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Updated: Aug 12, 2026

Cell Population Analyses During Skin Carcinogenesis
Published on: August 21, 2013
Squamous cutaneous epithelial cell carcinoma in two CML patients with progressive disease under imatinib treatment
Gökben Baskaynak1, Karl-Anton Kreuzer, Michaela Schwarz
1Medizinische Klinik mit Schwerpunkt Hämatologie und Onkologie, Campus Virchow, Charité, Humboldt Universität Berlin, Germany. gökben.baskaynak@charite.de
Abstract:
Imatinib (glivec), formerly known as STI571) effectively blocks the ATP-binding site of the bcr/abl fusion protein thereby inactivating selectively the tyrosine kinase activity of bcr/abl. Therefore, it is a promising drug in Philadelphia chromosome positive chronic myeloid leukemia showing high hematologic and cytogenetic response rates combined with a mild toxicity profile. Here we report two cases of squamous cell carcinoma of the skin, which appeared in the photo-exposed areas in two elderly patients treated for advanced chronic myeloid leukemia with imatinib. The role of chemotherapy, chronic sun exposure and of possible additional risk factors such as human papillomavirus infection is discussed.
Insights
Imatinib therapy for chronic myeloid leukemia may increase the risk of developing skin cancer. Two elderly patients developed squamous cell carcinoma in sun-exposed areas during treatment.
Area of Science:
- Oncology
- Dermatology
Background:
- Imatinib (Gleevec) is a targeted therapy effective against Philadelphia chromosome-positive chronic myeloid leukemia (CML).
- It functions by inhibiting the BCR-ABL tyrosine kinase, crucial for CML cell proliferation.
Observation:
- Two elderly patients undergoing treatment for advanced CML with imatinib developed squamous cell carcinoma.
- The skin cancers appeared in areas of the body typically exposed to sunlight.
Findings:
- The development of squamous cell carcinoma in these patients suggests a potential link between imatinib treatment and skin cancer risk.
- The location of the tumors indicates that chronic sun exposure may be a contributing factor.
Implications:
- Further research is needed to elucidate the mechanisms underlying imatinib-induced skin carcinogenesis.
- Consideration of skin surveillance and photoprotective measures may be warranted for patients on long-term imatinib therapy.
- The role of co-factors like human papillomavirus infection warrants investigation.
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