Clin Lab. 2022 Feb 1;68(2). doi: 10.7754/Clin.Lab.2021.210534.
According to the 2017 WHO classification, therapy related myeloid neoplasms refer to therapy-related acute myeloid leukemia, therapy-related myelodysplastic syndromes, and therapy-related myelodysplastic/ myeloproliferative neoplasms, which happen as a belated occurring complication of chemotherapy and/or radiation therapy due to prior iatrogenic exposure of mutagenic agents.
Herein, we present a very rare case of bone marrow metastasis from testicular seminoma coexisting with treatment-associated acute myeloid leukemia.
This paper highlights the rare and easily misdiagnosed morphological feature of bone marrow. In these situations, clinical history, scrupulous examination of blood and bone marrow smears, immunophenotyping, and bone marrow biopsy are necessary to establish a correct diagnosis.
根据 2017 年世界卫生组织的分类,治疗相关髓系肿瘤是指治疗相关急性髓系白血病、治疗相关骨髓增生异常综合征和治疗相关骨髓增生异常/骨髓增殖性肿瘤,它们是由于先前的医源性接触诱变剂导致化疗和/或放疗后迟发性并发症。
在此,我们报告了一例非常罕见的睾丸精原细胞瘤骨髓转移合并治疗相关性急性髓系白血病病例。
本文强调了骨髓中罕见且易误诊的形态学特征。在这些情况下,需要临床病史、仔细检查血液和骨髓涂片、免疫表型和骨髓活检来建立正确的诊断。