Ja. Perezsimon et al., COMPLETE CYTOGENETIC BUT NOT MOLECULAR REMISSION IN A PATIENT WITH MYELOID BLAST CRISIS OF CHRONIC MYELOID-LEUKEMIA TREATED WITH CARBOPLATIN AND ARA-C, Haematologica, 82(5), 1997, pp. 604-605
We report on a patient diagnosed with myeloid BC-CML in which a comple
te cytogenetic remission confirmed by FISH assay was obtained after th
erapy with carboplatin-ARA-C. However, RT-PCR analysis showed persiste
nce of the p210 bcr-abl translocation. Accordingly, the level of resid
ual malignant cells should be between 10(-2) and 10(-6). Autologous st
em cell transplantation was performed, but relapse occurred 11 months
after blast crisis. This case supports the effectiveness of a carbopla
tin-ARA-C protocol in BC-CML in order to induce cytogenetic remissions
. (C) 1997, Ferrata Storti Foundation.