Table 1 Treatment and outcome of 42 CML patients with myeloid sarcoma

From: Differential clinical and prognostic impact of myeloid sarcoma vs medullary myeloid blast phase of chronic myelogenous leukemia in the era of tyrosine kinase inhibitor therapy

No.

Sex

Age

MS subgroups

Post-MS treatment

Response of MS a

Response of CML a

F/U time b (months)

Status at last F/U

Cause of Death

ABL mutations

1

M

72.7

MS1-CP

TKI

PR

SD

20.5

Dead

Leukemia PD, MS PD

Noc

2

M

47.8

MS1-CP

CT+TKI+RT

CR

SD

26.9

Dead

Leukemia PD

NT

3

M

50.0

MS1-CP

CT+TKI Allo-HSCT

CR

MMR

27.0

Dead

GvHD

NT

4

M

52.3

MS1-CP

CT+TKI

CR

CCyR

36.0

Dead

Leukemia PD, MS PD

T315Ic

5

M

30.3

MS1-CP

CT+TKI

NA

NA

6.2

Alive

 

NT

6

F

63.5

MS1-CP

TKI

CR

MMR

14.4

Alive

 

NT

7

M

30.7

MS1-CP

TKI

CR

CCyR

14.3

Alive

 

NT

8

M

72.8

MS1-CP

TKI

CR

MMR

22.8

Alive

 

NT

9

M

29.2

MS1-CP

CT+TKI

CR

CMR

22.8

Alive

 

NT

10

M

52.7

MS1-CP

CT+TKI

CR

MMR

27.8

Alive

 

NT

11

F

23.3

MS1-CP

CT+TKI Allo-HSCT

CR

CMR

118.8

Alive

 

NT

12

M

52.7

MS1-CP

CT+TKI Allo-HSCT

CR

CMR

140.9

Alive

 

NT

13

M

45.3

MS1-CP

CT+TKI+RT

CR

CMR

146.6

Alive

 

Noc

14

M

36.3

MS2-CPd

CT+TKI

PD

PD

0.8

Dead

Leukemia PD, MS PD

No

15

M

26.8

MS2-CP

CT+TKI

PD

PD

0.9

Dead

Leukemia PD, MS PD

NT

16

M

75.1

MS2-CP

TKI

PR

PD

2.1

Dead

Leukemia PD

NT

17

M

51.0

MS2-CPd

CT+TKI+RT

PR

PD

2.4

Dead

Leukemia PD

No

18

M

23.2

MS2-CP

CT+TKI

PR

PD

4.2

Dead

Leukemia PD, MS PD

No

19

M

47.8

MS2-CPd

CT+TKI Allo-HSCT

CR

CCyR

4.9

Dead

Leukemia PD

T315I

20

M

23.5

MS2-CP

CT+TKI

CR

CHR

6.5

Dead

Leukemia PD

E255V

21

M

55.5

MS2-CP

CT+TKI

CR

CCyR

7.5

Dead

Leukemia PD, MS PD

NT

22

F

51.7

MS2-CP

CT

NA

NA

8.3

Dead

NA

NT

23

M

51.3

MS2-CP

CT+TKI

PR

SD

10.1

Dead

Leukemia PD, MS PD

NT

24

M

43.1

MS2-CP

CT+TKI+RT

PR

SD

13.9

Dead

Leukemia PD

E255K

25

M

51.4

MS2-CP

TKI+RT

CR

CCyR

18.4

Dead

Leukemia PD, MS PD

NT

26

F

48.4

MS2-CPd

TKI

CR

MMR

21.7

Dead

Leukemia PD,

NT

27

M

57.3

MS2-CP

CT+TKI Allo-HSCT

CR

CMR

88.5

Dead

Esophageal cancer

No

28

F

39.2

MS2-CP

CT+TKI

CR

CHR

17.8

Alive

 

NT

29

F

58.4

MS2-CP

TKI

CR

MMR

64.4

Alive

 

NT

30

M

56.1

MS2-CP

TKI

CR

CMR

126.9

Alive

 

NT

31

M

19.4

MS2-BP

CT+TKI

PD

PD

0.8

Dead

Leukemia PD

E255V/K

32

M

82.7

MS2-BP

CT+TKI

PD

PD

2.0

Dead

Leukemia PD

NT

33

M

45.8

MS2-BP

CT+TKI

PD

PD

0.6

Dead

Leukemia PD, MS PD

No

34

F

31.9

MS2-BP

CT+TKI+RT Allo-HSCT

PR

CHR

5.2

Dead

Leukemia PD

No

35

M

53.4

MS2-BP

CT+TKI

PD

PD

7.4

Dead

Leukemia PD

NT

36

M

53.2

MS2-BP

CT+TKI

CR

PD

8.7

Dead

Leukemia PD

F317L

37

M

54.3

MS2-BP

CT+TKI Allo-HSCT

CR

CCyR

9.7

Dead

Leukemia PD

No

38

M

34.9

MS2-BP

CT+TKI

CR

MMR

13.6

Dead

Infection

E255

39

M

38.4

MS2-BP

CT

NA

NA

15.7

Alive

 

NT

40

M

22.0

MS2-BP

CT

NA

NA

0.5

Alivee

 

NT

41

F

59.0

MS2-BP

CT

NA

NA

1.0

Alivee

 

NT

42

M

44.3

MS2-BP

CT+TKI Allo-HSCT

CR

MMR

28.9

Alive

 

NT

  1. Abbreviations: age, age at diagnosis of MS; allo-HSCT, allogeneic hematopoietic stem cell transplantation; BP, blast phase; CCyR, complete cytogenetic response; CHR, complete hematologic response; CML, chronic myelogenous leukemia; CP, chronic phase; CR, complete response; CT, chemotherapy; F, female; F/U, follow-up; GvHD, graft-vs-host disease; M, male; MMR, major molecular response; MS, myeloid sarcoma; MS1, MS at initial diagnosis of CML; MS2, MS arising during course of treatment; NA, not applicable; NT, not tested; PD, progressive disease; PR, partial remission; RT, radiation treatment; SD, stable disease; TKI, tyrosine kinase inhibitor. CR of MS was defined as complete disappearance of the lesion(s). PR of MS was defined as decreased size but not complete disappearance of the lesion(s). CHR, CCyR and MMR are defined according to the NCCN and European LeukemiaNet Guidelines.
  2. aThe best initial response of extramedullary and medullary disease after MS emergence.
  3. bThe follow-up time after MS emergence.
  4. cABL mutations detected after MS emergence.
  5. dThe patients had a history of CML-BP but reverted to CP status when MS2 developed.
  6. eLost F/U after one course of treatment.