Acute Megakaryoblastic Leukemia with Trisomy 21 and Tetrasomy 21 Clones in a Phenotypically Normal Child with Mosaic Trisomy 21.


Journal

Case reports in pediatrics
ISSN: 2090-6803
Titre abrégé: Case Rep Pediatr
Pays: United States
ID NLM: 101581030

Informations de publication

Date de publication:
2020
Historique:
received: 01 11 2019
accepted: 24 02 2020
entrez: 8 4 2020
pubmed: 8 4 2020
medline: 8 4 2020
Statut: epublish

Résumé

Pediatric acute megakaryoblastic leukemia (AMKL) is a rare subtype of acute myeloid leukemia (AML) that may be divided into two subgroups: (1) Down syndrome- (DS-) related AMKL which generally has a favorable prognosis and (2) non-DS-related AMKL which generally has a poorer outcome. We report a phenotypically normal child with AMKL with trisomy 21 (T21) and tetrasomy 21 clones. Subsequently, she was diagnosed with mosaic T21. She underwent reduced-intensity therapy with good outcome. We review the literature regarding AMKL-associated cytogenetic abnormalities and AMKL in association with DS. We suggest evaluation for mosaic T21 in phenotypically normal pediatric patients with T21-positive AML.

Identifiants

pubmed: 32257492
doi: 10.1155/2020/7813048
pmc: PMC7103042
doi:

Types de publication

Case Reports

Langues

eng

Pagination

7813048

Informations de copyright

Copyright © 2020 Eric Won et al.

Déclaration de conflit d'intérêts

The authors have no conflicts of interest to disclose.

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Auteurs

Eric Won (E)

Department of Pediatrics, UCSD School of Medicine, La Jolla, CA, USA.
Division of Hematology-Oncology, Rady Children's Hospital, San Diego, CA, USA.

Tanja A Gruber (TA)

Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Suzanne Tucker (S)

Department of Pathology, UCSD School of Medicine, La Jolla, CA, USA.
Division of Pathology, Rady Children's Hospital, San Diego, CA, USA.

Deborah E Schiff (DE)

Department of Pediatrics, UCSD School of Medicine, La Jolla, CA, USA.
Division of Hematology-Oncology, Rady Children's Hospital, San Diego, CA, USA.

Classifications MeSH