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病例报告:NUP98::LEDGF融合基因驱动具有混合免疫表型的恶性血液肿瘤。

Case report: NUP98::LEDGF fusion gene drives malignant hematological tumor with mixed immunological phenotype.

作者信息

Xue Song, Chen Jia-Qi, Wang Tong, Zhang Li-Na, Chen Man, Sun Hui-Peng, Cao Xing-Yu

机构信息

Department of Bone Marrow Transplant, Beijing Lu Daopei Hospital, Beijing, China.

Department of Laboratory Medicine, Hebei Yanda Lu Daopei Hospital, Langfang, China.

出版信息

Front Oncol. 2024 Sep 5;14:1396655. doi: 10.3389/fonc.2024.1396655. eCollection 2024.

Abstract

This is the first report of NUP98::LEDGF positive malignant hematological tumor expressing T cell and myeloid lineage antigens. Patients carrying this fusion gene have a high relapse rate and a poor prognosis, allo-HSCT may be an option to cure this disease. This patient underwent allo-HSCT, a relapse occurred three months post-transplantation. Subsequent screening at our hospital confirmed the presence of the NUP98::LEDGF fusion gene, salvage therapy was administered, followed by a successful second allo-HSCT. Furthermore, we included eight previously reported cases from the literature for analysis and discuss.

摘要

这是首例表达T细胞和髓系谱系抗原的NUP98::LEDGF阳性恶性血液肿瘤报告。携带这种融合基因的患者复发率高且预后不良,异基因造血干细胞移植(allo-HSCT)可能是治愈该疾病的一种选择。该患者接受了allo-HSCT,移植后三个月复发。随后在我院进行的筛查证实存在NUP98::LEDGF融合基因,给予了挽救性治疗,随后成功进行了第二次allo-HSCT。此外,我们纳入了文献中先前报道的8例病例进行分析和讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66bd/11410684/6b1d65b58bbb/fonc-14-1396655-g001.jpg

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