E. Van Den Neste et al., Myelodysplastic syndrome with monosomy 5 and/or 7 following therapy with 2-chloro-2 '-deoxyadenosine, BR J HAEM, 105(1), 1999, pp. 268-270
A few cases of secondary neoplasms occurring after treatment with 2-chloro-
2'-deoxyadenosine (2CdA) have been reported, mostly in patients previously
exposed to other anti-cancer drugs including alkylating agents (AA), Here w
e report on the occurrence of a myelodysplastic syndrome (MDS) with monosom
y 5 and/or 7 in two patients after 2CdA treatment, without or prior to othe
r toxic exposure. In light of a literature review and given the involvement
of chromosomes frequently abnormal in secondary leukaemias, we suggest tha
t 2CdA may induce therapy-related MDS (t-MDS).