PMID- 9678803 OWN - NLM STAT- MEDLINE DCOM- 19980915 LR - 20071115 IS - 0268-3369 (Print) IS - 0268-3369 (Linking) VI - 22 IP - 1 DP - 1998 Jul TI - Isolated extramedullary relapse after allogeneic bone marrow transplantation for chronic myeloid leukemia. PG - 99-102 AB - Relapse of chronic myeloid leukemia (CML) as extramedullary granulocytic sarcoma (GS) after allogeneic bone marrow transplantation (BMT) is a rare occurrence. We report two patients who developed spinal GS as the first indication of relapse after allogeneic BMT for CML. In both cases, the marrow was in morphologic and karyotypic remission. However, fluorescence in situ hybridization (FISH) successfully demonstrated the presence of a minor Ph-positive clone in the marrow, as well as an occult clone with an additional Ph chromosome detected in one case. The results indicated a stronger graft-versus-leukemia effect in the marrow than in the peripheral tissues. FAU - Au, W Y AU - Au WY AD - University Department of Medicine, Queen Mary Hospital, Hong Kong. FAU - Chan, A C AU - Chan AC FAU - Lie, A K AU - Lie AK FAU - So, J C AU - So JC FAU - Liang, R AU - Liang R FAU - Kwong, Y L AU - Kwong YL LA - eng PT - Case Reports PT - Journal Article PL - England TA - Bone Marrow Transplant JT - Bone marrow transplantation JID - 8702459 SB - IM MH - Adult MH - *Bone Marrow Transplantation MH - Fatal Outcome MH - Graft vs Host Disease/drug therapy/*prevention & control MH - Humans MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*diagnosis/*therapy MH - Male MH - Recurrence MH - Spinal Neoplasms/*diagnosis MH - Transplantation Conditioning EDAT- 1998/07/25 00:00 MHDA- 1998/07/25 00:01 CRDT- 1998/07/25 00:00 PHST- 1998/07/25 00:00 [pubmed] PHST- 1998/07/25 00:01 [medline] PHST- 1998/07/25 00:00 [entrez] AID - 10.1038/sj.bmt.1701294 [doi] PST - ppublish SO - Bone Marrow Transplant. 1998 Jul;22(1):99-102. doi: 10.1038/sj.bmt.1701294.