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Malignant tumours in adult patients after successful treatment of acute myeloid leukemia: long-term experience at the Department of Hemato-Oncology in Olomouc


Authors: T. Szotkowski 1;  Z. Šustková 2;  J. Vrbková 3;  J. Hubáček 1;  L. Raida 1;  P. Rohoň 1;  A. Kuba 1;  R. Szotkowská 1;  Z. Pikalová 1;  K. Sičová 1;  M. Jarošová 1;  E. Faber 1;  T. Papajík 1;  K. Indrák 1
Authors‘ workplace: Hemato-onkologická klinika, Lékařská fakulta Univerzity Palackého Olomouc 1;  Interní hematologická a onkologická klinika, Fakultní nemocnice Brno-Bohunice 2;  Ústav molekulární a translační medicíny, Lékařská fakulta Univerzity Palackého Olomouc 3
Published in: Transfuze Hematol. dnes,19, 2013, No. 4, p. 210-214.
Category: Comprehensive Reports, Original Papers, Case Reports

Overview

Introduction.
Current curative treatment of acute myeloid leukemia is based on intensive chemotherapy and hematopoietic stem cell transplantation with a significant risk of severe adverse effects, including leukemogenic and cancerogenic ones.

Objectives.
The study is aimed at assessing of incidence and types of malignant tumours in successfully treated acute myeloid leukemia patients.

Methods.
A retrospective analysis consists of 256 patients diagnosed with acute myeloid leukemia at the Department of Hemato-Oncology in Olomouc in 1996-2008 who were treated with intensive chemotherapy and achieved complete remission of the disease.

Results.
Second malignancy occurred in 11 individuals (4.3%) after successful treatment of acute myeloid leukemia. Observed age-standardized incidence of these tumours, 8.29/1,000 person-years, 95% CI = (2.99; 13.58), was not significantly different from the incidence in population. Five patients died of the second malignancy.

Key words:
acute myeloid leukemia, curative treatment, second malignancy


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