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Spontaneous Remission of Acute Myeloid Leukemia: A Case Report
by
Salgado-Sánchez, Rocío
, Atance-Pasarisas, Mireia
, Rodríguez-Pinilla, Socorro María
, Cotti-Ferrari, María José
, Alonso-Dominguez, Juan Manuel
, Martínez-Díez, Yolanda
, Blas, Carlos
, Castaño-Bonilla, Tamara
, Franganillo-Suárez, Aida
, Lainez-González, Daniel
, Llamas-Sillero, Pilar
in
AML
/ Bone marrow
/ Case Report
/ Case reports
/ Cell cycle
/ Cloning
/ Cytogenetics
/ Cytokines
/ Flow cytometry
/ Immune system
/ Infections
/ Leukemia
/ Medical prognosis
/ molecular response
/ Mutation
/ Patients
/ Remission (Medicine)
/ Review boards
/ spontaneous remission
2022
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Spontaneous Remission of Acute Myeloid Leukemia: A Case Report
by
Salgado-Sánchez, Rocío
, Atance-Pasarisas, Mireia
, Rodríguez-Pinilla, Socorro María
, Cotti-Ferrari, María José
, Alonso-Dominguez, Juan Manuel
, Martínez-Díez, Yolanda
, Blas, Carlos
, Castaño-Bonilla, Tamara
, Franganillo-Suárez, Aida
, Lainez-González, Daniel
, Llamas-Sillero, Pilar
in
AML
/ Bone marrow
/ Case Report
/ Case reports
/ Cell cycle
/ Cloning
/ Cytogenetics
/ Cytokines
/ Flow cytometry
/ Immune system
/ Infections
/ Leukemia
/ Medical prognosis
/ molecular response
/ Mutation
/ Patients
/ Remission (Medicine)
/ Review boards
/ spontaneous remission
2022
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Spontaneous Remission of Acute Myeloid Leukemia: A Case Report
by
Salgado-Sánchez, Rocío
, Atance-Pasarisas, Mireia
, Rodríguez-Pinilla, Socorro María
, Cotti-Ferrari, María José
, Alonso-Dominguez, Juan Manuel
, Martínez-Díez, Yolanda
, Blas, Carlos
, Castaño-Bonilla, Tamara
, Franganillo-Suárez, Aida
, Lainez-González, Daniel
, Llamas-Sillero, Pilar
in
AML
/ Bone marrow
/ Case Report
/ Case reports
/ Cell cycle
/ Cloning
/ Cytogenetics
/ Cytokines
/ Flow cytometry
/ Immune system
/ Infections
/ Leukemia
/ Medical prognosis
/ molecular response
/ Mutation
/ Patients
/ Remission (Medicine)
/ Review boards
/ spontaneous remission
2022
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Spontaneous Remission of Acute Myeloid Leukemia: A Case Report
Journal Article
Spontaneous Remission of Acute Myeloid Leukemia: A Case Report
2022
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Overview
Spontaneous remissions (SRs) in acute myeloid leukemia (AML) are infrequent, poorly documented and transient. Similarly, morphological and cytogenetic complete remissions (CR) under azacitidine treatment are scarce. We report a 71-year-old man with a secondary AML arising from essential thrombocythemia (ET), who developed an SR after discontinuation of azacitidine following a respiratory infection (four courses were administered). The distinctive feature of our case is the depth of the achieved CR, documented by next-generation sequencing (NGS) techniques. We also detected persistence of molecular lesions that might already have been present in the previous ET clone. Our patient relapsed 5 months after achieving CR. We conclude that our patient showed a spontaneous remission of his AML rather than an exquisite response to azacitidine. We hypothesize that the concurrent respiratory infection, or any other unknown trigger, might have activated his immune system forcing the leukemic stem cell to enter a quiescent state through a yet unexplained mechanism.
Publisher
MDPI AG,MDPI
Subject
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