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Spontaneous Remission in an Older Patient with Relapsed FLT3 ITD Mutant AML
Spontaneous remission (SR) of acute myeloid leukemia (AML) is a very rare phenomenon. AML characterized by FLT3 internal tandem duplication (FLT3 ITD) is typically associated with an aggressive clinical course with rapid progression, relapse, and short overall survival in the absence of transplantat...
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Published in: | Case reports in hematology 2016-01, Vol.2016 (2016), p.1-7 |
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creator | Wang, Eunice S. Starostik, Petr Deeb, George Evans, Andrew Mendler, Jason H. Vachhani, Pankit Wallace, Paul K. |
description | Spontaneous remission (SR) of acute myeloid leukemia (AML) is a very rare phenomenon. AML characterized by FLT3 internal tandem duplication (FLT3 ITD) is typically associated with an aggressive clinical course with rapid progression, relapse, and short overall survival in the absence of transplantation. We report here the first case of SR of FLT3 ITD mutant AML in the literature. Our patient was an elderly woman with relapsed NPM1 and FLT3 ITD mutant AML whose disease underwent SR for a brief duration without precipitating cause. We review the potential immune mechanisms underlying SR in AML and discuss the implications for novel immunotherapeutic approaches for FLT3 mutant AML. |
doi_str_mv | 10.1155/2016/1259759 |
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AML characterized by FLT3 internal tandem duplication (FLT3 ITD) is typically associated with an aggressive clinical course with rapid progression, relapse, and short overall survival in the absence of transplantation. We report here the first case of SR of FLT3 ITD mutant AML in the literature. Our patient was an elderly woman with relapsed NPM1 and FLT3 ITD mutant AML whose disease underwent SR for a brief duration without precipitating cause. We review the potential immune mechanisms underlying SR in AML and discuss the implications for novel immunotherapeutic approaches for FLT3 mutant AML.</description><identifier>ISSN: 2090-6560</identifier><identifier>EISSN: 2090-6579</identifier><identifier>DOI: 10.1155/2016/1259759</identifier><identifier>PMID: 28127477</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Biopsy ; Blood ; Bone marrow ; Cancer ; Cancer therapies ; Case Report ; Chemotherapy ; Colleges & universities ; Cytogenetics ; Drug dosages ; Family medical history ; Immune system ; Laboratories ; Leukemia ; Medical prognosis ; Medicine ; Mutation ; Pathology ; Patients ; Stem cells ; Transplants & implants</subject><ispartof>Case reports in hematology, 2016-01, Vol.2016 (2016), p.1-7</ispartof><rights>Copyright © 2016 Pankit Vachhani et al.</rights><rights>COPYRIGHT 2017 John Wiley & Sons, Inc.</rights><rights>Copyright © 2016 Pankit Vachhani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2016 Pankit Vachhani et al. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-6c9e50ed3be5719362934cf8d06f3c480c271ff0d321e713c9f25584211ecba73</citedby><cites>FETCH-LOGICAL-c463t-6c9e50ed3be5719362934cf8d06f3c480c271ff0d321e713c9f25584211ecba73</cites><orcidid>0000-0001-9779-6217</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1862123065/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1862123065?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,25734,27905,27906,36993,44571,53772,53774,74875</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28127477$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Langabeer, Stephen</contributor><creatorcontrib>Wang, Eunice S.</creatorcontrib><creatorcontrib>Starostik, Petr</creatorcontrib><creatorcontrib>Deeb, George</creatorcontrib><creatorcontrib>Evans, Andrew</creatorcontrib><creatorcontrib>Mendler, Jason H.</creatorcontrib><creatorcontrib>Vachhani, Pankit</creatorcontrib><creatorcontrib>Wallace, Paul K.</creatorcontrib><title>Spontaneous Remission in an Older Patient with Relapsed FLT3 ITD Mutant AML</title><title>Case reports in hematology</title><addtitle>Case Rep Hematol</addtitle><description>Spontaneous remission (SR) of acute myeloid leukemia (AML) is a very rare phenomenon. AML characterized by FLT3 internal tandem duplication (FLT3 ITD) is typically associated with an aggressive clinical course with rapid progression, relapse, and short overall survival in the absence of transplantation. We report here the first case of SR of FLT3 ITD mutant AML in the literature. Our patient was an elderly woman with relapsed NPM1 and FLT3 ITD mutant AML whose disease underwent SR for a brief duration without precipitating cause. We review the potential immune mechanisms underlying SR in AML and discuss the implications for novel immunotherapeutic approaches for FLT3 mutant AML.