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Central nervous system leukemia in a patient with concurrent nasopharyngeal carcinoma and acute myeloid leukaemia: A case report.

Abstract Concurrent case of nasopharyngeal carcinoma (NPC) and acute myeloid leukemia (AML) has not been reported. Here, we report a case of NPC, who was concurrently suffered from AML one mother after the NPC diagnosis.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29384905
OWN - NLM
STAT- In-Process
LR  - 20180131
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 52
DP  - 2017 Dec
TI  - Central nervous system leukemia in a patient with concurrent nasopharyngeal
      carcinoma and acute myeloid leukaemia: A case report.
PG  - e9199
LID - 10.1097/MD.0000000000009199 [doi]
AB  - RATIONALE: Concurrent case of nasopharyngeal carcinoma (NPC) and acute myeloid
      leukemia (AML) has not been reported. Here, we report a case of NPC, who was
      concurrently suffered from AML one mother after the NPC diagnosis. PATIENT
      CONCERNS: The patient was a 45-year-old male who presented with a mass on his
      right side neck. DIAGNOSES: The patient was diagnosed with Epstein-Barr virus
      negative type-2 non-keratinizing carcinoma with clivus involvement and unilateral
      metastasis to the cervical lymph node. INTERVENTIONS: He was treated with one
      cycle of cisplatin and 69.76 Gy of concurrent external-beam radiation. OUTCOMES: 
      Three months after completion of chemo-radiotherapy, the patient was diagnosed as
      acute myeloid leukemia, which achieved complete remission after one course
      induction chemotherapy. Two months later, however, the patient was diagnosed as
      central nervous system leukemia. He ultimately died of relapsed leukemia. The
      overall survival of the patient was 10 months. LESSONS: The co-occurrence of NPC 
      and AML is rare and prognosis is poor. Radiotherapy in NPC can disrupt the
      blood-brain barrier, which may contribute to the pathogenesis of central nervous 
      system leukemia. Early alert and prevention of central nervous system leukemia
      following radiotherapy in NPC patient is recommended.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Liu, Jun-Qing
AU  - Liu JQ
AD  - Department of Radiation Oncology, The First Affiliated Hospital, College of
      Medicine, Zhejiang University.
FAU - Mai, Wen-Yuan
AU  - Mai WY
AD  - Department of Hematology, The First Affiliated Hospital, College of Medicine,
      Zhejiang University.
FAU - Wang, Si-Ben
AU  - Wang SB
AD  - Department of Radiation Oncology, Shaoxing Second Hospital, Shaoxing, Zhejiang,
      China.
FAU - Lou, Yin-Jun
AU  - Lou YJ
AD  - Department of Hematology, The First Affiliated Hospital, College of Medicine,
      Zhejiang University.
FAU - Yan, Sen-Xiang
AU  - Yan SX
AD  - Department of Radiation Oncology, The First Affiliated Hospital, College of
      Medicine, Zhejiang University.
FAU - Jin, Jie
AU  - Jin J
AD  - Department of Hematology, The First Affiliated Hospital, College of Medicine,
      Zhejiang University.
FAU - Xu, Wei-Lai
AU  - Xu WL
AD  - Department of Hematology, The First Affiliated Hospital, College of Medicine,
      Zhejiang University.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2018/02/01 06:00
MHDA- 2018/02/01 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/01 06:00 [medline]
AID - 10.1097/MD.0000000000009199 [doi]
AID - 00005792-201712290-00013 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(52):e9199. doi: 10.1097/MD.0000000000009199.