Sait Sameer, Kobos Rachel, LaQuaglia Michael P, Pandit-Taskar Neeta, Modak Shakeel
Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York.
Department of Radiology, Memorial Sloan Kettering Cancer Center, New York.
Pediatr Blood Cancer. 2017 May;64(5). doi: 10.1002/pbc.26314. Epub 2016 Nov 2.
Few effective therapeutic options exist for patients with metastatic paraganglioma (PGL). We report the case of a 16-year-old male who developed acute myeloid leukemia (AML) 30 months following the treatment for metastatic PGL. PGL had been refractory to I-meta-iodobenzylguanidine and temozolomide therapy. However, there was a major reduction in primary tumor allowing its gross total resection, and complete resolution of metastatic disease following AML-directed therapy that included daunorubicin, cytarabine, and etoposide. He remains in remission for both AML and PGL, 48 months post AML chemotherapy. Alternative chemotherapeutic agents should be considered for metastatic PGL resistant to conventional therapy.