Challenging Diagnosis of Pure Erythroid Leukemia: A Case Report and Literature Review

Pure erythroid leukemia (PEL) is an extremely rare type of acute myeloid leukemia (AML), accounting for fewer than 1% of all AML cases. A 72-year-old man presented with severe fatigue. His bone marrow aspiration contained myeloperoxidase negative abnormal cells that were aggregating and depicting ep...

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Main Authors: Shingo Sato, Masayuki Kobayashi, Ken Suzaki, Ittoku Nanke, Nobuharu Kosugi
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Hematology Reports
Subjects:
Online Access:https://www.mdpi.com/2038-8330/14/1/7
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author Shingo Sato
Masayuki Kobayashi
Ken Suzaki
Ittoku Nanke
Nobuharu Kosugi
author_facet Shingo Sato
Masayuki Kobayashi
Ken Suzaki
Ittoku Nanke
Nobuharu Kosugi
author_sort Shingo Sato
collection DOAJ
description Pure erythroid leukemia (PEL) is an extremely rare type of acute myeloid leukemia (AML), accounting for fewer than 1% of all AML cases. A 72-year-old man presented with severe fatigue. His bone marrow aspiration contained myeloperoxidase negative abnormal cells that were aggregating and depicting epithelial adhesion, suggesting the possibility of solid tumor metastasis. His general condition deteriorated during medical diagnosis, and he died soon after starting chemotherapy. PEL appeared to be the definitive diagnosis after evaluating the histopathological findings, which were obtained after his death. With atypical morphological features, immunophenotypic and karyotypic approaches must be integrated for PEL assessment.
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spelling doaj.art-80d02cfa026f4523a4953112fb6c4ff52023-11-24T01:24:29ZengMDPI AGHematology Reports2038-83302022-03-01141384410.3390/hematolrep14010007Challenging Diagnosis of Pure Erythroid Leukemia: A Case Report and Literature ReviewShingo Sato0Masayuki Kobayashi1Ken Suzaki2Ittoku Nanke3Nobuharu Kosugi4Department of Internal Medicine, Tokyo Metropolitan Bokutoh Hospital, Tokyo 130-8575, JapanDepartment of Hematology, Tokyo Metropolitan Bokutoh Hospital, Tokyo 130-8575, JapanDepartment of Hematology, Tokyo Metropolitan Bokutoh Hospital, Tokyo 130-8575, JapanDepartment of Internal Medicine, Tokyo Metropolitan Bokutoh Hospital, Tokyo 130-8575, JapanDepartment of Hematology, Tokyo Metropolitan Bokutoh Hospital, Tokyo 130-8575, JapanPure erythroid leukemia (PEL) is an extremely rare type of acute myeloid leukemia (AML), accounting for fewer than 1% of all AML cases. A 72-year-old man presented with severe fatigue. His bone marrow aspiration contained myeloperoxidase negative abnormal cells that were aggregating and depicting epithelial adhesion, suggesting the possibility of solid tumor metastasis. His general condition deteriorated during medical diagnosis, and he died soon after starting chemotherapy. PEL appeared to be the definitive diagnosis after evaluating the histopathological findings, which were obtained after his death. With atypical morphological features, immunophenotypic and karyotypic approaches must be integrated for PEL assessment.https://www.mdpi.com/2038-8330/14/1/7pure erythroid leukemiaPELacute myeloid leukemiaAMLepithelial tumor
spellingShingle Shingo Sato
Masayuki Kobayashi
Ken Suzaki
Ittoku Nanke
Nobuharu Kosugi
Challenging Diagnosis of Pure Erythroid Leukemia: A Case Report and Literature Review
Hematology Reports
pure erythroid leukemia
PEL
acute myeloid leukemia
AML
epithelial tumor
title Challenging Diagnosis of Pure Erythroid Leukemia: A Case Report and Literature Review
title_full Challenging Diagnosis of Pure Erythroid Leukemia: A Case Report and Literature Review
title_fullStr Challenging Diagnosis of Pure Erythroid Leukemia: A Case Report and Literature Review
title_full_unstemmed Challenging Diagnosis of Pure Erythroid Leukemia: A Case Report and Literature Review
title_short Challenging Diagnosis of Pure Erythroid Leukemia: A Case Report and Literature Review
title_sort challenging diagnosis of pure erythroid leukemia a case report and literature review
topic pure erythroid leukemia
PEL
acute myeloid leukemia
AML
epithelial tumor
url https://www.mdpi.com/2038-8330/14/1/7
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AT ittokunanke challengingdiagnosisofpureerythroidleukemiaacasereportandliteraturereview
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