A Case of T-Cell Acute Lymphoblastic Leukemia after Treatment of Acute Promyelocytic Leukemia

We diagnosed T-cell acute lymphoblastic leukemia (T-ALL) with multiple cytogenetic abnormalities in a 17-year-old girl a year after she had received a diagnosis of acute promyelocytic leukemia (APML). After the diagnosis of APML in June 2001, the patient was treated with idarubicin and all-trans-ret...

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Bibliographic Details
Main Authors: Bee, P.C., Gan, G.G., Sangkar, J.V., Teh, A., Goh, K.Y.
Format: Article
Published: Springer Verlag (Germany) 2004
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Online Access:http://eprints.um.edu.my/12018/
http://link.springer.com/article/10.1532/IJH97.A20304
http://dx.doi.org/10.1532/IJH97.A20304
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Summary:We diagnosed T-cell acute lymphoblastic leukemia (T-ALL) with multiple cytogenetic abnormalities in a 17-year-old girl a year after she had received a diagnosis of acute promyelocytic leukemia (APML). After the diagnosis of APML in June 2001, the patient was treated with idarubicin and all-trans-retinoic acid. In September 1999, her younger sister also received a diagnosis of APML and to date has remained well. T-ALL after remission of APML is very rare, and only 1 such case has been reported. Possible causes include therapy-related reasons, genetic susceptibility to leukemia, and environmental exposure.