1.Two Cases of Leukemia Cutis.
Jae Wang KIM ; Kwang Joong KIM ; Chong Min KIM
Korean Journal of Dermatology 1998;36(1):133-138
We report herein two cases of leukemia cutis. One case is a 54-year-old woman who came to our department with complaints of a solitary ulcerating nodule on her left leg that had been present for 2 months since prior to her visit. Through histopathological studies, the diagnosis of myelocytic leukemia cutis was made before the final diagnosis of acute myelocytic leukemia was made by hematological studies. When combined chemotherapy was finished, she was in a partial remission state and the nodule disappeared after 1 month of chemotherapy. The other case is a 77-year-old man having multiple infiltrative nodules on the right forearm and right thigh for 1 month prior his visit. He was diagnosed as having leukemia cutis for his skin lesions histopathologically. This was redefined as chronic myelomonocytic leukemia of the myelodysplastic syndrome with blastic transfor- mation by hematological examination. He developed septicemia and died 3 weeks after the dermato- logical diagnosis.
Aged
;
Diagnosis
;
Drug Therapy
;
Female
;
Forearm
;
Humans
;
Leg
;
Leukemia*
;
Leukemia, Myeloid
;
Leukemia, Myeloid, Acute
;
Leukemia, Myelomonocytic, Chronic
;
Logic
;
Middle Aged
;
Myelodysplastic Syndromes
;
Sepsis
;
Skin
;
Thigh
;
Ulcer
4.Comparative study of molecular response of first-line and second-line nilotinib in patients with chronic-phase chronic myelogenous leukemia.
Hui XU ; Ping WANG ; Rong Jun MA ; Jian Min GUO ; Ping Chong LEI ; Yu Zhu ZANG ; Tong Bao WANG ; Zhong Wen LIU ; Jing YANG ; Yin ZHANG ; Zun Min ZHU
Chinese Journal of Hematology 2019;40(6):522-525
5.Tuberculous Lymphadenitis in Patients with Myelogenous Leukemia.
Chang Seop LEE ; Jin Su SONG ; Pyoeng Gyun CHOE ; Jae Hyun CHO ; Ji Whan BANG ; Kyung Hwa PARK ; Wan Beom PARK ; Hong Bin KIM ; Nam Joong KIM ; Sung Soo YOON ; Seonyang PARK ; Byoung Kook KIM ; Myoung Don OH ; Kang Won CHOE
Infection and Chemotherapy 2006;38(5):266-270
During the neutropenic phase, leukemia patients receiving chemotherapy are prone to bacterial and, fungal infections; occasionally mycobacterial, viral and protozoal organisms may also cause infections. Mycobacterium tuberculosis infection was reported very rarely in these patients. This report describes four patients with M. tuberculosis infection identified from 185 adult patients who were diagnosed myelogenous leukemia between January 2003, and December 2004. There was no patient with M. tuberculosis infection from 44 lymphoid leukemia and 11 acute biphenotypic leukemia patients. Sites of infection were all lymph nodes. Three among four patients were presented with lymphadenopathy at initial diagnosis of leukemia, and the other one presented with lymphadenopathy after induction chemotherapy. There was no patient presented with lymphadenopathy during the neutropenic phase. Tuberculous lymphadenitis was presented in a patient with three acute myelogenous leukemia (FAB class 2 M4, 1 M2) and a chronic myelogenous leukemia, accelerated phase. An acute myelogenous leukemia patient had a leukemic cell and tubercle bacilli in the same lymph node. Tuberculosis should also be included as a differential diagnosis in myelogenous leukemia patient with lymphadenopathy, especially in the countries in which the disease is endemic.
Adult
;
Diagnosis
;
Diagnosis, Differential
;
Drug Therapy
;
Humans
;
Induction Chemotherapy
;
Leukemia
;
Leukemia, Biphenotypic, Acute
;
Leukemia, Lymphoid
;
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
;
Leukemia, Myeloid*
;
Leukemia, Myeloid, Acute
;
Lymph Nodes
;
Lymphatic Diseases
;
Mycobacterium tuberculosis
;
Tuberculosis
;
Tuberculosis, Lymph Node*
6.Tuberculous Lymphadenitis in Patients with Myelogenous Leukemia.
