Acute myeloid leukemia of donor origin after allogeneic bone marrow transplantation for precursor T-cell acute lymphoblastic leukemia: case report and review of the literature

TitleAcute myeloid leukemia of donor origin after allogeneic bone marrow transplantation for precursor T-cell acute lymphoblastic leukemia: case report and review of the literature
Publication TypeJournal Article
Year of Publication2006
AuthorsReichard KK, Zhang QY, Sanchez L, Hozier J, Viswanatha D, Foucar K
JournalAm J Hematol
Volume81
Issue3
Pagination178 - 85
Date PublishedMar
Accession Number16493618
Keywords*Bone Marrow Transplantation, *Living Donors, *Transplantation Chimera, Adult, Chromosome Aberrations, Chromosomes, Human / genetics, Female, Humans, In Situ Hybridization, Fluorescence / methods, Karyotyping, Leukemia, Myelocytic, Acute / *etiology / genetics / pathology, Leukemia, T-Cell, Acute / complications / genetics / pathology / *therapy, Male, Neoplasms, Second Primary / *etiology / genetics / pathology, Transplantation, Homologous
Abstract

We report a case of donor-derived acute myeloid leukemia (AML) occurring in a 33-year-old man after allogeneic bone marrow transplantation (BMT) for precursor T-cell acute lymphoblastic -leukemia (T-ALL). The cells for BMT were from his human leukocyte antigen (HLA)-matched sister. Fluorescence in-situ hybridization (FISH) analysis showed the AML to be of donor origin (i.e., karyotypically female) with an 11q23 (mixed lineage leukemia (MLL) gene) translocation, while the original T-ALL exhibited a male karyotype with abnormalities of chromosomes 6, 8, and a t(10;14)(q24;q11.2). Subsequent molecular short tandem repeat studies confirmed the AML to be of donor origin. Donor-cell leukemia (DCL) after allogeneic BMT is a rare, yet well-documented, event. Our report presents clinicopathologic information about a case of DCL and a review of the recent literature.

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