Spinal myeloid sarcoma presenting as initial symptom in acute promyelocytic leukemia with a rare cryptic PLZF::RARα fusion gene: a case report and literature review

Background Acute promyelocytic leukemia (APL) is rarely caused by the PLZF::RARα fusion gene. While APL patients with PLZF::RARα fusion commonly exhibit diverse hematologic symptoms, the presentation of myeloid sarcoma (MS) as an initial manifestation is infrequent. Case presentation A 61-year-old patient was referred to our hospital with 6-month history of low back pain and difficulty walking. Before this admission, spine magnetic resonance imaging (MRI) conducted at another hospital revealed multiple abnormal signals in the left iliac bone and vertebral bodies spanning the thoracic (T11-T12), lumbar (L1-L4), and sacral (S1/S3) regions. This led to a provisional diagnosis of bone tumors with an unknown cause. On admission, complete blood count (CBC) test and peripheral blood smear revealed a slightly increased counts of monocytes. Immunohistochemical staining of both spinal and bone marrow (BM) biopsy revealed positive expression for CD117, myeloperoxidase (MPO), and lysozyme. BM aspirate showed a significant elevation in the percentage of promyelocytes (21%), which were morphologically characterized by round nuclei and hypergranular cytoplasm. Multiparameter flow cytometry of BM aspirate revealed that blasts were positive for CD13, CD33, CD117, and MPO. Through the integrated application of chromosome analysis, fluorescence in situ hybridization (FISH), reverse transcriptase polymerase chain reaction (RT-PCR), and Sanger sequencing, it was determined that the patient possessed a normal karyotype and a rare cryptic PLZF::RARα fusion gene, confirming the diagnosis of APL. Conclusion In the present study, we report the clinical features and outcome of a rare APL patient characterized by a cryptic PLZF::RARα fusion and spinal myeloid sarcoma (MS) as the initial presenting symptom. Our study not only offers valuable insights into the heterogeneity of APL clinical manifestations but also emphasizes the crucial need to promptly consider the potential link between APL and MS for ensuring a timely diagnosis and personalized treatments.


Introduction
Acute promyelocytic leukemia (APL), also known as acute myeloid leukemia (AML) subtype M3 according to the French-American-British (FAB) classification, is primarily characterized by an accumulation of immature promyelocytes in bone marrow (BM) (1).APL patients typically appear as one or more of hematologic symptoms, including fever, bleeding, fatigue, infections, bone pain, and others (1).Besides, in some cases, APL may present with extramedullary involvement that causes myeloid sarcoma (MS) (2)(3)(4)(5)(6).Although rare in clinical practice, MS is more commonly associated with relapsed or refractory APL cases, with an estimated incidence of 3%-5% (2).However, in newly diagnosed APL, MS occurs even more rarely, potentially contributing to delays in APL diagnosis (3)(4)(5)(6).In addition, MS can occur simultaneously in various extramedullary locations, such as skin, soft tissues, bones, lymph nodes, and other organs (3)(4)(5)(6).Therefore, MS may produce miscellaneous non-hematologic symptoms that mimic those of other diseases, making it more challenging to timely distinguish MS.Moreover, the atypical morphological characteristics exhibited by leukemia cells at onset of this disease adds complexity to the diagnostic procedure in cases of APL with MS (4)(5)(6).Given the substantial risk of disseminated intravascular coagulation (DIC) in association with APL, a condition that can be severe and lifethreatening, it is imperative to prioritize early APL diagnosis and the immediate commencement of APL-specific treatments like alltrans retinoic acid (ATRA) and arsenic trioxide (ATO) (1,7,8).

