SIMULTANEOUS OCCURRENCE OF ADVANCED NEUROBLASTOMA AND ACUTE MYELOID LEUKEMIA

Autor: Maria Tereza Assis de Almeida, Telma M. Santos-Machado, Paulo T. Maluf, Vicente Odone-Filho, Maria Claudia Nogueira Zerbini, Lillian M. Cristofani, Paula Maria Azevedo
Rok vydání: 2001
Předmět:
Zdroj: Pediatric Hematology and Oncology. 18:129-135
ISSN: 1521-0669
0888-0018
DOI: 10.1080/088800101300002964
Popis: The authors report the case of a 4-year-old boy with a diagnosis of stage IV neuroblastoma (NB), who had been treated with 6 cycles of cyclophosphamide, doxorubicin, cisplatin, and etoposide for 12 months. The patient reached partial remission and presented a diagnosis of acute myelomonocytic leukemia (M4 AML), confirmed by immunophenotyping. After 2 months of therapy for leukemia, the child died with both malignancies in activity. A necropsy histologically confirmed the simultaneity of the two diseases. The authors review the possibilities of this association. The review leads to the conclusion that AML can occur as a secondary malignancy after the onset of the neuroblastoma, or be suggested by a misdiagnosis. The simultaneous occurrence of both as described here is not, however, found in the literature, to the best of the authors' knowledge.
Databáze: OpenAIRE