Spontaneous remission in a patient with acute myeloid leukemia leading to undetectable minimal residual disease Journal Article


Authors: Helbig, D.; Quesada, A. E.; Xiao, W.; Roshal, M.; Tallman, M. S.; Knorr, D. A.
Article Title: Spontaneous remission in a patient with acute myeloid leukemia leading to undetectable minimal residual disease
Abstract: Although rare, spontaneous remission (SR) of acute myeloid leukemia (AML) has been reported in the literature, the underlying mechanisms driving remission remain unknown. However, it is most commonly associated with a preceding severe infection. We present a case of a 40-year-old man with no past medical history who presented to our hospital with severe left hip pain and fevers and was found to have AML. Chemotherapy was delayed because the patient required extensive debridement and fasciotomy of his left hip and a prolonged course of antibiotics. After his acute illness had stabilized, a repeat bone marrow biopsy was performed which showed no abnormal myeloid blasts and resolution of his original cytogenetic and molecular abnormalities. At the time of this writing, our patient remains in remission with undetectable minimal residual disease (MRD), now 14 months from his initial diagnosis of AML.
Keywords: minimal residual disease; mutations; tumor-necrosis-factor; aml; spontaneous remission
Journal Title: Journal of Hematology
Volume: 9
Issue: 1-2
ISSN: 1927-1212
Publisher: Elmer Press Inc  
Date Published: 2020-04-01
Start Page: 18
End Page: 22
Language: English
ACCESSION: WOS:000595416400005
DOI: 10.14740/jh606
PROVIDER: wos
PMCID: PMC7188378
PUBMED: 32362981
Notes: Article -- Source: Wos
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MSK Authors
  1. Martin Stuart Tallman
    649 Tallman
  2. Mikhail Roshal
    227 Roshal
  3. Wenbin Xiao
    108 Xiao
  4. David A Knorr
    21 Knorr
  5. Daniel Helbig
    1 Helbig