2.The complications of induction chemotherapy in adult patients with acute myelogenous leukemia at Hue Central Hospital
Journal of Medical Research 2007;51(4):13-19
Background: Acute myelogenous leukemia (AML) is the most common disease of malignant hemopathy in adult. Although induction therapy induced the long complete remissions, but complications of this intensive therapy is very serious. Objectives: to evaluate the complications of induction chemotherapy in adult patients with acute myelogenous leukemia at Hue central hospital". Subject and method: 30 AML patients aged from 10 to 30 were treated at clinical hematology service, Hue central hospital from Mars, 2005 to July, 2006. The diagnosis of AML based on FAB classification. Induction therapy consisted of a combination of cytarabin 100mglm2/day given by continuous IV over 7 days and daunorubicin 45mg/m2/day for 3 days. Complications were evaluated based on toxicity grade of WHO. \r\n', u'Results: Alopecia was the most common complications (100%) but good recovery. Gastrointestinal toxicity included: nausea and vomiting (6.6%), oral mucositis (40%) and diarrhea (30%) Cerebral hemorrhage due thrombocytopenia (6.66%) and neutropenic septicemia (20%) are the most severe complications. Acute complications on cardio - vascular system were rare and only mild degree. Conclusion: The complications of induction chemotherapy in adult patients with acute myelogenous leukemia occur at many organs with different degrees. Among of them, bone marrow suppression is the most severe complication with cerebral hemorrhage due thrombocytopenia and neutropenic septicemia which are fatal complications in theses patients. \r\n', u'\r\n', u'
Leukemia
;
Myeloid
;
Acute/ complications
;
pathology
;
drug therapy
7.A rare case of acute promyelocytic leukemia accompanied by benign craniopharyngioma.
Qi ZHANG ; Hua YANG ; Cheng-Ying ZHU ; Jian-Hua NIU ; Yuan-Yuan XU ; Nai WANG ; Hai-Yan ZHU ; Li YU ; Yu JING
Journal of Experimental Hematology 2014;22(3):660-665
The purpose of study was to analysis the clinical manifestation and treatment protocol of acute promyelocytic leukemia (APL) accompanied by craniopharyngioma so as to promote the understanding of this disease. The APL was diagnosed by morphologic examination of bone marrow cells, the leukemia bone marrow cells were analyzed by immunophenotyping technique, the qualitative and quantitative changes of PML-PARα fusion gene before and after treatment were monitored by using molecular biological test; the cytogenetic features were analyzed by using conventional karyotype and FISH analysis. The results indicated that the clinical manifestation of this disease was diverse and disease status was complex. The good therapeutic efficacy could be achieved, the misdiagnosis and delayed treatment could be avoided through early detection, timely treatment and multidisciplinary cooperation. It is concluded that when other clinical symptoms reappear after APL achieves remission, the possibility of second tumor must be considered, the clinical presentation should be carefully monitored, the early detection and timely treatment should be performed to improve the survival of patients.
Craniopharyngioma
;
complications
;
Humans
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Leukemia, Promyelocytic, Acute
;
complications
;
Male
;
Middle Aged
;
Pituitary Neoplasms
;
complications
9.Cutaneous Manifestations of Leukemia.
Yonsei Medical Journal 1987;28(2):81-90
No abstract available.
Human
;
Leukemia/complications*
;
Skin Diseases/etiology*
;
Skin Diseases, Infectious/etiology