Chang Seop LEE ; Jin Su SONG ; Pyoeng Gyun CHOE ; Jae Hyun CHO ; Ji Whan BANG ; Kyung Hwa PARK ; Wan Beom PARK ; Hong Bin KIM ; Nam Joong KIM ; Sung Soo YOON ; Seonyang PARK ; Byoung Kook KIM ; Myoung Don OH ; Kang Won CHOE
Infection and Chemotherapy 2006;38(5):266-270
During the neutropenic phase, leukemia patients receiving chemotherapy are prone to bacterial and, fungal infections; occasionally mycobacterial, viral and protozoal organisms may also cause infections. Mycobacterium tuberculosis infection was reported very rarely in these patients. This report describes four patients with M. tuberculosis infection identified from 185 adult patients who were diagnosed myelogenous leukemia between January 2003, and December 2004. There was no patient with M. tuberculosis infection from 44 lymphoid leukemia and 11 acute biphenotypic leukemia patients. Sites of infection were all lymph nodes. Three among four patients were presented with lymphadenopathy at initial diagnosis of leukemia, and the other one presented with lymphadenopathy after induction chemotherapy. There was no patient presented with lymphadenopathy during the neutropenic phase. Tuberculous lymphadenitis was presented in a patient with three acute myelogenous leukemia (FAB class 2 M4, 1 M2) and a chronic myelogenous leukemia, accelerated phase. An acute myelogenous leukemia patient had a leukemic cell and tubercle bacilli in the same lymph node. Tuberculosis should also be included as a differential diagnosis in myelogenous leukemia patient with lymphadenopathy, especially in the countries in which the disease is endemic.
Adult
;
Diagnosis
;
Diagnosis, Differential
;
Drug Therapy
;
Humans
;
Induction Chemotherapy
;
Leukemia
;
Leukemia, Biphenotypic, Acute
;
Leukemia, Lymphoid
;
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
;
Leukemia, Myeloid*
;
Leukemia, Myeloid, Acute
;
Lymph Nodes
;
Lymphatic Diseases
;
Mycobacterium tuberculosis
;
Tuberculosis
;
Tuberculosis, Lymph Node*
7.Prognostic significance of early molecular response after second-line treatment with dasatinib of chronic myeloid leukemia patients.
Yi Lin CHEN ; Li MENG ; Guo Lin YUAN ; Zhuang Zhi YANG ; Zhi Ping HUANG ; You Shan ZHANG ; Zhe ZHAO ; Chu Cheng WANG ; Ying BAO ; Hang XIANG ; Hua YIN ; Li Feng CHEN ; Ying Yuan XIONG ; Long WANG ; Wei Ming LI
Chinese Journal of Hematology 2019;40(7):608-611
8.Extradural Granulocytic Sarcoma in the Cervical Spine.
Kyoung Hoon YANG ; Young Soo KIM ; Il Seong CHOI ; Kwoang Hum BAK ; Jae Min KIM ; Choong Hyun KIM ; Yong KO ; Seong Hoon OH ; Suck Jun OH ; Kwang Myung KIM ; Nam Kyu KIM
Journal of Korean Neurosurgical Society 1998;27(12):1746-1750
Granulocytic sarcoma is an uncommon tumor composed of immature cells of the granulocytic series, occurring in patients with acute myelogenous leukemia and blast crisis of chronic myelogenous leukemia. It may be rarely preceded by an acute myelogenous leukemia and follows an unformly fatal course. We report a case of granulocytic sarcoma of extradural space presenting as the spinal cord compression without any evidence of leukemia in the peripheral blood. The tumor was located extraduraly in the C6-C7 area compressing the dural sac and spinal cord. After left hemilaminectomy of C6 and C7, this mass was removed completely. Postoperatively, symptoms and signs were improved. At the postoperative 10th day, the patient lost consciousness and peripheral blood study showed the findings of acute myelogenous leukemia. Thereafter, the patient received chemotherapy with Ara-C and Daunorubicin, but hematologic remission was not obtained completely. After 4 months, he revisited our hospital owing to fever, and the septic shock was encountered. The patient died of sepsis.
Blast Crisis
;
Consciousness
;
Cytarabine
;
Daunorubicin
;
Drug Therapy
;
Fever
;
Humans
;
Leukemia
;
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
;
Leukemia, Myeloid, Acute
;
Sarcoma, Myeloid*
;
Sepsis
;
Shock, Septic
;
Spinal Cord
;
Spinal Cord Compression
;
Spine*
9.Nonmyeloablative peripheral blood stem cell transplantation for chronic myeloid leukemia in chronic and accelerated phases.
