Therapy-related acute myeloid leukemia (AML), often presentingas therapy-related myelodysplasia, is the most serious long-termcomplication of cancer chemotherapy. This disease offers a uniqueopportunity to study leukemogenesis by relating specific cytogeneticand genetic abnormalities to the biologic effects of cytostaticagents. Two types of drugs, alkylating agents and topoisomeraseII inhibitors, have been shown to induce therapy-related leukemia.
High risks of therapy-related myelodysplasia and AML were firstreported in patients with multiple myeloma who had been treatedwith melphalan.1 Subsequently, almost all other alkylating agentsin clinical use have been shown to be leukemogenic in patientstreated for a . . . [Full Text of this Article]
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From the Cytogenetics Laboratory, Rigshospitalet, Copenhagen.
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