PMID- 23936694 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130812 LR - 20211021 IS - 2090-6560 (Print) IS - 2090-6579 (Electronic) IS - 2090-6579 (Linking) VI - 2013 DP - 2013 TI - Early Death in Two Patients with Acute Promyelocytic Leukemia Presenting the bcr3 Isoform, FLT3-ITD Mutation, and Elevated WT1 Level. PG - 896394 LID - 10.1155/2013/896394 [doi] LID - 896394 AB - Despite major advances in the treatment of acute promyelocytic leukemia (APL), the problem of early death (ED) remains unsolved. Alongside the currently known clinical and hematological risk factors, prognostic significance has been attributed to internal tandem duplication mutations of the fms-like tyrosine kinase-3 (FLT3-ITD), hypogranular variant morphology, and the bcr-3 isoform of PML-RAR alpha . We describe premature death of two patients with the hypogranular variant of APL who presented remarkably high expression levels of Wilms' tumor gene (WT1). Our results point to WT1 as an important prognostic factor of ED that needs to be promptly evaluated in all newly diagnosed cases of APL. FAU - Greco, Marianna AU - Greco M AD - Hematology Unit and Bone Marrow Transplantation Center, "R. Binaghi" Hospital, Via Is Guadazzonis 3, 09126 Cagliari, Italy. FAU - Caocci, Giovanni AU - Caocci G FAU - Ledda, Antonio AU - Ledda A FAU - Vacca, Adriana AU - Vacca A FAU - Arras, Marcella AU - Arras M FAU - Celeghini, Ivana AU - Celeghini I FAU - La Nasa, Giorgio AU - La Nasa G LA - eng PT - Journal Article DEP - 20130707 PL - United States TA - Case Rep Hematol JT - Case reports in hematology JID - 101576456 PMC - PMC3722971 EDAT- 2013/08/13 06:00 MHDA- 2013/08/13 06:01 PMCR- 2013/07/07 CRDT- 2013/08/13 06:00 PHST- 2013/05/08 00:00 [received] PHST- 2013/05/29 00:00 [accepted] PHST- 2013/08/13 06:00 [entrez] PHST- 2013/08/13 06:00 [pubmed] PHST- 2013/08/13 06:01 [medline] PHST- 2013/07/07 00:00 [pmc-release] AID - 10.1155/2013/896394 [doi] PST - ppublish SO - Case Rep Hematol. 2013;2013:896394. doi: 10.1155/2013/896394. Epub 2013 Jul 7.