Prospective study of childhood acute lymphocytic leukemia: hematologic, immunologic, and cytogenetic correlations.

Autor: Michael PM; University of Melbourne Department of Medicine, St. Vincent's Hospital, Australia., Garson OM, Ekert H, Tauro G, Rennie GC, Pilkington GR
Jazyk: angličtina
Zdroj: Medical and pediatric oncology [Med Pediatr Oncol] 1988; Vol. 16 (3), pp. 153-61.
DOI: 10.1002/mpo.2950160302
Abstrakt: We studied the karyotype in 81 consecutively diagnosed children with acute lymphocytic leukemia (ALL) treated at one institution on a randomized treatment protocol. In 75 patients (93%), a morphological cytogenetic result was obtained, and 57 (65%) were successfully G-banded. Of the 75 patients, 46 (61%) showed abnormal chromosomes, mainly hyperdiploidy and pseudodiploidy, and 29 had no detectable abnormality. Our findings confirmed that the karyotype has prognostic significance. Duration of complete remission was 93% at 42 months for patients with high hyperdiploidy (greater than 50). For patients with an apparently normal karyotype, it was 58%; and for patients with structural abnormalities it was 15%. The significance of these findings was confirmed by multivariate analysis, which showed age and karyotype to be the most important determinants of duration of remission.
Databáze: MEDLINE