2003
DOI: 10.1097/00043426-200302000-00013
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Prenatal Presentation Supports the In Utero Development of Congenital Leukemia: A Case Report

Abstract: Congenital leukemia is a rare disease developing within the first 4 to 6 weeks of life. We report a female infant born with facial mass and multiple subcutaneous nodules. The facial mass was discovered by ultrasound during a routine prenatal examination at the 36th week of gestation. Biopsies were consistent with the diagnosis of acute monoblastic leukemia (AML, FAB M5b). Cytogenetic studies showed 46 XX, t(11;19)(q23;p13.1), which is only found in acute monoblastic leukemia and involves the gene. The infant d… Show more

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Cited by 21 publications
(17 citation statements)
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“…Anemia does not appear to be the cause of the hydrops in most cases, possible causes including myocardial infiltration or extensive visceral involvement with congestive heart failure due to increased vascular resistance13. Cases are occasionally diagnosed antenatally, with multiple soft tissue masses, hydrops and hepatosplenomegaly13, 18, 20.…”
Section: Fetal Malignanciesmentioning
confidence: 99%
“…Anemia does not appear to be the cause of the hydrops in most cases, possible causes including myocardial infiltration or extensive visceral involvement with congestive heart failure due to increased vascular resistance13. Cases are occasionally diagnosed antenatally, with multiple soft tissue masses, hydrops and hepatosplenomegaly13, 18, 20.…”
Section: Fetal Malignanciesmentioning
confidence: 99%
“…One possible explanation is that it refiects the early onset of intrauterine leukaemia, since embryonic haematopoiesis begins in the undifferentiated mesenchyme. Alternatively, LC may represent a metastatic infiltration of the skin subsequent to undetectable primary bone marrow disease (1,8).…”
Section: Discussionmentioning
confidence: 99%
“…Involvements of the oral and ocular mucosa are quite rare. The causes of congenital leukemia are unknown, but it has been associated with maternal exposure to radiation, maternal dietary exposure to bioflavonoid, maternal use of tobacco and illicit drugs, and inherited conditions, such as, Down's syndrome, neurofibromatosis, Bloom's syndrome, and Fanconi's anemia 13 . Chromosomal instability is a hallmark of congenital leukemia, and the most common karyotypic abnormality involves the myeloid-lineage leukemia gene at the 11q23 translocation breakpoint 7,14 .…”
Section: Discussionmentioning
confidence: 99%