Abstract
We report two cases of secondary myelodysplastic syndrome (SMDS) which followed successful treatment of a primary malignancy with high-dose chemotherapy supported by reinfusion of autologous stem cells. The SMDS was diagnosed 24 months and 40 months, respectively, following autografting. Both patients lived for 7 months after the diagnosis of SMDS. Our cases support the view that there is an increased risk of SMDS/acute leukemia following autologous marrow transplantation.
MeSH terms
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Adult
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Bleomycin / administration & dosage
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Bone Marrow Transplantation / adverse effects*
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Combined Modality Therapy
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Cyclophosphamide / administration & dosage
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Dose-Response Relationship, Drug
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Doxorubicin / administration & dosage
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Etoposide / administration & dosage
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Humans
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Leucovorin / administration & dosage
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Lymphoma / drug therapy
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Lymphoma / therapy
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Male
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Methotrexate / administration & dosage
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Myelodysplastic Syndromes / diagnosis
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Myelodysplastic Syndromes / epidemiology
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Myelodysplastic Syndromes / etiology*
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Prednisone / administration & dosage
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Procarbazine / administration & dosage
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Rectal Neoplasms / drug therapy
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Rectal Neoplasms / therapy
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Risk Factors
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Seminoma / drug therapy
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Seminoma / therapy
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Testicular Neoplasms / drug therapy
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Testicular Neoplasms / therapy
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Transplantation, Autologous
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Vincristine / administration & dosage
Substances
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Bleomycin
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Procarbazine
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Vincristine
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Etoposide
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Doxorubicin
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Cyclophosphamide
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Leucovorin
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Prednisone
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Methotrexate
Supplementary concepts
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BEACOPP protocol
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MACOP-B protocol