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Extramedullary Gastric Relapse at the Time of Bone Marrow Relapse of Acute Lymphoblastic Leukemia after Allogeneic Bone Marrow Transplantation

Extramedullary relapse (EMR) after allogeneic hematopoietic stem cell transplantation (allo-HSCT) is relatively rare. The most commonly reported sites in acute lymphoblastic leukemia (ALL) patients after allo-HSCT are soft tissue and the central nervous system, and the gastrointestinal system is an...

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Autores principales: Ikeuchi, Kazuhiko, Doki, Noriko, Takao, Akinari, Hishima, Tsunekazu, Yamada, Yuta, Konishi, Tatsuya, Nagata, Akihito, Takezaki, Toshiaki, Kaito, Satoshi, Kurosawa, Shuhei, Sakaguchi, Masahiro, Harada, Kaito, Yasuda, Shunichiro, Yoshioka, Kosuke, Watakabe-Inamoto, Kyoko, Igarashi, Aiko, Najima, Yuho, Muto, Hideharu, Kobayashi, Takeshi, Kakihana, Kazuhiko, Sakamaki, Hisashi, Ohashi, Kazuteru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742396/
https://www.ncbi.nlm.nih.gov/pubmed/28943549
http://dx.doi.org/10.2169/internalmedicine.8646-16
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author Ikeuchi, Kazuhiko
Doki, Noriko
Takao, Akinari
Hishima, Tsunekazu
Yamada, Yuta
Konishi, Tatsuya
Nagata, Akihito
Takezaki, Toshiaki
Kaito, Satoshi
Kurosawa, Shuhei
Sakaguchi, Masahiro
Harada, Kaito
Yasuda, Shunichiro
Yoshioka, Kosuke
Watakabe-Inamoto, Kyoko
Igarashi, Aiko
Najima, Yuho
Muto, Hideharu
Kobayashi, Takeshi
Kakihana, Kazuhiko
Sakamaki, Hisashi
Ohashi, Kazuteru
author_facet Ikeuchi, Kazuhiko
Doki, Noriko
Takao, Akinari
Hishima, Tsunekazu
Yamada, Yuta
Konishi, Tatsuya
Nagata, Akihito
Takezaki, Toshiaki
Kaito, Satoshi
Kurosawa, Shuhei
Sakaguchi, Masahiro
Harada, Kaito
Yasuda, Shunichiro
Yoshioka, Kosuke
Watakabe-Inamoto, Kyoko
Igarashi, Aiko
Najima, Yuho
Muto, Hideharu
Kobayashi, Takeshi
Kakihana, Kazuhiko
Sakamaki, Hisashi
Ohashi, Kazuteru
author_sort Ikeuchi, Kazuhiko
collection PubMed
description Extramedullary relapse (EMR) after allogeneic hematopoietic stem cell transplantation (allo-HSCT) is relatively rare. The most commonly reported sites in acute lymphoblastic leukemia (ALL) patients after allo-HSCT are soft tissue and the central nervous system, and the gastrointestinal system is an uncommon site. We herein report a unique case with massive hematemesis resulting from gastrointestinal relapse of ALL after allo-HSCT. Upper gastrointestinal endoscopy showed bleeding from a 1.5-cm submucosal tumorous lesion with central ulceration on the anterior wall of the stomach. At the same time, computed tomography revealed extramedullary relapse at the breast and bilateral adrenal glands.
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spelling pubmed-57423962017-12-27 Extramedullary Gastric Relapse at the Time of Bone Marrow Relapse of Acute Lymphoblastic Leukemia after Allogeneic Bone Marrow Transplantation Ikeuchi, Kazuhiko Doki, Noriko Takao, Akinari Hishima, Tsunekazu Yamada, Yuta Konishi, Tatsuya Nagata, Akihito Takezaki, Toshiaki Kaito, Satoshi Kurosawa, Shuhei Sakaguchi, Masahiro Harada, Kaito Yasuda, Shunichiro Yoshioka, Kosuke Watakabe-Inamoto, Kyoko Igarashi, Aiko Najima, Yuho Muto, Hideharu Kobayashi, Takeshi Kakihana, Kazuhiko Sakamaki, Hisashi Ohashi, Kazuteru Intern Med Case Report Extramedullary relapse (EMR) after allogeneic hematopoietic stem cell transplantation (allo-HSCT) is relatively rare. The most commonly reported sites in acute lymphoblastic leukemia (ALL) patients after allo-HSCT are soft tissue and the central nervous system, and the gastrointestinal system is an uncommon site. We herein report a unique case with massive hematemesis resulting from gastrointestinal relapse of ALL after allo-HSCT. Upper gastrointestinal endoscopy showed bleeding from a 1.5-cm submucosal tumorous lesion with central ulceration on the anterior wall of the stomach. At the same time, computed tomography revealed extramedullary relapse at the breast and bilateral adrenal glands. The Japanese Society of Internal Medicine 2017-09-25 2017-12-01 /pmc/articles/PMC5742396/ /pubmed/28943549 http://dx.doi.org/10.2169/internalmedicine.8646-16 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ikeuchi, Kazuhiko
Doki, Noriko
Takao, Akinari
Hishima, Tsunekazu
Yamada, Yuta
Konishi, Tatsuya
Nagata, Akihito
Takezaki, Toshiaki
Kaito, Satoshi
Kurosawa, Shuhei
Sakaguchi, Masahiro
Harada, Kaito
Yasuda, Shunichiro
Yoshioka, Kosuke
Watakabe-Inamoto, Kyoko
Igarashi, Aiko
Najima, Yuho
Muto, Hideharu
Kobayashi, Takeshi
Kakihana, Kazuhiko
Sakamaki, Hisashi
Ohashi, Kazuteru
Extramedullary Gastric Relapse at the Time of Bone Marrow Relapse of Acute Lymphoblastic Leukemia after Allogeneic Bone Marrow Transplantation
title Extramedullary Gastric Relapse at the Time of Bone Marrow Relapse of Acute Lymphoblastic Leukemia after Allogeneic Bone Marrow Transplantation
title_full Extramedullary Gastric Relapse at the Time of Bone Marrow Relapse of Acute Lymphoblastic Leukemia after Allogeneic Bone Marrow Transplantation
title_fullStr Extramedullary Gastric Relapse at the Time of Bone Marrow Relapse of Acute Lymphoblastic Leukemia after Allogeneic Bone Marrow Transplantation
title_full_unstemmed Extramedullary Gastric Relapse at the Time of Bone Marrow Relapse of Acute Lymphoblastic Leukemia after Allogeneic Bone Marrow Transplantation
title_short Extramedullary Gastric Relapse at the Time of Bone Marrow Relapse of Acute Lymphoblastic Leukemia after Allogeneic Bone Marrow Transplantation
title_sort extramedullary gastric relapse at the time of bone marrow relapse of acute lymphoblastic leukemia after allogeneic bone marrow transplantation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5742396/
https://www.ncbi.nlm.nih.gov/pubmed/28943549
http://dx.doi.org/10.2169/internalmedicine.8646-16
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