Table 8.
Pat. | Age/sex | Cutaneous lesions | Extracutaneous manifestations | Genetics * | Initial treatment | Response | Site of relapse | Salvage therapy | Outcome (months) |
---|---|---|---|---|---|---|---|---|---|
a | 60/m | Thorax | BM, LN, nasopharynx | mos46,XY/45,XY, t(12;15) (p11;q11) | Vincristine, daunorubicin, prednisolone, HAM | CR | BM | ICE | 40 DOD |
b | 71/m | Trunk | BM, leukemia, LN | 46, XY | DA, ETI | CR | Skin, BM | Cytarabine, CHOP, FC | 18 DOD |
c | 74/w | Scalp, trunk, upper arms | BM, leukemia | mos46,XX/44,XX,-9 | CHOP | CR | BM, leukemia, spleen | Palliative | 8 DOD |
d | 23/m | Diffuse | BM | 46, XY | CHOP, MTX (i.th.) autologous PBSCT | CR | Skin, BM, LN, CNS, spleen | ESHAR allo-TX | 20 in CR d+52 therapy related |
e | 32/m | Face, lower legs | BM, leukemia LN, CNS | rev ish dim 5q21-q32rev ish dim 9 rev ish dim | CHOP, MTX (i.th.) autologous PBSCT | CR | Skin, BM, leukemia, LN, CNS, | T-ALL regimen | 13 DOD |
13q rev ish enh 14q32 | |||||||||
f | 67/f | Mamma | No | ND | DA | CR | 4+under therapy |
*In all cases except case e, classical cytogenetics was performed. Case e was investigated by comparative genomic hybidization.
ALL: acute lymphoblastic leukemia; ATG: antithymocyte globulin; BM: bone marrow; CHOP: cyclophosphamide, doxorubicin, vincristine, prednisone; CNS: central nervous system; DA: daunorubicin, cytarabine; DOD: died of disease; ESHAP: etoposide, methylprednisone, cytarabine, cisplatin; ETI: idarubicine, thioguanine, etoposide; FC: fludarabine, cyclophosphamide; HAM: high-dose cytarabine, mitoxantrone; ICE: idarubicin, cytarabine, etoposide; i.th: intrathecal; LN: lymph nodes; MTX: methotrexate; CR: complete remission.