Korean J Hematol.  2012 Sep;47(3):225-228. 10.5045/kjh.2012.47.3.225.

A case of therapy-related acute myeloid leukemia with inv(16)(p13.1q22) after single low-dose iodine-131 treatment for thyroid cancer

Affiliations
  • 1Department of Laboratory Medicine, Gachon University Gil Medical Center, Incheon, Korea. jyahn@gilhospital.com
  • 2Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.

Abstract

Radioiodine is regularly used in the treatment of thyroid cancer to eliminate residual malignant tissue after thyroidectomy and to treat metastasis. Because of the low dose of radioiodine used to treat thyroid cancer patients, leukemia is an uncommon complication of exposure to radioiodine. Here, we present a patient who developed therapy-related acute myeloid leukemia with inv(16)(p13.1q22);CBFbeta-MYH11, eosinophilia, and K-ras mutation and who had been treated with very low-dose radioiodine following total thyroidectomy.

Keyword

Radioiodine; Thyroid cancer; Acute myeloid leukemia; CBFbeta-MYH11; Eosinophilia; K-ras

MeSH Terms

Eosinophilia
Humans
Leukemia
Leukemia, Myeloid, Acute
Neoplasm Metastasis
Oncogene Proteins, Fusion
Thyroid Gland
Thyroid Neoplasms
Thyroidectomy
Oncogene Proteins, Fusion

Reference

1. Sawka AM, Thabane L, Parlea L, et al. Second primary malignancy risk after radioactive iodine treatment for thyroid cancer: a systematic review and meta-analysis. Thyroid. 2009. 19:451–457.
Article
2. Pochin EE. Prospects from the treatment of thyroid carcinoma with radioiodine. Clin Radiol. 1967. 18:113–125.
Article
3. Pochin EE. Leukaemia following radioiodine treatment of thyrotoxicosis. Br Med J. 1960. 2:1545–1550.
Article
4. Swerdlow SH, Campo E, Harris NL, et al. WHO classification of tumours of haematopoietic and lymphoid tissues. 2008. 4th ed. Lyon, France: IARC;112–129.
5. Jonklaas J, Sarlis NJ, Litofsky D, et al. Outcomes of patients with differentiated thyroid carcinoma following initial therapy. Thyroid. 2006. 16:1229–1242.
Article
6. Bitton R, Sachmechi I, Benegalrao Y, et al. Leukemia after a small dose of radioiodine for metastatic thyroid cancer. J Clin Endocrinol Metab. 1993. 77:1423–1426.
Article
7. Roldán Schilling V, Fernández Abellán P, Domínguez Escribano JR, Rivas González C, Mut Barberá E, Calatayud Cendra R. Acute leukemias after treatment with radioiodine for thyroid cancer. Haematologica. 1998. 83:767–768.
8. Andersen MK, Larson RA, Mauritzson N, Schnittger S, Jhanwar SC, Pedersen-Bjergaard J. Balanced chromosome abnormalities inv(16) and t(15;17) in therapy-related myelodysplastic syndromes and acute leukemia: report from an international workshop. Genes Chromosomes Cancer. 2002. 33:395–400.
Article
9. Schroeder T, Kuendgen A, Kayser S, et al. Therapy-related myeloid neoplasms following treatment with radioiodine. Haematologica. 2012. 97:206–212.
Article
10. Le Beau MM, Larson RA, Bitter MA, et al. Association of an inversion of chromosome 16 with abnormal marrow eosinophils in acute myelomonocytic leukemia. A unique cytogenetic-clinic-opathological association. N Engl J Med. 1983. 309:630–636.
Article
11. Pulsoni A, Iacobelli S, Bernardi M, et al. M4 acute myeloid leukemia: the role of eosinophilia and cytogenetics in treatment response and survival. The GIMEMA experience. Haematologica. 2008. 93:1025–1032.
Article
12. Arozarena I, Calvo F, Crespo P. Ras, an actor on many stages: posttranslational modifications, localization, and site-specified events. Genes Cancer. 2011. 2:182–194.
Article
13. Valk PJ, Bowen DT, Frew ME, Goodeve AC, Löwenberg B, Reilly JT. Second hit mutations in the RTK/RAS signaling pathway in acute myeloid leukemia with inv(16). Haematologica. 2004. 89:106.
14. Darley RL, Burnett AK. Mutant RAS inhibits neutrophil but not macrophage differentiation and allows continued growth of neutrophil precursors. Exp Hematol. 1999. 27:1599–1608.
Article
15. Gilliland DG. Hematologic malignancies. Curr Opin Hematol. 2001. 8:189–191.
Article
Full Text Links
  • KJH
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2025 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr