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Plasma cell leukemia: advantages of treatment with bortezomib

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Abstract

Plasma cell leukemia is an aggressive variant of multiple myeloma affecting 4% of all cases of the latter. It is characterized by the presence of at least 20% plasma cells circulating in the peripheral blood, equivalent to an absolute number greater than 2,000/mm3. Plasma cell leukemia exits in two forms: primary or de novo plasma cell leukemia (60%) and the secondary form, which consists of a leukemia transformation of a multiple myeloma (40% plasma cell leukemia and 1% multiple myeloma). The disease is rare and has poor prognosis, as there is no effective therapy except the standard melphalan–prednisone combination. We report here on a case of primary plasma cell leukemia diagnosed in the Nice University Hospital’s Onco-hematology Department, which achieved complete response (CR) after eight cycles of bortezomib-cexamethasone followed by maintenance treatment with bortezomib.

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References

  1. Guièze R, Moreau A, Dupire S et al (2005) Leucémie à Plasmocytes. Hématologie 3:217–225

    Google Scholar 

  2. Saccaro S, Fonseca R, Veillon D et al (2005) Primary plasma cell leukemia: report of 17 new cases treated with autologous or allogeneic stem-cell transplantation and review of the literature. Am J Hematol 78:288–294

    Article  PubMed  Google Scholar 

  3. Musto P, Rossini F, Gay F et al (2007) Efficacy and safety of bortezomib in patients with plasma cell leukemia. Cancer 109(11):2285–2290

    Article  PubMed  CAS  Google Scholar 

  4. Kim SJ, Kim J, Cho Y et al (2007) Combination chemotherapy with bortezomib, cyclophosphamide and dexamethasone may be effective for plasma cell leukemia. J Clin Oncol 37(5):382–384

    Google Scholar 

  5. Katodritou E, Verrou E, Gastari V et al (2007) Response of primary plasma cell leukemia to the combination of bortezomib and dexamethasone: do specific cytogenetic and immunophenotypic characteristics influence treatment outcome? Leuk Res 32(7):1153–1156

    Article  CAS  Google Scholar 

  6. Woodruff RK, Malpas JS, Paxton AM et al (1978) Plasma cell leukaemia (PCL): a report on 15 patients. Blood 52:839–845

    PubMed  CAS  Google Scholar 

  7. Toma VA, Retief FP, Potgieter GM, Anderson JD (1980) Plasma cell leukaemia: diagnostic problems in our experience with 11 cases. Acta haemato 163:136–145

    Article  Google Scholar 

  8. Noel P, Kyle RA (1987) Plasma cell leukaemia: an evaluation of response to therapy. Am J Med 83(6):1062–1068

    Article  PubMed  CAS  Google Scholar 

  9. Bernasconi C, Castelli G, Pagnucco G et al (1989) Plasma cell leukemia: a report on 15 patients. Eur J Haematol (supplement) 51:76–83

    CAS  Google Scholar 

  10. Dimopoulos MA, Palumbo A, Delasalle KB et al (1994) Primary plasma cell leukaemia. Br J Haematol 88:754–759

    Article  PubMed  CAS  Google Scholar 

  11. Garcia-Sanz R, Orfao A, Gonzales M et al (1999) Primary plasma cell leukemia: clinical, immunophenotypic, DNA ploidy, and cytogenetic characteristics. Blood 93:1032–1037

    PubMed  CAS  Google Scholar 

  12. Costello R, Sainty D, Bouabdallah R, Fermand JP, Delmer A, Divinι M et al (2001) Primary plasma cell leukemia: a report of 18 cases. Leuk Res 25:103–107

    Article  PubMed  CAS  Google Scholar 

  13. Vela-Ojeda J, Garcia-Ruiz Esparza MA, Rosas-Cabral A et al (2002) Intermediate doses of melphalan for the treatment of primary plasma cell leukaemia. Ann Hematol 81:362–367

    Article  PubMed  CAS  Google Scholar 

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The authors declare that they do not have any conflict of interest.

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Correspondence to N. Mounier.

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Fraimout, N., Kadouch, B., Ticchioni, M. et al. Plasma cell leukemia: advantages of treatment with bortezomib. Targ Oncol 3, 265–267 (2008). https://doi.org/10.1007/s11523-008-0096-3

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  • DOI: https://doi.org/10.1007/s11523-008-0096-3

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