Myeloid Disease with the CSF3R T618I Mutation after CLL
Joint Authors
Couto, Maria Eduarda
Bizarro, Susana
Sousa, Domingos
Oliveira, Isabel
Martins, Gabriela
Teixeira, Manuel R.
Mariz, Mário
Domingues, Nelson
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-12-21
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Chronic lymphocytic leukemia (CLL) is frequently an indolent diagnosis, with most of the patients being under surveillance for long time.
There is an increased risk of a second neoplasia in CLL, rarely hematological (in the myeloid lineage is even rarer).
A 58-year-old male was diagnosed with CLL in 2012, remaining in regular surveillance until 2014.
Then, the CLL progressed, and 6 cycles of rituximab, fludarabine, and cyclophosphamide were prescribed with partial response.
He remained in surveillance and suffered 2 episodes of autoimmune hemolytic anemia until 2019.
Then, the hemolytic anemia relapsed and a neutrophilia became evident (progressing slowly), as well as a thrombocytopenia and splenomegaly without adenopathy were found.
The bone marrow aspirate showed a chronic myeloproliferative disease without dysplasia.
A peripheral blood search for the CSF3R mutation (T618I) was positive, also suggesting Chronic Neutrophilic Leukemia (CNL).
For a discrete monocytosis, a chronic myelomonocytic leukemia (CMML) was also considered.
Hydroxyurea was then prescribed.
The T618I CSF3R mutation is highly suggestive of CNL (being diagnostic criteria for CNL); however, this case may also suggest CMML as a possible diagnosis (there are other mutations in the CSF3R gene described for CMML, but not the T618I, which is highly exclusive of CNL according to the literature).
To our knowledge, this is the first report of a possible CNL in a CLL patient (the opposite was already described in 1998).
American Psychological Association (APA)
Couto, Maria Eduarda& Bizarro, Susana& Sousa, Domingos& Domingues, Nelson& Oliveira, Isabel& Martins, Gabriela…[et al.]. 2020. Myeloid Disease with the CSF3R T618I Mutation after CLL. Case Reports in Hematology،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1147706
Modern Language Association (MLA)
Couto, Maria Eduarda…[et al.]. Myeloid Disease with the CSF3R T618I Mutation after CLL. Case Reports in Hematology No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1147706
American Medical Association (AMA)
Couto, Maria Eduarda& Bizarro, Susana& Sousa, Domingos& Domingues, Nelson& Oliveira, Isabel& Martins, Gabriela…[et al.]. Myeloid Disease with the CSF3R T618I Mutation after CLL. Case Reports in Hematology. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1147706
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147706