</description><subject>Biopsy</subject><subject>Blood</subject><subject>Bone marrow</subject><subject>Cancer</subject><subject>Cancer therapies</subject><subject>Case Report</subject><subject>Chemotherapy</subject><subject>Colleges & universities</subject><subject>Cytogenetics</subject><subject>Drug dosages</subject><subject>Family medical history</subject><subject>Immune system</subject><subject>Laboratories</subject><subject>Leukemia</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Mutation</subject><subject>Pathology</subject><subject>Patients</subject><subject>Stem cells</subject><subject>Transplants & implants</subject><issn>2090-6560</issn><issn>2090-6579</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNkk1vEzEQhlcIRKvSG2e0EkdI6_Hn7gUpKhQiUhVBOFtefySOEju1d6n67-s0IRCJA_bB1viZ1zP2W1WvAV0AMHaJEfBLwKwVrH1WnWLUohFnon1-2HN0Up3nvERlcIQJgZfVCW4ACyrEafX1xyaGXgUbh1x_t2ufs4-h9qFWob5dGZvqb6r3NvT1ve8XBVmpTbamvp7OSD2ZfaxvhpLe1-Ob6avqhVOrbM_361n18_rT7OrLaHr7eXI1no405aQfcd1ahqwhnWUCWsJxS6h2jUHcEU0bpLEA55AhGKwAoluHGWsoBrC6U4KcVZOdrolqKTfJr1V6kFF5-RSIaS5V6r1eWcm0QEwx3DW4o1yjlmMGrMOGCkcoZ0Xrw05rM3Rra3RpNKnVkejxSfALOY-_JMOlStwUgbd7gRTvBpt7uYxDCqV_CQ3HgAl6umZPzVWpygcXi5gur63lmDHEgQLdUhf_oMo05WN0DNb5Ej9KeL9L0CnmnKw7FA5Ibg0itwaRe4MU_M3fzR7g33YowLsdsPDBqHv_n3K2MNapPzQg1BBEHgEIIseJ</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Wang, Eunice S.</creator><creator>Starostik, Petr</creator><creator>Deeb, George</creator><creator>Evans, Andrew</creator><creator>Mendler, Jason H.</creator><creator>Vachhani, Pankit</creator><creator>Wallace, Paul K.</creator><general>Hindawi Publishing Corporation</general><general>John Wiley & Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-9779-6217</orcidid></search><sort><creationdate>20160101</creationdate><title>Spontaneous Remission in an Older Patient with Relapsed FLT3 ITD Mutant AML</title><author>Wang, Eunice S. ; Starostik, Petr ; Deeb, George ; Evans, Andrew ; Mendler, Jason H. ; Vachhani, Pankit ; Wallace, Paul K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-6c9e50ed3be5719362934cf8d06f3c480c271ff0d321e713c9f25584211ecba73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Biopsy</topic><topic>Blood</topic><topic>Bone marrow</topic><topic>Cancer</topic><topic>Cancer therapies</topic><topic>Case Report</topic><topic>Chemotherapy</topic><topic>Colleges & universities</topic><topic>Cytogenetics</topic><topic>Drug dosages</topic><topic>Family medical history</topic><topic>Immune system</topic><topic>Laboratories</topic><topic>Leukemia</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Mutation</topic><topic>Pathology</topic><topic>Patients</topic><topic>Stem cells</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Eunice S.</creatorcontrib><creatorcontrib>Starostik, Petr</creatorcontrib><creatorcontrib>Deeb, George</creatorcontrib><creatorcontrib>Evans, Andrew</creatorcontrib><creatorcontrib>Mendler, Jason H.</creatorcontrib><creatorcontrib>Vachhani, Pankit</creatorcontrib><creatorcontrib>Wallace, Paul K.</creatorcontrib><collection>الدوريات العلمية والإحصائية - e-Marefa Academic and Statistical Periodicals</collection><collection>معرفة - المحتوى العربي الأكاديمي المتكامل - e-Marefa Academic Complete</collection><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Middle East & Africa Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Case reports in hematology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Eunice S.</au><au>Starostik, Petr</au><au>Deeb, George</au><au>Evans, Andrew</au><au>Mendler, Jason H.</au><au>Vachhani, Pankit</au><au>Wallace, Paul K.</au><au>Langabeer, Stephen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous Remission in an Older Patient with Relapsed FLT3 ITD Mutant AML</atitle><jtitle>Case reports in hematology</jtitle><addtitle>Case Rep Hematol</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>2016</volume><issue>2016</issue><spage>1</spage><epage>7</epage><pages>1-7</pages><issn>2090-6560</issn><eissn>2090-6579</eissn><abstract>Spontaneous remission (SR) of acute myeloid leukemia (AML) is a very rare phenomenon. AML characterized by FLT3 internal tandem duplication (FLT3 ITD) is typically associated with an aggressive clinical course with rapid progression, relapse, and short overall survival in the absence of transplantation. We report here the first case of SR of FLT3 ITD mutant AML in the literature. Our patient was an elderly woman with relapsed NPM1 and FLT3 ITD mutant AML whose disease underwent SR for a brief duration without precipitating cause. We review the potential immune mechanisms underlying SR in AML and discuss the implications for novel immunotherapeutic approaches for FLT3 mutant AML.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>28127477</pmid><doi>10.1155/2016/1259759</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-9779-6217</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Biopsy Blood Bone marrow Cancer Cancer therapies Case Report Chemotherapy Colleges & universities Cytogenetics Drug dosages Family medical history Immune system Laboratories Leukemia Medical prognosis Medicine Mutation Pathology Patients Stem cells Transplants & implants |
title | Spontaneous Remission in an Older Patient with Relapsed FLT3 ITD Mutant AML |
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