Paraplegia as Manifestation of an Isolated Central Nervous System Relapse Following Allogeneic Hematopoietic Stem Cell Transplantation in a Woman with Acute Myelogenous Leukemia
To the Editor:Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is a curative therapy for patients with acute myelogenous leukemia (AML) due to the intensive conditioning chemoradiotherapy and the effect of graft-versus-leukemia (GVL).An isolated extramedullary (EM) relapse of acute leukemia (AL) is a rare occurrence observed more commonly after allo-HSCT rather than following conventional chemotherapy alone.[1] The prognosis of patients with EM relapse is less favorable than bone marrow (BM) relapse,and there are no standard therapies.
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