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Spontaneous Remission Of Adult Acute Myeloid Leukemia With T(8;16)(p11;p13)/moz-cbp Fusion

Hoshino et al., 2018Leukemia

Hoshino, T., Taki, T., Takada, S., Hatsumi, N., & Sakura, T. (2018). spontaneous remission of adult acute myeloid leukemia with t(8;16)(p11;p13)/MOZ-CBP fusion. Leukemia & lymphoma, 59(1), 253–255. https://doi.org/10.1080/10428194.2017.1320712

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Abstract

The translocation t(8;16)(p11;p13), which results in fusion of the MOZ/MYST3/KAT6A gene (8p11) and CBP/CREBBP gene (16p13), is characterized by unique morphologic and clinical findings in acute mye...

Case Details

Disease Location

Bone marrowithblood

Personal Characteristics

49-year-old woman

Clinical Characteristics

Presented for an annual checkup, at which a very high white blood cell count of 74.9x10^9l and a ldh level of 1575iu/l. Bone marrow aspiration revealed hypercellularity with an increased number of blasts (52.0%), which showed a monocytic appearance with heavy granulation upon dual myeloperoxidase and nonspecific esterase cytochemical staining. She was therefore diagnosed as having acute myeloid leukemia (fab m5a)

Remission Characteristics

Six days later, peripheral blood analysis showed a wbc count of 4.1x 10^9/l with normal wbc differentiation, and the serum ldh level was within the normal limits without treatment. She spontaneously underwent cr 7 days after diagnosis of the disease and stayed in remission

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

Bone marrow transplantation and total body irradiation and cyclophosphamide with tracolimus (after scr),