Successful Treatment With ATRA and Arsenic Trioxide for a Child With Down Syndrome and Acute Promyelocytic Leukemia

被引:1
|
作者
Tsumura, Yusuke [1 ]
Yamada, Yuji [1 ]
Osumi, Tomoo [1 ]
Kato, Motohiro [1 ]
Terashima, Keita [1 ]
Shioda, Yoko [1 ]
Kiyotani, Chikako [1 ]
Matsumoto, Kimikazu [1 ]
Tomizawa, Daisuke [1 ]
机构
[1] Natl Ctr Child Hlth & Dev, Childrens Canc Ctr, Tokyo, Japan
关键词
acute promyelocytic leukemia; Down syndrome; arsenic trioxide; all-trans retinoic acid; MYELOID-LEUKEMIA; CHEMOTHERAPY; CYTOGENETICS; REDUCTION; RELAPSE;
D O I
10.1097/MPH.0000000000001438
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Acute promyelocytic leukemia (APL) is rare in patients with Down syndrome (DS). Cytotoxic chemotherapy combined with all-trans retinoic acid (ATRA) has been a standard treatment for APL, but is potentially intolerable for DS patients because of their vulnerability to cytotoxic agents. We report here a case of a 10-year-old girl with DS and APL successfully treated with a combination of ATRA and arsenic trioxide, a therapy emerging as a new standard for APL. She achieved molecular remission and completed the therapy without significant toxicities. ATRA/arsenic trioxide combination therapy would be a preferable option for DS patients with APL.
引用
收藏
页码:322 / 325
页数:4
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