Case presentation
A 61-year-old Chinese man was referred to our hospital with 6month history of low back pain and difficulty walking, which were particularly severe after physical exertion.The patient reported occasional temporary relief of these symptoms through Chinese medical massage treatments.One month before being admitted, his symptoms had worsened progressively without a clear precipitating factor, and he experienced pain that extended to his left thigh accompanied by a sensation of numbness.Subsequently, detailed bone examinations were performed at local hospital.At that time, spine magnetic resonance imaging (MRI) suggested pathologic fracture of lumbar (L3) spine and showed multiple abnormal signals in left iliac bone and in vertebral bodies of the thoracic (T11-T12), lumbar (L1-L4), and sacral (S1/S3) spine.Meanwhile, fluorine-18-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) imaging reported that FDG uptake was slightly increased in those bone lesions, but not in other areas of the body.The patient was tentatively diagnosed with bone tumors of unknown cause and was transferred to our hospital for further diagnosis and treatment.
In order to assess the histopathological basis of bone lesions, we further performed CT-guided percutaneous needle biopsy of lumbar L3.The spinal biopsy results indicated the presence of immature/blast-like cells with eccentric nuclei within the spaces of the bone trabeculae (Figure 2A).Immunohistochemical staining of the spinal biopsy revealed positive expression for CD117, CD43, myeloperoxidase (MPO), lysozyme, and Ki67 (labelling index about 40%), while it tested negative for CD20, CD34, CD56, CD61, CD79a, CD138, and IgG/M, k, l expression.These findings suggested the presence of myeloid neoplasms.Meanwhile, BM biopsy revealed 95% of blast cells and a staining profile characterized by CD117 (+), MPO (+) and lysozyme (part+), which was similar to the results of spinal biopsy.In addition, BM aspirate showed hypercellularity with an elevated myeloid/erythroid (M/E) ratio of 7.52:1.Specifically, there was a significant elevation in the percentage of promyelocytes (21%; normal range: 0.4-3.9%),strongly indicating the likelihood of APL.Erythropoiesis was insufficient, while megakaryopoiesis was normal.Giemsa-stained promyelocytes displayed round nuclei and hypergranular cytoplasm (Figure 2B).However, Auer rods were notably absent.The majority of promyelocytes had positive staining for MPO (Figure 2C).Multiparameter flow cytometry of BM aspirate detected 78% blasts and suggested an immunophenotype that was positive for CD13, CD33, CD117, and MPO, and negative for CD3, CD10, CD11b, CD14, CD15, CD19, CD34, CD71, CD79a, and HLA-DR, corresponding to APL features.Notably, cytogenetics G-band analysis of BM cells revealed a normal male karyotype (46, XY) (Figure 2D).Metaphase fluorescence in situ hybridization (FISH) analysis with the PML:: RARa dual-color dual-fusion probe kit (FP-005, Wuhan HealthCare Biotechnology Co., Ltd.) on BM aspirate suggested the absence of PML-RARa dual-fusion translocation (Figure 2E).However, three green FISH signals suggested the presence of RARa translocation (Figure 2E).This finding was subsequently validated using the RARa break-apart probe detection kit (FP-043, Wuhan HealthCare Biotechnology Co., Ltd.) (Figure 2F).To further explore the etiology, we performed reverse transcriptase polymerase chain reaction (RT-PCR) (Dian Diagnostics Group Co. Ltd., Hangzhou, China) on BM.It revealed PLZF::RARa fusion by using the reverse primers (NM_000964; RARa 1-R, 5'-AAGCCCTTGCAGCCCTCAC- In the initial induction therapy, the patient was treated with 20 mg/day ATRA (BID) for one week.This was followed by a regimen incorporating subcutaneous azacitidine (120 mg/day, Day 1 to 7) and oral administration of venetoclax with a progressive dose escalation: 100 mg/day (Day 1), 200 mg/day (Day 2), and 400 mg/day (Day 3 to 24) (Table 2).During this period, the patient was also treated with cetirizine for skin itch and rash.Subsequent CBC revealed that his WBC counts reduced to 3.9×10 9 /L, which was still within normal range (Table 1).BM aspirate showed hypercellularity and a decreased M/E ratio of 0.2:1, which was characterized by granulocytic hypoplasia and erythrocytic/megakaryocytic hyperplasia.Importantly, BM aspirate indicated that the percentage of promyelocytes reduced to 0.5%.On BM biopsy, residual leukemia cells were negligible.However, spine MRI showed no significant improvement in MS lesions (Figure 1B).RT-PCR from BM showed the persistence of PLZF::RARa fusion.
As a result, we maintained the patient on oral venetoclax administration at 400 mg/day (Day 1 to 12) and further administered idarubicin intravenously (10 mg/day IV bolus, Day 1 and 2; 20 mg/day IV bolus, Day 3) (Table 2).Meanwhile, the patient developed pancytopenia, and had sustained agranulocytosis for two weeks.To address this, herombopag, recombinant human interleukin-11 (IL-11), and blood transfusion were given (Table 2).Repeated BM aspirate showed reduced cellularity and a decrease in all three blood cell lineages.Notably, the percentage of promyelocytes increased again to 12%, but subsequent flow cytometry immunophenotyping confirmed a normal phenotype of immature granulocytes, which was hypothesized to be a possible manifestation of myeloid hematopoietic recovery.Fortunately, MRI showed that spinal MS lesions were obviously shrunken (Figure 1C).The patient also obtained symptomatic relief of low back pain and difficulty walking.What's more important, PLZF:: RARa fusion transcript became undetectable, indicating the achievement of complete molecular remission (MR).The decision to initiate additional treatment was contingent upon the successful recovery of the patient's hematopoietic functions.

