PMID- 36058855 OWN - NLM STAT- MEDLINE DCOM- 20220907 LR - 20220907 IS - 0485-1439 (Print) IS - 0485-1439 (Linking) VI - 63 IP - 8 DP - 2022 TI - [Myeloid sarcomas of the shoulder and testis relapsing 9 years after allogenic stem cell transplantation for acute myeloid leukemia]. PG - 860-864 LID - 10.11406/rinketsu.63.860 [doi] AB - This report describes a 56-year-old man who was diagnosed with myeloid sarcoma (MS) of the testis and right shoulder after receiving allogenic stem cell transplantation (allo-SCT) at the age of 47 for acute myeloid leukemia (AML) with inv (16) (p13.1;q22). Nine years after allo-SCT, he complained of a painful right testicular mass. He underwent orchiectomy, and the pathologic diagnosis was MS. Inv (16) was identified by fluorescence in situ hybridization (FISH) using testicular tumor specimens. 18F-fluorodeoxyglucose (FDG) positron emission tomography-computed tomography (PET-CT) revealed FDG accumulation in the right shoulder. FISH analysis of bone marrow aspirate revealed no increase in blasts and ruled out CBFB-MYH11 fusion. Reinduction chemotherapy, consolidation, and local radiation therapy for the left testis and right shoulder were administered to him. After that, he received a second allo-SCT from an unrelated donor who was HLA-matched. As of 2 years after the second allo-SCT, recurrence of neither AML nor myeloid sarcoma has been observed. The recurrence of MSs without bone marrow involvement is frequently reported in single, multiple single organs, or multiple single regions. Even if MSs recur in a distant location, combining systemic and local treatment may be a better treatment strategy. FAU - Yamamoto, Rikuo AU - Yamamoto R AD - Hematology and Oncology Division, Hitachi General Hospital. FAU - Suyama, Takuya AU - Suyama T AD - Hematology and Oncology Division, Hitachi General Hospital. FAU - Yoshizawa, Yuki AU - Yoshizawa Y AD - Hematology and Oncology Division, Hitachi General Hospital. FAU - Shimizu, Misayo AU - Shimizu M AD - Hematology and Oncology Division, Hitachi General Hospital. FAU - Kuroda, Akihiro AU - Kuroda A AD - Hematology and Oncology Division, Hitachi General Hospital. FAU - Shinagawa, Atsushi AU - Shinagawa A AD - Hematology and Oncology Division, Hitachi General Hospital. LA - jpn PT - Case Reports PT - Journal Article PL - Japan TA - Rinsho Ketsueki JT - [Rinsho ketsueki] The Japanese journal of clinical hematology JID - 2984782R RN - 0Z5B2CJX4D (Fluorodeoxyglucose F18) SB - IM MH - Fluorodeoxyglucose F18 MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Leukemia, Myeloid, Acute/drug therapy MH - Male MH - Positron Emission Tomography Computed Tomography MH - Recurrence MH - *Sarcoma, Myeloid/etiology/therapy MH - Shoulder/pathology MH - Stem Cell Transplantation MH - Testis/pathology MH - Transplantation, Homologous OTO - NOTNLM OT - Acute myeloid leukemia OT - Myeloid sarcoma OT - Stem cell transplantation OT - Testis EDAT- 2022/09/05 06:00 MHDA- 2022/09/08 06:00 CRDT- 2022/09/04 22:23 PHST- 2022/09/04 22:23 [entrez] PHST- 2022/09/05 06:00 [pubmed] PHST- 2022/09/08 06:00 [medline] AID - 10.11406/rinketsu.63.860 [doi] PST - ppublish SO - Rinsho Ketsueki. 2022;63(8):860-864. doi: 10.11406/rinketsu.63.860.