| Literature DB >> 28725653 |
Irene Dogliotti1, Carmen Fava1, Anna Serra1, Enrico Gottardi1, Filomena Daraio1, Francesca Carnuccio1, Emilia Giugliano1, Monica Bocchia2, Giuseppe Saglio1, Giovanna Rege-Cambrin1.
Abstract
Current diagnostic criteria for Philadelphia-negative myeloproliferative neoplasia (MPN) have been redefined by the discovery of Janus kinase 2 (JAK2), myeloproliferative leukemia (MPL) and calreticulin (CALR) genetic alterations. Only few cases of coexistence of CALR-mutated MPN and Philadelphia-positive chronic myeloid leukemia (CML) have been described so far. Here we report the case of a patient with CML diagnosed in 2001, treated with imatinib and pegylated interferon (IFN) frontline. She reached complete molecular remission (CMR) and discontinued imatinib, maintaining treatment free remission. Due to persistent thrombocytosis, we repeated bone marrow (BM) analysis and diagnosed CARL-mutated essential thrombocythemia (ET). A CALR-positive clone was found to be present since 2001, and was unaffected by imatinib treatment, possibly representing a molecular abnormality arising at stem cell level.Entities:
Keywords: Chronic myeloid leukemia (CML); calreticulin (CALR); essential thrombocythemia (ET); imatinib discontinuation; myeloproliferative neoplasia (MPN)
Year: 2017 PMID: 28725653 PMCID: PMC5503914 DOI: 10.21037/sci.2017.06.02
Source DB: PubMed Journal: Stem Cell Investig ISSN: 2306-9759