Discussion
According to the new International Consensus Classification (ICC) of myeloid neoplasms and acute leukemias, APL with t (11;17)(q23;q21) translocation is now redefined as APL with other RARa rearrangements (13).Since the first report in 1993, only about forty newly diagnosed APL patients with t(11;17)(q23; q21) have been documented in literatures (Table 3).This rare APL impacts individuals across a broad spectrum of ages, ranging from 15 to 81 years old, with an average age of 48.8 years (Table 3).Interestingly, the prevalence of APL with t(11;17)(q23;q21) appears to be higher in males (35/41; 85.4%) compared to females (6/41; 14.6%) (Table 3).The t(11;17)(q23;q21) translocation gives rise to PLZF::RARa fusion gene, also referred to as ZBTB16::RARa.PLZF exhibits the ability to bind to DNA, thereby governing the transcriptional activity of genes pivotal to diverse cellular functions, particularly those involved in the differentiation and maturation of promyelocytic cells (40).However, it's important to highlight that, in very rare APL cases, the karyotype may appear normal, and the fusion gene may be formed through cryptic or subtle rearrangements that are not readily detected by standard cytogenetic analysis (19,41).Similar to our patient, Grimwade D et al. previously reported an APL case with a normal karyotype and cryptic formation of the PLZF::RARa fusion gene (19).Meanwhile, studies suggested that cryptic formation was not only limited to PLZF::RARa, but also identified in APL with PML::RARa (41, 42), IRF2BP2::RARa (43), TBL1XR1::RARa (44), and FIP1L1::RARa (45).Such exceptional APL cases underscore the critical importance of employing molecular techniques, such as FISH or RT-PCR, to pinpoint the precise genetic abnormality and confirm the final diagnosis of APL.
Moreover, it's noteworthy that a majority of APL patients harboring the PLZF::RARa fusion initially manifest with nonspecific symptoms that were identical to classical APL, including fever, pancytopenia, fatigue, bone pain, and so forth (Table 3).MS is generally considered a rare extramedullary manifestation of untreated APL, but after induction therapy MS becomes more common (2,3).As of our current information, our patient was actually the second report of APL with PLZF::RARa fusion and MS as the initial symptom.The previous case was a 56-year-old Korean man characterized by APL and spinal MS (37).Even in classical APL, only around thirty cases with MS have been reported thus far (3)(4)(5)(6).In addition, a recent report by Wang, Y., et al. highlighted the presence of skull MS in a 28-month-old girl with APL caused by FIP1L1::RARa fusion (45).The fact that MS has been identified in APL with different variants suggests that MS may not be exclusive to a particular genetic fusion.However, the exact mechanism underlying the development of MS in APL is not fully understood, and it may involve various processes related to the behavior of leukemia cells.In patients with AML or APL, MS can manifest in various sites throughout the body.Bone represents a   (2,6,48).In more severe cases, MS can affect visceral organs such as liver, colon, and central nervous system (CNS) (5,49,50).The presentation of MS varies widely based on the affected site(s), necessitating a comprehensive diagnostic approach and tailored treatment strategies.Morphological characteristics of abnormal promyelocytes exhibit variability among APL patients with the PLZF::RARa fusion, occasionally differing significantly from those seen in classic APL (11,29,33,51).In classic APL, distinguishing features of promyelocytes encompass lobulated nuclei, hypergranular cytoplasm, and Auer rods (1,51).However, a subgroup of APL patients with the PLZF::RARa fusion, similar to our patient, may present with atypical traits, such as round/non-lobulated nuclei, hypogranular or entirely