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Pediatric cancer database
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Basic Information

Gene ID

2200

Name

FBN1

Synonymous

ACMICD|FBN|GPHYSD2|MASS|MFS1|OCTD|SGS|SSKS|WMS|WMS2;fibrillin 1;FBN1;fibrillin 1

Definition

fibrillin 15|fibrillin-1

Position

15q21.1

Gene type

protein-coding

Cancer type

Abstract

acute lymphoblastic leukemia;Hematological

We report a rare case of acute lymphoblastic leukemia (ALL) in a 7-year-old boy with Marfan's syndrome. He was diagnosed as having Marfan's syndrome by clinicalfindings at the age of 2 years, and the diagnosis was confirmed by the detectionof gene mutation in FBN1. He was referred to our hospital because of the swelling of cervical lymph nodes at the age of 7 years. Findings on bone marrow examination demonstrated T lymphoblastic ALL. He obtained complete remission after induction therapy, and had no serious side effects including cardiotoxicity during chemotherapy. He has remained in continuous complete remission for 34 months following diagnosis. To our knowledge, only three cases of leukemia in patients with Marfan's syndrome were reported previously. We speculate that increased activity of TGF-beta, which is known as a tumor suppressor factor, in patients with Marfan's syndrome may diminish the risk of developing leukemia, although such a thesis was not proven in this case.

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