Relapsed AML in a Patient Presenting to a College Health Center: A Case Report

Area of Science:

• Oncology
• Adolescent and Young Adult (AYA) Medicine
• Primary Care

Background:

• Acute myelogenous leukemia (AML) is a significant cancer in the adolescent and young adult (AYA) population.
• Cure rates for AYAs with AML remain lower than in younger patients, despite improved survival.
• Primary care providers (PCPs) are essential for managing AYA cancer survivors, particularly in monitoring for relapse and late effects.

Purpose of the Study:

• To highlight the importance of PCPs in recognizing relapsed leukemia in college students.
• To emphasize the unique needs of AYA cancer survivors within the college health setting.
• To underscore the role of PCPs in early detection and referral for relapsed cancers.

Main Methods:

• Case study presentation of a college student with symptoms of relapsed leukemia.
• Discussion of the PCP's role in the college health center.
• Emphasis on differential diagnosis for AYA cancer survivors presenting with new complaints.

Main Results:

• The case illustrates how a PCP can encounter and diagnose relapsed leukemia in a college student.
• Highlights the potential for delayed diagnosis if PCPs are not attuned to AYA survivor needs.
• Underscores the necessity for PCPs to consider cancer relapse in their differential diagnoses for this population.

Conclusions:

• PCPs must be vigilant in monitoring AYA cancer survivors for signs of relapse.
• Early recognition and prompt referral by college health providers can significantly impact outcomes for AYAs with relapsed leukemia.
• Tailored care and awareness of specific AYA survivor needs are critical for effective primary care.