Jia-Hua DING ; Yan MA ; Bao-An CHEN ; Gang ZHAO ; Jun WANG ; Yun-Yu SUN ; Jian CHENG ; Ai-Ling SU ; Wei-Ming DONG ; Yan ZHANG
Journal of Experimental Hematology 2008;16(2):373-376
The aim of this study was to investigate the effect of nonmyeloablative peripheral blood stem cell transplantation in treatment of chronic myeloid leukemia in chronic phase (CML-CP) and accelerated phase (CML-AP). 24 patients with CML including 16 in CML-CP and 8 in CML-AP were treated with nonmyeloablative conditioning regimen for peripheral blood stem cell transplantation (PBHSCT). The conditioning regimen included fludarabine (30 mg/m(2)x6 d), busulphan [4 mg/(kg.d)x2 d] and CTX [350 mg/(m2.d)x2 d] combined with or without Ara-C. The donors were HLA-identical (n=20) and 5/6 antigen-matched (n=4). The dynamic observation of hematopoietic recovery in all patients was carried out. The results indicated that all the patients were successfully engrafted. The mean time for increase of the number of neutrophils to more than 0.5x10(9)/L and platelet more than 20x10(9)/L were 13 days and 11.5 days respectively. Out of 12 patients, 9 patients showed complete donor chimerism and 3 patients showed mixed chimerism at 30 days after transplantation. At 180 days after transplantation, 18 survival patients showed complete donor chimerism. 18 patients remained alive after a median follow-up length of 24 months (4-48 months). 2 cases died of severe acute GVHD and 1 case died of chronic GVHD, 2 cases died of interstitial pneumonia and 1 case died of relapsed. In conclusions, nonmyeloablative peripheral blood stem cell transplantation is an effective therapeutic method for CML patients in chronic phase and accelerated phase.
Adult
;
Female
;
Graft vs Host Disease
;
prevention & control
;
Humans
;
Leukemia, Myeloid, Accelerated Phase
;
therapy
;
Leukemia, Myeloid, Chronic-Phase
;
therapy
;
Male
;
Middle Aged
;
Peripheral Blood Stem Cell Transplantation
;
methods
;
Transplantation Conditioning
10.Four Cases of Typhlitis, Developed in Neutropenic State and Treated with Medical Conservative Management.
Pill Woon KIM ; Hyeon Gyoo JI ; Hyun Sik JEONG ; Chan Il MOON ; Dong Kyeong YANG ; Seung Won LEE ; Yon Sil JUNG ; Ji Ho CHOI ; Gui Hyun NAM ; Jae Hoon LEE ; Dong Bok SHIN
Journal of the Korean Cancer Association 1997;29(5):906-913
Typhlitis is a life threatening necrotizing enterocolitis of the cecum, ascending colon and terminal ileum seen in severely neutropenic patients, however its pathogenesis is not identified up to this time.The incidence of typhlitis in leukemic patient is 10~12%, estimated by postmortem examination, and 46% in induction chemotherapy of leukemia. Recently, entity incidence is more high due to increasing challenges to high dose chemotherapy in solid tumors.We experienced four cases of typhlitis, one was developed in the circumstance of neutropenia induced by induction chemotherapy for acute myelocytic leukemia and others in neutropnia due to primary diseases without chemotherapy, ig, chronic myelocytic leukemia, acute lymphocytic leukemia, myelodysplastic syndrome.All cases were treated with high dose broad spectrum antibiotics in early phase of disease and its outcome was good, so that, early diagnosis of typhlitis is essential, then prompt treatment with high dose antibiotics and intravenous fluid before onset of transmural necrosis is associated with lower morbidity and mortality than surgical resection.
Anti-Bacterial Agents
;
Autopsy
;
Cecum
;
Colon, Ascending
;
Drug Therapy
;
Early Diagnosis
;
Enterocolitis, Necrotizing
;
Humans
;
Ileum
;
Incidence
;
Induction Chemotherapy
;
Leukemia
;
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
;
Leukemia, Myeloid, Acute
;
Mortality
;
Necrosis
;
Neutropenia
;
Precursor Cell Lymphoblastic Leukemia-Lymphoma
;
Typhlitis*