Bladder Myeloid Sarcoma with TP53 mutated Myelodysplastic Syndrome/Myeloproliferative Neoplasm Overlap syndrome: Response to Decitabine-Venetoclax regimen

Myeloid sarcoma (MS) is a rare extramedullary blast proliferation of immature cells of myeloid origin. It is commonly associated with acute myeloid leukemia (AML), myelodysplastic syndrome (MDS), or myeloproliferative neoplasm (MPN), and may precede, coincide with, or follow the diagnosis of a myelo...

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Main Authors: Nikeeta Mandhan, Farah Yassine, Ke Li, Talha Badar
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Leukemia Research Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213048921000534
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author Nikeeta Mandhan
Farah Yassine
Ke Li
Talha Badar
author_facet Nikeeta Mandhan
Farah Yassine
Ke Li
Talha Badar
author_sort Nikeeta Mandhan
collection DOAJ
description Myeloid sarcoma (MS) is a rare extramedullary blast proliferation of immature cells of myeloid origin. It is commonly associated with acute myeloid leukemia (AML), myelodysplastic syndrome (MDS), or myeloproliferative neoplasm (MPN), and may precede, coincide with, or follow the diagnosis of a myeloid disorder. MS treatment is controversial, but AML induction like regimens is usually recommended. We present an unusual case of de novo TP53 mutated MDS/MPN overlap with bladder MS. Due to the high-risk nature of the disease, the patient was induced with decitabine and venetoclax combination therapy, resulting in complete remission. The response was further consolidated by an allogeneic hematopoietic stem cell transplantation.
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spelling doaj.art-42fbf58f64d94eaf86b772c3a573aa462022-12-22T01:18:46ZengElsevierLeukemia Research Reports2213-04892022-01-0117100286Bladder Myeloid Sarcoma with TP53 mutated Myelodysplastic Syndrome/Myeloproliferative Neoplasm Overlap syndrome: Response to Decitabine-Venetoclax regimenNikeeta Mandhan0Farah Yassine1Ke Li2Talha Badar3Dow Medical College, Karachi City, Sindh, PakistanDivision of Hematology-Oncology and Blood and Marrow Transplantation and Cellular Therapy Program, Mayo Clinic, Jacksonville, FL, United States of AmericaDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Florida, United States of AmericaDivision of Hematology-Oncology and Blood and Marrow Transplantation and Cellular Therapy Program, Mayo Clinic, Jacksonville, FL, United States of America; Corresponding author at: Assistant Professor of Oncology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, United States of America.Myeloid sarcoma (MS) is a rare extramedullary blast proliferation of immature cells of myeloid origin. It is commonly associated with acute myeloid leukemia (AML), myelodysplastic syndrome (MDS), or myeloproliferative neoplasm (MPN), and may precede, coincide with, or follow the diagnosis of a myeloid disorder. MS treatment is controversial, but AML induction like regimens is usually recommended. We present an unusual case of de novo TP53 mutated MDS/MPN overlap with bladder MS. Due to the high-risk nature of the disease, the patient was induced with decitabine and venetoclax combination therapy, resulting in complete remission. The response was further consolidated by an allogeneic hematopoietic stem cell transplantation.http://www.sciencedirect.com/science/article/pii/S2213048921000534Myeloid sarcomaMDS/MPN overlapTP53 mutationDecitabine-venetoclaxHematopoietic stem cell transplantation
spellingShingle Nikeeta Mandhan
Farah Yassine
Ke Li
Talha Badar
Bladder Myeloid Sarcoma with TP53 mutated Myelodysplastic Syndrome/Myeloproliferative Neoplasm Overlap syndrome: Response to Decitabine-Venetoclax regimen
Leukemia Research Reports
Myeloid sarcoma
MDS/MPN overlap
TP53 mutation
Decitabine-venetoclax
Hematopoietic stem cell transplantation
title Bladder Myeloid Sarcoma with TP53 mutated Myelodysplastic Syndrome/Myeloproliferative Neoplasm Overlap syndrome: Response to Decitabine-Venetoclax regimen
title_full Bladder Myeloid Sarcoma with TP53 mutated Myelodysplastic Syndrome/Myeloproliferative Neoplasm Overlap syndrome: Response to Decitabine-Venetoclax regimen
title_fullStr Bladder Myeloid Sarcoma with TP53 mutated Myelodysplastic Syndrome/Myeloproliferative Neoplasm Overlap syndrome: Response to Decitabine-Venetoclax regimen
title_full_unstemmed Bladder Myeloid Sarcoma with TP53 mutated Myelodysplastic Syndrome/Myeloproliferative Neoplasm Overlap syndrome: Response to Decitabine-Venetoclax regimen
title_short Bladder Myeloid Sarcoma with TP53 mutated Myelodysplastic Syndrome/Myeloproliferative Neoplasm Overlap syndrome: Response to Decitabine-Venetoclax regimen
title_sort bladder myeloid sarcoma with tp53 mutated myelodysplastic syndrome myeloproliferative neoplasm overlap syndrome response to decitabine venetoclax regimen
topic Myeloid sarcoma
MDS/MPN overlap
TP53 mutation
Decitabine-venetoclax
Hematopoietic stem cell transplantation
url http://www.sciencedirect.com/science/article/pii/S2213048921000534
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AT keli bladdermyeloidsarcomawithtp53mutatedmyelodysplasticsyndromemyeloproliferativeneoplasmoverlapsyndromeresponsetodecitabinevenetoclaxregimen
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