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脐带血移植后采用维奈克拉联合阿扎胞苷治疗伴有t(16;21)(p11;q22)易位的急性髓系白血病

Acute Myeloid Leukemia Harboring the t(16;21)(p11;q22) Translocation Treated With Venetoclax Plus Azacitidine After Cord Blood Transplantation.

作者信息

Teshima Kazuaki, Ikeda Sho, Abe Ko, Yamada Masahiro, Takahashi Naoto

机构信息

Hematology, Hiraka General Hospital, Yokote, JPN.

Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, Akita, JPN.

出版信息

Cureus. 2023 Jul 20;15(7):e42215. doi: 10.7759/cureus.42215. eCollection 2023 Jul.

Abstract

A 62-year-old female was diagnosed with acute myeloid leukemia (AML) with t(16;21)(p11;q22). She achieved complete hematological remission after induction therapy and underwent umbilical cord blood stem cell transplantation (CBT). At 150 days after the CBT, a bone marrow examination revealed relapse. We treated the patient with venetoclax plus azacitidine as salvage therapy. After five cycles of venetoclax and azacitidine therapy, the patient died due to disease progression. The prognosis of AML with t(16;21)(p11;q22) is very poor owing to the high rate of early relapse even after hematopoietic stem cell transplantation. Therefore, a novel therapeutic approach is required to improve patient outcomes.

摘要

一名62岁女性被诊断为患有t(16;21)(p11;q22)的急性髓系白血病(AML)。诱导治疗后她达到了完全血液学缓解,并接受了脐带血干细胞移植(CBT)。CBT后150天,骨髓检查显示复发。我们用维奈克拉加阿扎胞苷对该患者进行挽救治疗。经过五个周期的维奈克拉和阿扎胞苷治疗后,患者因疾病进展死亡。由于即使在造血干细胞移植后早期复发率也很高,患有t(16;21)(p11;q22)的AML预后非常差。因此,需要一种新的治疗方法来改善患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a010/10439837/af26d1075fc2/cureus-0015-00000042215-i01.jpg

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