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一名54岁女性,在接受异基因造血干细胞移植治疗慢性粒细胞白血病后发生供体细胞来源的多发性骨髓瘤。

A 54-Year-Old Woman with Donor Cell Origin of Multiple Myeloma after Allogeneic Hematopoietic Stem Cell Transplantation for the Treatment of CML.

作者信息

Maestas Erika, Jain Shikha, Stiff Patrick

机构信息

Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA.

出版信息

Case Rep Hematol. 2016;2016:6751914. doi: 10.1155/2016/6751914. Epub 2016 Feb 18.

Abstract

Chronic myeloid leukemia is a myeloproliferative disorder that may be treated with hematopoietic stem cell transplantation (HSCT). While posttransplantation relapse of disease resulting from a failure to eradicate the patient's original leukemia could occur, patients may also rarely develop a secondary malignancy or myelodysplastic syndrome (MDS) of donor origin termed donor cell leukemia (DCL). Cases of donor-derived acute myeloid leukemia (AML) or MDS after HSCT or solid tumor transplantation have been published. However, very few cases of donor-derived multiple myeloma (MM) exist. We describe a patient who developed a donor-derived MM following allogeneic HSCT from a sibling donor.

摘要

慢性髓系白血病是一种骨髓增殖性疾病,可通过造血干细胞移植(HSCT)进行治疗。虽然因未能根除患者原有的白血病而导致疾病移植后复发可能会发生,但患者也可能很少会发生源自供体的继发性恶性肿瘤或骨髓增生异常综合征(MDS),即供体细胞白血病(DCL)。HSCT或实体瘤移植后供体来源的急性髓系白血病(AML)或MDS的病例已有报道。然而,供体来源的多发性骨髓瘤(MM)病例非常罕见。我们描述了一名在接受同胞供体的异基因HSCT后发生供体来源MM的患者。

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