Emergence of t(3;21)(q26.2;q22) during eltrombopag treatment in a patient with relapsed aplastic anemia who received chemotherapy for angioimmunoblastic T-cell lymphoma

A 65-year-old man with nonsevere aplastic anemia received rabbit anti-thymocyte globulin and cyclosporine and partially responded. Six months after the initiation of treatment, he was diagnosed with stage IV angioimmunoblastic T-cell lymphoma and received chemotherapy. PET/CT scan analysis indicated...

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Main Authors: Fumi Nakamura, Yuka Nakamura, Yasuhito Nannya, Honoka Arai, Kei Shimbo, Yuko Nakamura, Sachiko Seo, Ko Sasaki, Motoshi Ichikawa, Seishi Ogawa, Kinuko Mitani
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Leukemia Research Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213048922000176
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author Fumi Nakamura
Yuka Nakamura
Yasuhito Nannya
Honoka Arai
Kei Shimbo
Yuko Nakamura
Sachiko Seo
Ko Sasaki
Motoshi Ichikawa
Seishi Ogawa
Kinuko Mitani
author_facet Fumi Nakamura
Yuka Nakamura
Yasuhito Nannya
Honoka Arai
Kei Shimbo
Yuko Nakamura
Sachiko Seo
Ko Sasaki
Motoshi Ichikawa
Seishi Ogawa
Kinuko Mitani
author_sort Fumi Nakamura
collection DOAJ
description A 65-year-old man with nonsevere aplastic anemia received rabbit anti-thymocyte globulin and cyclosporine and partially responded. Six months after the initiation of treatment, he was diagnosed with stage IV angioimmunoblastic T-cell lymphoma and received chemotherapy. PET/CT scan analysis indicated a complete response. However, he showed sustained myelosuppression and was diagnosed with relapse of aplastic anemia. He did not respond to cyclosporine, eltrombopag or methenolone. Fifteen months after eltrombopag administration, he developed MDS with t(3;21)(q26.2;q22). Patients should be monitored carefully for the emergence of not only -7/del(7q) but also 3q26 abnormalities, including t(3;21)(q26.2;q22), during and after eltrombopag treatment.
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spelling doaj.art-37e5fec8857a4c55b385f8ab4c429d242022-12-22T01:18:46ZengElsevierLeukemia Research Reports2213-04892022-01-0117100305Emergence of t(3;21)(q26.2;q22) during eltrombopag treatment in a patient with relapsed aplastic anemia who received chemotherapy for angioimmunoblastic T-cell lymphomaFumi Nakamura0Yuka Nakamura1Yasuhito Nannya2Honoka Arai3Kei Shimbo4Yuko Nakamura5Sachiko Seo6Ko Sasaki7Motoshi Ichikawa8Seishi Ogawa9Kinuko Mitani10Department of Hematology and Oncology, Dokkyo Medical University, Tochigi, 321-0293, JapanDepartment of Hematology and Oncology, Dokkyo Medical University, Tochigi, 321-0293, JapanDepartment of Pathology and Tumor Biology, Kyoto University, Kyoto, JapanDepartment of Hematology and Oncology, Dokkyo Medical University, Tochigi, 321-0293, JapanClinical Laboratory Center, Dokkyo Medical University Hospital, Tochigi, JapanDepartment of Hematology and Oncology, Dokkyo Medical University, Tochigi, 321-0293, JapanDepartment of Hematology and Oncology, Dokkyo Medical University, Tochigi, 321-0293, JapanDepartment of Hematology and Oncology, Dokkyo Medical University, Tochigi, 321-0293, JapanDepartment of Hematology and Oncology, Dokkyo Medical University, Tochigi, 321-0293, JapanDepartment of Pathology and Tumor Biology, Kyoto University, Kyoto, JapanDepartment of Hematology and Oncology, Dokkyo Medical University, Tochigi, 321-0293, Japan; Corresponding author.A 65-year-old man with nonsevere aplastic anemia received rabbit anti-thymocyte globulin and cyclosporine and partially responded. Six months after the initiation of treatment, he was diagnosed with stage IV angioimmunoblastic T-cell lymphoma and received chemotherapy. PET/CT scan analysis indicated a complete response. However, he showed sustained myelosuppression and was diagnosed with relapse of aplastic anemia. He did not respond to cyclosporine, eltrombopag or methenolone. Fifteen months after eltrombopag administration, he developed MDS with t(3;21)(q26.2;q22). Patients should be monitored carefully for the emergence of not only -7/del(7q) but also 3q26 abnormalities, including t(3;21)(q26.2;q22), during and after eltrombopag treatment.http://www.sciencedirect.com/science/article/pii/S2213048922000176EltrombopagAplastic anemiaMyelodysplastic syndromesAngioimmunoblastic t-cell lymphoma3q26 abnormalities
spellingShingle Fumi Nakamura
Yuka Nakamura
Yasuhito Nannya
Honoka Arai
Kei Shimbo
Yuko Nakamura
Sachiko Seo
Ko Sasaki
Motoshi Ichikawa
Seishi Ogawa
Kinuko Mitani
Emergence of t(3;21)(q26.2;q22) during eltrombopag treatment in a patient with relapsed aplastic anemia who received chemotherapy for angioimmunoblastic T-cell lymphoma
Leukemia Research Reports
Eltrombopag
Aplastic anemia
Myelodysplastic syndromes
Angioimmunoblastic t-cell lymphoma
3q26 abnormalities
title Emergence of t(3;21)(q26.2;q22) during eltrombopag treatment in a patient with relapsed aplastic anemia who received chemotherapy for angioimmunoblastic T-cell lymphoma
title_full Emergence of t(3;21)(q26.2;q22) during eltrombopag treatment in a patient with relapsed aplastic anemia who received chemotherapy for angioimmunoblastic T-cell lymphoma
title_fullStr Emergence of t(3;21)(q26.2;q22) during eltrombopag treatment in a patient with relapsed aplastic anemia who received chemotherapy for angioimmunoblastic T-cell lymphoma
title_full_unstemmed Emergence of t(3;21)(q26.2;q22) during eltrombopag treatment in a patient with relapsed aplastic anemia who received chemotherapy for angioimmunoblastic T-cell lymphoma
title_short Emergence of t(3;21)(q26.2;q22) during eltrombopag treatment in a patient with relapsed aplastic anemia who received chemotherapy for angioimmunoblastic T-cell lymphoma
title_sort emergence of t 3 21 q26 2 q22 during eltrombopag treatment in a patient with relapsed aplastic anemia who received chemotherapy for angioimmunoblastic t cell lymphoma
topic Eltrombopag
Aplastic anemia
Myelodysplastic syndromes
Angioimmunoblastic t-cell lymphoma
3q26 abnormalities
url http://www.sciencedirect.com/science/article/pii/S2213048922000176
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