Precursor T-Cell acute lymphoblastic leukemia/lymphoma with rare presentation in the urinary bladder

Abstract

We present the 16th reported case of Acute Lymphoblastic Leukemia (ALL) with involvement in the bladder. Our patient was a 22 yearold man with T-cell ALL with a mediastinal mass. He received hyperfractionated cyclophosphamide, vincristine, doxorubicin, dexamethasone (HyperCVAD) with mediastinal radiation. Prior to starting maintenance, he relapsed in the bladder and marrow. He received a nelarabine- based induction regimen and achieved remission. This was followed by an unrelated 11/12 HLA-matched myeloablative allogeneic stem cell transplant. He is in complete remission for the past 409 days.

Keywords

• precursor t-cell acute lymphoblastic leukemia/lymphoma, bladder involvement, allogeneic stem cell transplantation