PMID: 22561783May 9, 2012Paper

Acute myeloid leukaemia with chronic course

Mymensingh Medical Journal : MMJ
A R Biswas

Abstract

A 60 year old male presented with soreness and swelling of the oral cavity and throat for 2 weeks as well as fever and prostration. He was diagnosed as a case of acute myeloid leukaemia (AML) on the basis of blood and bone marrow morphology and immunophenotyping. Normal platelet count and normal bone marrow megakaryocytes were striking features as well as low total count of WBC and myeloblast. Being informed about the risk and benefit of the treatment with chemotherapy, he opted for taking palliative treatment rather than conventional chemotherapy for remission induction. Since then the patient was doing surprisingly well and he was alive for 38 months with few episodes of clinical deterioration which was successfully managed by palliative measures.

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