Acute leukemia following chemotherapy and radiation therapy--a report of 15 cases.

Abstract:

:14 patients developed acute nonlymphocytic leukemia and 1 patient developed Burkitt's leukemia following longterm chemotherapy and/or radiotherapy for other disorders. The main primary disorders included multiple myeloma, Hodgkin's disease, non-Hodgkin's lymphoma and breast carcinoma. Acute leukemia developed earlier in patients treated by chemotherapy with or without radiotherapy than in patients treated by radiotherapy alone (63 months, range 24-132 months; 201 months, range 48 months to 30 years, respectively). 13 patients presented without organomegaly and 8 were pancytopenic. Abnormalities of myeloid and erythroid cell lines were observed in the majority of the patients. A high rate of acute erythroleukemia (5 out of 14) was found. Increased reticulin fibers were found in 3 patients. The leukemia was invariably refractory to treatment with a median survival of 4 months. The possible role of preexisting abnormal marrow structure in the development of therapy-related leukemia is discussed.

journal_name

Oncology

journal_title

Oncology

authors

Brenner B,Carter A,Sharon R,Tatarsky I

doi

10.1159/000225798

subject

Has Abstract

pub_date

1984-01-01 00:00:00

pages

83-7

issue

2

eissn

0030-2414

issn

1423-0232

journal_volume

41

pub_type

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