Donor cell leukemia: report of a case occurring 11 years after allogeneic bone marrow transplantation and review of the literature

TitleDonor cell leukemia: report of a case occurring 11 years after allogeneic bone marrow transplantation and review of the literature
Publication TypeJournal Article
Year of Publication2000
AuthorsCooley LD, Sears DA, Udden MM, Harrison WR, Baker KR
JournalAm J Hematol
Volume63
Issue1
Pagination46 - 53
Date PublishedJan
Accession Number10602169
Keywords*Tissue Donors, Adult, Bone Marrow Transplantation / *adverse effects, Chromosomes, Human, Pair 21, Chromosomes, Human, Pair 8, Female, Genotype, Humans, In Situ Hybridization, Fluorescence, Karyotyping, Leukemia, Myelocytic, Acute / *etiology / genetics, Male, Tandem Repeat Sequences, Time Factors, Translocation, Genetic
Abstract

We report the case of a man with chronic myelocytic leukemia (CML) and a 46,XY,t(5;9;22) karyotype who developed acute myelocytic leukemia (AML) with a 45,X,t(8;21) karyotype 11 years after bone marrow transplantation (BMT) from his HLA-matched sister. Fluorescent in situ hybridization (FISH) studies and molecular analysis using short tandem repeat (STR) sequences proved the new leukemia to be of donor cell origin. Donor cell leukemia (DCL) after BMT is rare. Our review of the literature found 15 cases following BMT for leukemia and 2 cases after BMT for benign hematological disorders. In fewer than half the reported cases were molecular studies available to confirm the cytogenetic evidence for DCL, and the longest previously reported interval between BMT and DCL was 6 years.

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