Decitabine combined with all-trans retinoic acid as treatment in a case of primary myelofibrosis transforming into acute myeloid leukaemia

Primary myelofibrosis (PMF) is a type of cloned myeloproliferative neoplasm stemming from haematopoietic stem cells, and tends to transform to acute myeloid leukaemia (AML) in approximately 10–20% of cases over a 10-year period. The transformation into AML has a poor prognosis, with a median overall...

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Main Authors: Yan Lin, Rongrong Lin, Guangquan Zhou, Yue Liu, Weimin Dong, Yang Cao, Xiaobao Xie, Weiying Gu
Format: Article
Language:English
Published: SAGE Publishing 2019-02-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060518820147
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author Yan Lin
Rongrong Lin
Guangquan Zhou
Yue Liu
Weimin Dong
Yang Cao
Xiaobao Xie
Weiying Gu
author_facet Yan Lin
Rongrong Lin
Guangquan Zhou
Yue Liu
Weimin Dong
Yang Cao
Xiaobao Xie
Weiying Gu
author_sort Yan Lin
collection DOAJ
description Primary myelofibrosis (PMF) is a type of cloned myeloproliferative neoplasm stemming from haematopoietic stem cells, and tends to transform to acute myeloid leukaemia (AML) in approximately 10–20% of cases over a 10-year period. The transformation into AML has a poor prognosis, with a median overall survival of only 2.6 months in patients receiving supportive treatment. To date, treatment of AML transformation remains poor. The case of a 58-year-old female patient with AML transformed from PMF, who was treated with decitabine combined with all-trans retinoic acid, is reported. The patient had complete remission and a 17-month overall survival from initial diagnosis of transformed AML, with tolerated haematologic toxicity during the treatment period.
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spelling doaj.art-1cb9f1ba92084fbaaf36c2753e37f3502022-12-21T19:16:15ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002019-02-014710.1177/0300060518820147Decitabine combined with all-trans retinoic acid as treatment in a case of primary myelofibrosis transforming into acute myeloid leukaemiaYan LinRongrong LinGuangquan ZhouYue LiuWeimin DongYang CaoXiaobao XieWeiying GuPrimary myelofibrosis (PMF) is a type of cloned myeloproliferative neoplasm stemming from haematopoietic stem cells, and tends to transform to acute myeloid leukaemia (AML) in approximately 10–20% of cases over a 10-year period. The transformation into AML has a poor prognosis, with a median overall survival of only 2.6 months in patients receiving supportive treatment. To date, treatment of AML transformation remains poor. The case of a 58-year-old female patient with AML transformed from PMF, who was treated with decitabine combined with all-trans retinoic acid, is reported. The patient had complete remission and a 17-month overall survival from initial diagnosis of transformed AML, with tolerated haematologic toxicity during the treatment period.https://doi.org/10.1177/0300060518820147
spellingShingle Yan Lin
Rongrong Lin
Guangquan Zhou
Yue Liu
Weimin Dong
Yang Cao
Xiaobao Xie
Weiying Gu
Decitabine combined with all-trans retinoic acid as treatment in a case of primary myelofibrosis transforming into acute myeloid leukaemia
Journal of International Medical Research
title Decitabine combined with all-trans retinoic acid as treatment in a case of primary myelofibrosis transforming into acute myeloid leukaemia
title_full Decitabine combined with all-trans retinoic acid as treatment in a case of primary myelofibrosis transforming into acute myeloid leukaemia
title_fullStr Decitabine combined with all-trans retinoic acid as treatment in a case of primary myelofibrosis transforming into acute myeloid leukaemia
title_full_unstemmed Decitabine combined with all-trans retinoic acid as treatment in a case of primary myelofibrosis transforming into acute myeloid leukaemia
title_short Decitabine combined with all-trans retinoic acid as treatment in a case of primary myelofibrosis transforming into acute myeloid leukaemia
title_sort decitabine combined with all trans retinoic acid as treatment in a case of primary myelofibrosis transforming into acute myeloid leukaemia
url https://doi.org/10.1177/0300060518820147
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