Jeong Ji Hun, Ahn Jeong Yeal, Park Soon Ho, Park Mi Jung, Kim Kyung Hee, Hong Jun Shik
Department of Laboratory Medicine, Gachon University Gil Medical Center, Incheon, Korea.
Korean J Hematol. 2012 Sep;47(3):225-8. doi: 10.5045/kjh.2012.47.3.225. Epub 2012 Sep 25.
Radioiodine is regularly used in the treatment of thyroid cancer to eliminate residual malignant tissue after thyroidectomy and to treat metastasis. Because of the low dose of radioiodine used to treat thyroid cancer patients, leukemia is an uncommon complication of exposure to radioiodine. Here, we present a patient who developed therapy-related acute myeloid leukemia with inv(16)(p13.1q22);CBFβ-MYH11, eosinophilia, and K-ras mutation and who had been treated with very low-dose radioiodine following total thyroidectomy.
放射性碘常用于甲状腺癌的治疗,以清除甲状腺切除术后残留的恶性组织并治疗转移灶。由于用于治疗甲状腺癌患者的放射性碘剂量较低,白血病是接触放射性碘后罕见的并发症。在此,我们报告一名患者,该患者在甲状腺全切除术后接受了极低剂量的放射性碘治疗,随后发生了与治疗相关的急性髓系白血病,伴有inv(16)(p13.1q22);CBFβ-MYH11、嗜酸性粒细胞增多和K-ras突变。