Kim Daniel, Kwok Brian, Steinberg Amir
Olive View-UCLA Medical Center, Sylmar, CA, USA.
South Med J. 2010 Dec;103(12):1246-9. doi: 10.1097/SMJ.0b013e3181fa5eeb.
We present a case of concurrent diagnosis of acute myeloid leukemia (AML) with multiple myeloma with complex karyotype, which was successfully treated with allogeneic stem cell transplantation. A 51-year-old man with no past medical history presented with fatigue and anemia with blasts on peripheral smear. Bone marrow biopsy confirmed the simultaneous diagnosis of myeloma and AML. The patient received bortezomib and the myeloma responded well, but induction chemotherapy for the AML failed twice. He underwent an allogeneic stem cell transplant from his human lymphocyte antigen (HLA)-matched sibling, and is now disease-free approximately one year since the transplant. He has mild graft-versus-host disease (GVHD). To our knowledge, this is the first case of a patient with simultaneous AML and multiple myeloma who has undergone successful treatment with allogeneic stem cell transplantation.
我们报告一例同时诊断为急性髓系白血病(AML)和多发性骨髓瘤且核型复杂的病例,该病例通过异基因干细胞移植成功治愈。一名51岁无既往病史的男性因疲劳、贫血且外周血涂片发现原始细胞而就诊。骨髓活检确诊同时患有骨髓瘤和AML。患者接受硼替佐米治疗,骨髓瘤反应良好,但AML诱导化疗失败两次。他接受了来自与其人类淋巴细胞抗原(HLA)匹配的同胞的异基因干细胞移植,自移植后约一年目前无疾病状态。他有轻度移植物抗宿主病(GVHD)。据我们所知,这是首例同时患有AML和多发性骨髓瘤且通过异基因干细胞移植成功治疗的患者。