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Therapy‐related chronic myeloid leukemia in a patient receiving peptide receptor radionuclide therapy for pancreatic neuroendocrine tumor

Background Therapy‐related leukemia is a well‐recognized clinical syndrome. Peptide receptor radionuclide therapy (PRRT) is a modern therapeutic approach using radionuclide combined with somatostatin analog peptide for inoperable or metastatic neuroendocrine tumors. Aims Hematologic toxicities inclu...

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Published in:Cancer reports 2020-10, Vol.3 (5), p.e1282-n/a
Main Authors: Kucukyurt, Selin, Yagiz Ozogul, Yeliz, Ercaliskan, Abdulkadir, Kabasakal, Levent, Eskazan, Ahmet Emre
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container_title Cancer reports
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creator Kucukyurt, Selin
Yagiz Ozogul, Yeliz
Ercaliskan, Abdulkadir
Kabasakal, Levent
Eskazan, Ahmet Emre
description Background Therapy‐related leukemia is a well‐recognized clinical syndrome. Peptide receptor radionuclide therapy (PRRT) is a modern therapeutic approach using radionuclide combined with somatostatin analog peptide for inoperable or metastatic neuroendocrine tumors. Aims Hematologic toxicities including late‐onset myeloid neoplasms have been reported after PRRT; however, therapy‐related chronic myeloid leukemia (TR‐CML) following PRRT is a relatively rare entity. Methods We present a 64‐year‐old male who received PRRT for pancreas neuroendocrine tumor and then developed TR‐CML 60 months after the initiation of PRRT. The patient responded well to imatinib therapy. Results Patients with TR‐CML generally have similar tyrosine kinase inhibitor responses and outcomes when compared to de novo cases. Conclusions The physicians should be aware of the short‐ and long‐term hematologic toxicities of PRRT including TR‐CML, and careful monitoring is mandatory in this group of patients.
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Peptide receptor radionuclide therapy (PRRT) is a modern therapeutic approach using radionuclide combined with somatostatin analog peptide for inoperable or metastatic neuroendocrine tumors. Aims Hematologic toxicities including late‐onset myeloid neoplasms have been reported after PRRT; however, therapy‐related chronic myeloid leukemia (TR‐CML) following PRRT is a relatively rare entity. Methods We present a 64‐year‐old male who received PRRT for pancreas neuroendocrine tumor and then developed TR‐CML 60 months after the initiation of PRRT. The patient responded well to imatinib therapy. Results Patients with TR‐CML generally have similar tyrosine kinase inhibitor responses and outcomes when compared to de novo cases. Conclusions The physicians should be aware of the short‐ and long‐term hematologic toxicities of PRRT including TR‐CML, and careful monitoring is mandatory in this group of patients.</description><identifier>ISSN: 2573-8348</identifier><identifier>EISSN: 2573-8348</identifier><identifier>DOI: 10.1002/cnr2.1282</identifier><identifier>PMID: 32896091</identifier><language>eng</language><publisher>United States: John Wiley &amp; Sons, Inc</publisher><subject>Blood platelets ; Bone marrow ; Case Report ; Case Reports ; Chemoembolization ; Chemotherapy ; Chromosomes ; chronic myeloid leukemia ; Hemoglobin ; Kinases ; Leukemia ; Leukocytes ; Medical prognosis ; neuroendocrine tumor ; Neuroendocrine tumors ; Neutrophils ; Patients ; peptide receptor radionuclide therapy ; Peptides ; Radiation therapy ; therapy‐related leukemia ; Toxicity ; tyrosine kinase inhibitor</subject><ispartof>Cancer reports, 2020-10, Vol.3 (5), p.e1282-n/a</ispartof><rights>2020 The Authors. published by Wiley Periodicals LLC.</rights><rights>2020 The Authors. 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Peptide receptor radionuclide therapy (PRRT) is a modern therapeutic approach using radionuclide combined with somatostatin analog peptide for inoperable or metastatic neuroendocrine tumors. Aims Hematologic toxicities including late‐onset myeloid neoplasms have been reported after PRRT; however, therapy‐related chronic myeloid leukemia (TR‐CML) following PRRT is a relatively rare entity. Methods We present a 64‐year‐old male who received PRRT for pancreas neuroendocrine tumor and then developed TR‐CML 60 months after the initiation of PRRT. The patient responded well to imatinib therapy. Results Patients with TR‐CML generally have similar tyrosine kinase inhibitor responses and outcomes when compared to de novo cases. 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Peptide receptor radionuclide therapy (PRRT) is a modern therapeutic approach using radionuclide combined with somatostatin analog peptide for inoperable or metastatic neuroendocrine tumors. Aims Hematologic toxicities including late‐onset myeloid neoplasms have been reported after PRRT; however, therapy‐related chronic myeloid leukemia (TR‐CML) following PRRT is a relatively rare entity. Methods We present a 64‐year‐old male who received PRRT for pancreas neuroendocrine tumor and then developed TR‐CML 60 months after the initiation of PRRT. The patient responded well to imatinib therapy. Results Patients with TR‐CML generally have similar tyrosine kinase inhibitor responses and outcomes when compared to de novo cases. 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subjects Blood platelets
Bone marrow
Case Report
Case Reports
Chemoembolization
Chemotherapy
Chromosomes
chronic myeloid leukemia
Hemoglobin
Kinases
Leukemia
Leukocytes
Medical prognosis
neuroendocrine tumor
Neuroendocrine tumors
Neutrophils
Patients
peptide receptor radionuclide therapy
Peptides
Radiation therapy
therapy‐related leukemia
Toxicity
tyrosine kinase inhibitor
title Therapy‐related chronic myeloid leukemia in a patient receiving peptide receptor radionuclide therapy for pancreatic neuroendocrine tumor
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