Back to Search
Start Over
Gilteritinib in Isolated Breast Relapse of FLT3 Positive Acute Myeloid Leukemia: A Case Report and Review of Literature.
- Source :
-
Acta haematologica [Acta Haematol] 2022; Vol. 145 (5), pp. 566-570. Date of Electronic Publication: 2022 May 17. - Publication Year :
- 2022
-
Abstract
- Extramedullary relapse of acute myeloid leukemia (AML) is not a rare event, and the FMS-like tyrosine kinase 3 (FLT3) mutation is a well-known risk factor. Gilteritinib is approved for relapsed/refractory FLT3+ AML, but its efficacy in extramedullary relapse is still undefined. Here, we present the case of a 69-year-old woman with therapy-related nucleophosmin-1 and FLT3-internal tandem duplication (FLT3-ITD) positive AML treated with induction and consolidation with CPX-351 (liposomal daunorubicin plus cytarabine) followed by off-label azacitidine maintenance who obtained a complete remission (CR) with persistent measurable residual disease. After 19 months of CR, she experienced an isolated breast relapse of FLT3-ITD+ AML. She was started on single-agent gilteritinib, resulting in a rapid and persistent complete regression of the breast nodule. Targeted therapy with gilteritinib for relapsed/refractory FLT3-ITD+ AML can be effective in isolated extramedullary relapse.<br /> (© 2022 S. Karger AG, Basel.)
Details
- Language :
- English
- ISSN :
- 1421-9662
- Volume :
- 145
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Acta haematologica
- Publication Type :
- Review
- Accession number :
- 35580565
- Full Text :
- https://doi.org/10.1159/000524878