agranular cytoplasm, along with the absence of Auer rods (Table 3).Notably, studies have found that APL cases with the PLZF::RARa fusion may exhibit vacuoles or square crystalline structures within the cytoplasm of promyelocytes (29,33).Interestingly, we also observed small vacuoles in few abnormal promyelocytes from our patient.Further research is needed to better understand the underlying mechanisms leading to the formation of these atypical intracytoplasmic inclusions and their clinical significance.Hence, in instances with atypical presentations, the use of stains like MPO, Sudan Black B, and immunohistochemical markers such as CD13, CD33, and CD117 can be valuable in reinforcing the diagnosis of APL (1,13).Nevertheless, it should be noted that APL patients may infrequently show negativity for both MPO and Sudan Black B staining (52,53), and the immunophenotype may also undergo changes after induction therapy (54).The immediate initiation of ATRA is now a crucial element in the induction therapy for classic APL, resulting in a notable rise in complete remission (CR) rates and enhanced overall outcomes (8,9).Currently, there is no established consensus guideline regarding the utilization of ATRA in the treatment of APL with rare variants and MS.Despite demonstrating the ability of leukemia cells carrying the PLZF:: RARa fusion to fully differentiate with both ex vivo and in vivo ATRA treatment, the clinical reality is that APL with this rare fusion is commonly considered ATRA-insensitive and is linked to an unfavorable prognosis (10)(11)(12)55).Significantly, it's also been reported that a small number of APL patients with PLZF::RARa fusion who underwent a combination of ATRA and intensive chemotherapy achieved CR (11,33).In recent years, the BCL-2 inhibitor venetoclax has exhibited encouraging therapeutic outcomes in AML as well as other hematological malignancies (56).Interestingly, exploratory studies suggested that APL patients who are resistant to conventional chemotherapies may derive benefit from regimens incorporating venetoclax (57).In particular, APL patients harboring exceedingly uncommon RARa::HNRNPC and RARa::THRAP3 fusions have been documented to achieve CR through the administration of venetoclax and hypomethylating agents such as azacytidine or decitabine (58,59).These findings prompted us to initiate treatment with ATRA, followed by a combination of venetoclax and azacytidine in our patient.The treatment demonstrated a significant efficacy in eradicating leukemic cells from BM aspirate; however, its impact on alleviating his MS and achieving MR was negligible.Fortunately, the substitution of azacitidine with the anthracycline antineoplastic agent idarubicin has ultimately led to the achievement of MR, albeit the occurrence of significant hematological toxicity.

Conclusions
To summarize, we report the clinical features and outcome of a rare APL patient characterized by a cryptic PLZF::RARa fusion and MS as the initial presenting symptom.Our study not only offers valuable insights into the heterogeneity of APL clinical manifestations but also emphasizes the crucial need to promptly consider the potential link between APL and MS for ensuring a timely diagnosis and personalized treatments.

FIGURE 1
FIGURE 1 Examples of spinal sagittal T1-weighted MRI of the patient.(A) On admission.(B) After first cycle of therapy.(C) After second cycle of therapy.Abnormal high signals on T1 images are shown circled in red.

TABLE 1 The patient's blood cells counts and conglation indexs at different stages.
PT, prothrombin time; INR, the international normalized ratio; TT, thrombin time; aPTT, activated partial thromboplastin time; FDP, fibrin degradation products.

TABLE 2
Main clinical characteristics and treatment of the patient.

TABLE 3
APL patients harboring PLZF::RARa reported in the literature.