Relapse of acute promyelocytic leukemia presenting as granulocytic sarcoma in the hip
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A 43-year-old male presented in January of 2006 with a 4-month history of progressive right hip pain and a 2-week history of easy bruising and fatigue. His history was notable for acute promyelocytic leukemia (APL), diagnosed in the June of 2003, for which he had been treated with induction chemotherapy consisting of idarubicin and all-trans retinoic acid (ATRA), and achieved a complete remission. Then he received two courses of consolidation therapy with idarubicin and was placed on maintenance therapy with ATRA for 15 days every 3 months for the next 2 years. The patient discontinued his maintenance therapy after only 6 months.
KeywordsAcute Myeloid Leukemia Acute Promyelocytic Leukemia Bone Marrow Aspirate Idarubicin Consolidation Chemotherapy
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