是否真的能治愈CML,以及在显示完全细胞遗传学和分子反应的患者中是否可以安全地停用这种治疗。本报告描述了一名慢性期CML患者在实现分子缓解后停用伊马替尼治疗的临床结果。该患者基于转录介导的扩增-杂交保护分析(TMA-HPA)监测BCR-ABL转录本显示复发,突出了停用伊马替尼治疗五个月的不确定性。

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