Cerebral localization of chronic myelomonocytic leukemia and improvement with high‐dose cytarabine: A case report

Abstract Chronic myelomonocytic leukemia (CMML) is a myelodysplastic/myeloproliferative neoplasm characterized by the infiltration of blood and bone marrow by immature monocytes, in which extra‐hematopoietic localization is uncommon. We report the case of a 69‐year‐old‐man with highly likely ectopic...

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Main Authors: Clémence Haméon, Antoine Machet, Laurianne Drieu La Rochelle, Nicolas Vallet, Julien Lejeune, Noémie Ravalet, Jean‐Philippe Cottier, Olivier Hérault, Emmanuel Gyan
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:eJHaem
Subjects:
Online Access:https://doi.org/10.1002/jha2.740
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author Clémence Haméon
Antoine Machet
Laurianne Drieu La Rochelle
Nicolas Vallet
Julien Lejeune
Noémie Ravalet
Jean‐Philippe Cottier
Olivier Hérault
Emmanuel Gyan
author_facet Clémence Haméon
Antoine Machet
Laurianne Drieu La Rochelle
Nicolas Vallet
Julien Lejeune
Noémie Ravalet
Jean‐Philippe Cottier
Olivier Hérault
Emmanuel Gyan
author_sort Clémence Haméon
collection DOAJ
description Abstract Chronic myelomonocytic leukemia (CMML) is a myelodysplastic/myeloproliferative neoplasm characterized by the infiltration of blood and bone marrow by immature monocytes, in which extra‐hematopoietic localization is uncommon. We report the case of a 69‐year‐old‐man with highly likely ectopic brain CMML involvement by MRI. Without the possibility of cerebral biopsy and with a negative infectious disease assessment, high‐dose cytarabine‐based chemotherapy was successfully administered. The favorable evolution in this case highlights the potential benefit of such treatment, even without a cerebral biopsy to confirm the disease. This case can aid clinical decision‐making in the future.
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spelling doaj.art-fe94f03cc55445a49d5f139424876be52023-09-14T15:30:48ZengWileyeJHaem2688-61462023-08-014384484710.1002/jha2.740Cerebral localization of chronic myelomonocytic leukemia and improvement with high‐dose cytarabine: A case reportClémence Haméon0Antoine Machet1Laurianne Drieu La Rochelle2Nicolas Vallet3Julien Lejeune4Noémie Ravalet5Jean‐Philippe Cottier6Olivier Hérault7Emmanuel Gyan8Hematology and Cell Therapy Department Tours University Hospital Tours FranceHematology and Cell Therapy Department Tours University Hospital Tours FranceHematology and Cell Therapy Department Tours University Hospital Tours FranceHematology and Cell Therapy Department Tours University Hospital Tours FranceHematology and Cell Therapy Department Tours University Hospital Tours FranceDepartment of Biological Hematology Tours University Hospital Tours FranceNeuroradiology Department Tours University Hospital Tours FranceDepartment of Biological Hematology Tours University Hospital Tours FranceHematology and Cell Therapy Department Tours University Hospital Tours FranceAbstract Chronic myelomonocytic leukemia (CMML) is a myelodysplastic/myeloproliferative neoplasm characterized by the infiltration of blood and bone marrow by immature monocytes, in which extra‐hematopoietic localization is uncommon. We report the case of a 69‐year‐old‐man with highly likely ectopic brain CMML involvement by MRI. Without the possibility of cerebral biopsy and with a negative infectious disease assessment, high‐dose cytarabine‐based chemotherapy was successfully administered. The favorable evolution in this case highlights the potential benefit of such treatment, even without a cerebral biopsy to confirm the disease. This case can aid clinical decision‐making in the future.https://doi.org/10.1002/jha2.740case reportcerebral localizationchronic myelomonocytic leukemia
spellingShingle Clémence Haméon
Antoine Machet
Laurianne Drieu La Rochelle
Nicolas Vallet
Julien Lejeune
Noémie Ravalet
Jean‐Philippe Cottier
Olivier Hérault
Emmanuel Gyan
Cerebral localization of chronic myelomonocytic leukemia and improvement with high‐dose cytarabine: A case report
eJHaem
case report
cerebral localization
chronic myelomonocytic leukemia
title Cerebral localization of chronic myelomonocytic leukemia and improvement with high‐dose cytarabine: A case report
title_full Cerebral localization of chronic myelomonocytic leukemia and improvement with high‐dose cytarabine: A case report
title_fullStr Cerebral localization of chronic myelomonocytic leukemia and improvement with high‐dose cytarabine: A case report
title_full_unstemmed Cerebral localization of chronic myelomonocytic leukemia and improvement with high‐dose cytarabine: A case report
title_short Cerebral localization of chronic myelomonocytic leukemia and improvement with high‐dose cytarabine: A case report
title_sort cerebral localization of chronic myelomonocytic leukemia and improvement with high dose cytarabine a case report
topic case report
cerebral localization
chronic myelomonocytic leukemia
url https://doi.org/10.1002/jha2.740
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