Table 1.
Case | Age (years), sex | Clinical manifestation prior to EMS diagnosis | Karyotype | Treatments | Outcome |
---|---|---|---|---|---|
Case 1 | 58, male | AML | 47, XY, t(8;22) (p11.2; q11.2), +19[20] | 1. Sorafenib and 7 + 3 2. ASCT 3. FLAG-IDA |
Originally, CR with MRD negative status Relapse 5 mo and death 6 mo after presentation |
Case 2 | 72, female | B-ALL | 46, XX, t(8;22), del(9), del(16), and del (7) | 1. Hyper-CVAD-A and rituximab 2. Hyper-CVAD-B and methotrexate 3. FLAG-IDA |
Originally, CR with MRD negative status Death 6 mo after presentation |
(CR) Complete remission, (MRD) minimal residual disease, (7 + 3) cytarabine (7 d) + anthracycline (3 d), (FLAG-IDA) fludarabine, cytarabine, idarubicin, and granulocyte colony-stimulating factor (G-CSF), (Hyper-CVAD-A) cyclophosphamide, vincristine, doxorubicin, and dexamethasone, (Hyper-CVAD-B) methotrexate and cytarabine.