Chronic myelomonocytic leukemia with double-mutations in DNMT3A and FLT3-ITD treated with decitabine and sorafenib

Chronic myelomonocytic leukemia with double-mutations in DNMT3A and FLT3-ITD treated with decitabine and sorafenib
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地西他滨和索拉非尼治疗 DNMT3A 和 FLT3-ITD 双突变慢性粒单核细胞白血病

DOI:
10.1080/15384047.2017.1281491
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发表时间:
2017-01
期刊:
Cancer Biol Ther.
影响因子:
--
通讯作者:
Wei Huang
Wei Huang
中科院分区:
其他
文献类型:
--
作者:
Jia Gu;Zhiqiong Wang;Min Xiao;Xia Mao;Li Zhu;Ying Wang;Wei Huang

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摘要慢性粒单核细胞白血病(CMML)是一种总存活率较低的异质性肿瘤性血液病。有一半的CMML存在突变,但同时存在DNA甲基转移酶3A(DNMT3A)突变和Flt3膜旁区域内串联重复(Flt3-ITD)的病例尚未见报道。我们报告了一位51岁的男性患者,他患有CMML,并伴有DNMT3A和Flt3-ITD的突变。患者接受了地西他滨和索拉非尼的联合治疗。本文就DNMT3A突变和Flt3突变以及地西他滨和索拉非尼的治疗作一综述。这份报告意义重大。第一:首次报道存在DNMT3A和Flt3-ITD双突变的CMML。第二:说明靶向药物在CMML综合治疗中的重要性。
ABSTRACT Chronic myelomonocytic leukemia (CMML) is a heterogeneous neoplastic hematologic disorder with worse overall survival. Half of CMML have mutations, but case with concomitant mutations of DNA methyltransferase 3A (DNMT3A) and Internal tandem duplications of the juxtamembrane domain of FLT3 (FLT3-ITD) in CMML was not reported before. We reported a 51-year-old man who had CMML with concomitant mutations in DNMT3A and FLT3-ITD.The patient received decitabine and sorafenib combined treatment. In this report, we reviewed DNMT3A mutation and FLT3 mutation, and we reviewed treatment of decitabine and sorafenib. This report is significant. First: This is the first report on CMML with double-mutations of DNMT3A and FLT3-ITD. Second: It shows the importance of targeted drug in combined treatment of CMML.
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