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Reciprocal Clonal Dynamics of Independent D835V-Positive Acute Myeloid Leukemia and Chronic Myeloid Leukemia With Gilteritinib.

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EJHaem 📖 저널 OA 100% 2025: 11/11 OA 2026: 32/32 OA 2025~2026 2026 Vol.7() p. e70289 OA Acute Myeloid Leukemia Research
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PubMed DOI PMC OpenAlex 마지막 보강 2026-04-30
OpenAlex 토픽 · Acute Myeloid Leukemia Research Chronic Myeloid Leukemia Treatments Myeloproliferative Neoplasms: Diagnosis and Treatment

Osone K, Katagiri S, Chi S, Minami Y, Gotoh A, Akahane D

📝 환자 설명용 한 줄

We report a 65-year-old man with D835V-mutated acute myeloid leukemia (AML) and -positive chronic myeloid leukemia (CML) that coexisted as genetically independent clones.

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APA Kai Osone, Seiichiro Katagiri, et al. (2026). Reciprocal Clonal Dynamics of Independent D835V-Positive Acute Myeloid Leukemia and Chronic Myeloid Leukemia With Gilteritinib.. EJHaem, 7, e70289. https://doi.org/10.1002/jha2.70289
MLA Kai Osone, et al.. "Reciprocal Clonal Dynamics of Independent D835V-Positive Acute Myeloid Leukemia and Chronic Myeloid Leukemia With Gilteritinib.." EJHaem, vol. 7, 2026, pp. e70289.
PMID 41982787 ↗
DOI 10.1002/jha2.70289

Abstract

We report a 65-year-old man with D835V-mutated acute myeloid leukemia (AML) and -positive chronic myeloid leukemia (CML) that coexisted as genetically independent clones. Cytogenetic and targeted sequencing analyses demonstrated that the AML and CML clones coexisted as distinct entities. During treatment with gilteritinib, the AML blasts regressed, and then the CML clone expanded. Subsequently, the CML burden declined as the AML clone regrew. This case highlights the importance of accurately assessing clonal changes using genetic analysis when implementing molecular targeted therapy for hematologic malignancies.

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