Spontaneous remission of acute lymphoblastic leukemia: A case report.

Abstract:

:Spontaneous remission (SR) in acute lymphoblastic leukemia (ALL) is a rare phenomenon, but the disease course and its underlying processes are of basic and clinical interest. Herein is reported the case of a pregnant, 31-year-old patient who developed ALL, followed by septic shock and SR of ALL. Information is summarized from earlier case reports and incidences of SR in ALL, to identify common patterns. Furthermore, the phenomenon of SR is compared with another disease variant of ALL, termed prodromal or preceding-ALL (pre-ALL). SR and the aleukemic phase in pre-ALL are associated with fever and/or sepsis and have similar kinetics and epidemiology. Therefore, pre-ALL not only closely resembles SR in ALL, but both conditions may represent a single disease entity. Production of pro-inflammatory cytokines and immune cell effects may induce temporary remission of ALL and the suppression of hematopoiesis. In contrast to SR in other types of cancer, all documented cases of SR in ALL were only transient. However, the disease can still be effectively treated with standard ALL therapies following relapse.

journal_name

Oncol Lett

journal_title

Oncology letters

authors

Höres T,Wendelin K,Schaefer-Eckart K

doi

10.3892/ol.2017.7288

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

115-120

issue

1

eissn

1792-1074

issn

1792-1082

pii

OL-0-0-7288

journal_volume

15

pub_type

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