急性骨髄性白血病(FAB;M5a)における精巣再発の1例
書誌事項
- タイトル別名
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- A Case of Acute Myelogenous Leukemia (FAB; M5a) Presenting Isolated Testicular Relapse
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We encountered a 3-year-old boy with isolated left testicular relapse of acute myelogenous leukemia (AML : FAB classification M5a) that occurred 11 months after the completion of chemotherapy. The bone marrow specimen revealed a massive infiltration of monoblasts with chromosomes involving t (9; 11) (p22; q23) at the initial diagnosis. At the time of recurrence, histopathological findings on biopsied testis mimicked those of non-Hodgkin's lymphoma (NHL); however, MLL/AF9 chimera mRNA was detected from blasts of testis by reverse transcription-polymerase chain reaction (RT-PCR). On the basis of this finding, he was diagnosed as having testicular relapse of acute myelogenous leukemia. Although a bone marrow specimen revealed infiltration of leukemic cells and monoblasts were detected in cerebrospinal fluid, he has again been in remission with AML-99 protocol. As testicular relapse in AML is extremely rare, it was difficult for us to diagnose this case. It is suggested that RT-PCR is useful to diagnose overt testicular relapse of AML, even though histopathological findings mimic those of NHL.
収録刊行物
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- 日本小児血液学会雑誌
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日本小児血液学会雑誌 19 (4), 220-223, 2005
特定非営利活動法人 日本小児血液・がん学会
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詳細情報 詳細情報について
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- CRID
- 1390282679319871360
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- NII論文ID
- 130004345868
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- ISSN
- 18844723
- 09138706
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可