Coexistence of independent myelodysplastic and Philadelphia chromosome positive clones in a patient treated with hydroxyurea.

Abstract:

:We report a patient with Philadelphia chromosome positive (Ph +ve) chronic myelogenous leukemia (CML), treated with hydroxyurea alone, who upon disease progression developed an additional Ph - ve clone containing chromosomal abnormalities typical of myelodysplastic syndrome (MDS). Retrospective analysis of a cryopreserved stem cell specimen from diagnosis confirmed that this second clone developed during the course of treatment. The development of a clone with additional cytogenetic abnormalities in CML has only been reported after leukemogenic treatment, stem cell transplantation or interferon. We report a case of secondary Ph - ve MDS/AML during blast crisis in a patient treated with hydroxyurea for CML.

journal_name

Leuk Res

journal_title

Leukemia research

authors

Flamm MJ,Murty VV,Rao PH,Nichols GL

doi

10.1016/s0145-2126(01)00140-0

keywords:

subject

Has Abstract

pub_date

2002-04-01 00:00:00

pages

417-20

issue

4

eissn

0145-2126

issn

1873-5835

pii

S0145212601001400

journal_volume

26

pub_type

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