Acute leukemia / myelodysplastic syndrome as a sequelae of carcinoma breast: A report of five cases from north India

A second malignant neoplasm has been found to be more frequent than might be expected from the general population rates. Therapy-related myelodysplastic syndrome and acute leukemia are dreaded long-term complications of five cases of hematological malignancies following treatment for successful brea...

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Main Authors: Bhatia Prateek, Das Reena, Ahluwalia Jasmina, Malhotra Pankaj, Varma Neelam, Varma S, Sharma S, Garewal Gurjeewan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2009-04-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2009;volume=52;issue=2;spage=167;epage=170;aulast=Bhatia
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author Bhatia Prateek
Das Reena
Ahluwalia Jasmina
Malhotra Pankaj
Varma Neelam
Varma S
Sharma S
Garewal Gurjeewan
author_facet Bhatia Prateek
Das Reena
Ahluwalia Jasmina
Malhotra Pankaj
Varma Neelam
Varma S
Sharma S
Garewal Gurjeewan
author_sort Bhatia Prateek
collection DOAJ
description A second malignant neoplasm has been found to be more frequent than might be expected from the general population rates. Therapy-related myelodysplastic syndrome and acute leukemia are dreaded long-term complications of five cases of hematological malignancies following treatment for successful breast cancer therapy (therapeutic drugs or radiotherapy). We encountered carcinoma from north India over a 7-year period from 1999 to 2005. The patients presented 2-5 years after treatment of breast carcinoma. Three patients underwent surgery and received chemoradiotherapy. One patient received chemotherapy after surgery. One patient underwent only surgery and after 3 years presented with acute myeloid leukemia and bone marrow metastasis of carcinoma of the breast. At the time of presentation, all the patients had either bicytopenia or pancytopenia. A close follow-up with complete blood cell counts of the patients who previously had carcinoma of the breast is suggested for early detection of hematological abnormalities. However, the poor prognosis, limited financial resources and poor health insurance coverage results in few patients and their family members opting for treatment.
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spelling doaj.art-5f6dc8841d5d4e69a2c930e4b11138cf2022-12-22T00:18:09ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292009-04-01522167170Acute leukemia / myelodysplastic syndrome as a sequelae of carcinoma breast: A report of five cases from north IndiaBhatia PrateekDas ReenaAhluwalia JasminaMalhotra PankajVarma NeelamVarma SSharma SGarewal GurjeewanA second malignant neoplasm has been found to be more frequent than might be expected from the general population rates. Therapy-related myelodysplastic syndrome and acute leukemia are dreaded long-term complications of five cases of hematological malignancies following treatment for successful breast cancer therapy (therapeutic drugs or radiotherapy). We encountered carcinoma from north India over a 7-year period from 1999 to 2005. The patients presented 2-5 years after treatment of breast carcinoma. Three patients underwent surgery and received chemoradiotherapy. One patient received chemotherapy after surgery. One patient underwent only surgery and after 3 years presented with acute myeloid leukemia and bone marrow metastasis of carcinoma of the breast. At the time of presentation, all the patients had either bicytopenia or pancytopenia. A close follow-up with complete blood cell counts of the patients who previously had carcinoma of the breast is suggested for early detection of hematological abnormalities. However, the poor prognosis, limited financial resources and poor health insurance coverage results in few patients and their family members opting for treatment.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2009;volume=52;issue=2;spage=167;epage=170;aulast=BhatiaAcute leukemiaALLAMLcarcinoma of the breastcytopeniasMDS
spellingShingle Bhatia Prateek
Das Reena
Ahluwalia Jasmina
Malhotra Pankaj
Varma Neelam
Varma S
Sharma S
Garewal Gurjeewan
Acute leukemia / myelodysplastic syndrome as a sequelae of carcinoma breast: A report of five cases from north India
Indian Journal of Pathology and Microbiology
Acute leukemia
ALL
AML
carcinoma of the breast
cytopenias
MDS
title Acute leukemia / myelodysplastic syndrome as a sequelae of carcinoma breast: A report of five cases from north India
title_full Acute leukemia / myelodysplastic syndrome as a sequelae of carcinoma breast: A report of five cases from north India
title_fullStr Acute leukemia / myelodysplastic syndrome as a sequelae of carcinoma breast: A report of five cases from north India
title_full_unstemmed Acute leukemia / myelodysplastic syndrome as a sequelae of carcinoma breast: A report of five cases from north India
title_short Acute leukemia / myelodysplastic syndrome as a sequelae of carcinoma breast: A report of five cases from north India
title_sort acute leukemia myelodysplastic syndrome as a sequelae of carcinoma breast a report of five cases from north india
topic Acute leukemia
ALL
AML
carcinoma of the breast
cytopenias
MDS
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2009;volume=52;issue=2;spage=167;epage=170;aulast=Bhatia
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