Clinical significance of complex karyotype at diagnosis in pediatric and adult patients with de novo acute promyelocytic leukemia treated with ATRA and chemotherapy

Autor: Labrador, Jorge, Luno, Elisa, Vellenga, Edo, Brunet, Salut, Gonzalez-Campose, Jose, Chillon, Maria C., Holowiecka, Aleksandra, Esteve, Jordi, Bergua, Juan, Gonzalez-Sanmiguel, Jose D., Gil, Cristina, Tormo, M., Salamero, Olga, Manso, Felix, Fernandez, Isolda, de laSerna, Javier, Moreno, Maria-Jose, Perez-Encinas, M., Krsnik, Isabel, Ribera, Josep-Maria, Cervera, Jose, Calasanz, Maria J., Boluda, Blanca, Sobas, Marta, Lowenberg, Bob, Sanz, Miguel A., Montesinos, Pau, Palmer, L., Fernandez, Ciarlo, S., Bezares, F., Rojas, F., Longoni, H., Gelemur, M., Fazio, P., Canepa, C., Saba, S., Balladares, G., Negri, P., Giunta, M., Milone, J., Prates, M., Lafalse, D., Sossa, C., Jaramillo, F., Mayer, J., Ramos, F., Martinez, J., de Groot, M. R., Schouten, H. C.
Přispěvatelé: Hematology, Guided Treatment in Optimal Selected Cancer Patients (GUTS), Stem Cell Aging Leukemia and Lymphoma (SALL), Interne Geneeskunde, RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, MUMC+: MA Hematologie (9)
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Cancer Research
complex karyotype
ANTHRACYCLINE MONOCHEMOTHERAPY
medicine.medical_treatment
Abnormal Karyotype
chemotherapy
Gastroenterology
Leukocyte Count
0302 clinical medicine
Leukemia
Promyelocytic
Acute

Recurrence
Acute promyelocytic leukemia
Antineoplastic Combined Chemotherapy Protocols
PROGNOSTIC-SIGNIFICANCE
Cumulative incidence
ATRA
Child
In Situ Hybridization
Fluorescence

Aged
80 and over

relapse
PETHEMA
Incidence (epidemiology)
ADDITIONAL CHROMOSOME-ABNORMALITIES
Age Factors
Hematology
Middle Aged
Prognosis
ARSENIC TRIOXIDE
FLT3 MUTATIONS
Leukemia
Treatment Outcome
Oncology
Child
Preschool

030220 oncology & carcinogenesis
Cytogenetic Analysis
Female
Adult
medicine.medical_specialty
CYTOGENETIC CHANGES
Adolescent
Young Adult
03 medical and health sciences
Internal medicine
Statistical significance
Complex Karyotype
medicine
Humans
Clinical significance
Aged
CONSOLIDATION THERAPY
Chromosome Aberrations
Chemotherapy
business.industry
medicine.disease
RISK-ADAPTED TREATMENT
TRANS-RETINOIC ACID
ATRA
Acute promyelocytic leukemia
chemotherapy
complex karyotype
prognostic
relapse

business
prognostic
030215 immunology
Zdroj: LEUKEMIA & LYMPHOMA
r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
instname
Leukemia & Lymphoma, 60(5), 1146-1155. Informa Healthcare
r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
Leukemia & Lymphoma, 60(5), 1146-1155. TAYLOR & FRANCIS LTD
Leukemia & Lymphoma, 60(5), 1146-1155. Routledge/Taylor & Francis Group
ISSN: 1042-8194
Popis: Although additional cytogenetic abnormalities (ACA) do not affect the prognosis of patients with t(15;17) acute promyelocytic leukemia (APL), the role of a complex karyotype (CK) is yet to be clarified. We aimed to investigate the relationship of CK with relapse incidence in 1559 consecutive APL patients enrolled in three consecutive trials. Treatment consisted of AIDA induction followed by risk-adapted consolidation. A CK (CK) was defined as the presence of ≥2 ACA, and a very CK (CK+) as ≥3 ACA. Eighty-nine patients (8%) had a CK, of whom 41 (4%) had CK+. The 5-year cumulative incidence of relapse (CIR) in patients with CK was 18%, and 12% in those with
Databáze: OpenAIRE
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