Myeloid sarcoma, spectrum of clinical characteristics, prognostic impact, and treatment outcome

Autor: Samah Fathy Semary, Mahmoud Hammad, Sonya Soliman, Nayera Hamdy, Sherine Salem, Iman zaky, Naglaa elkinaai, Nermeen Ezzat, Doaa Albeltagy, Youssef Madany
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Beni-Suef University Journal of Basic and Applied Sciences, Vol 13, Iss 1, Pp 1-12 (2024)
Druh dokumentu: article
ISSN: 2314-8543
DOI: 10.1186/s43088-024-00516-7
Popis: Abstract Background Acute leukemia may present with extramedullary (EM) tissues. Myeloid sarcoma (MS) and leukemia cutis (LC) are considered extramedullary diseases. This study aims to evaluate the incidence, clinical characteristics, and prognostic factors affecting the outcome of pediatric patients with myeloid sarcoma at the pediatric oncology center from July 2007 to December 2017. Radiological imaging was used to stage the tumor, biopsy was done for pathological diagnosis, and bone marrow aspirate for morphology, flow cytometry, cytogenetics, and molecular analysis. Patients received chemotherapy protocols based on those used by the Children's Cancer Group for acute myeloid leukemia (AML). Result The study included 91 (13.2%) of 687 pediatric patients with acute myeloid leukemia, with a male-to-female ratio of 1.9 to 1. Prognostic factors that improved the patient’s 5-year overall survival (OS) were age > 5 years old, molecular and cytogenetic detection of t (8; 21), inv 16, presence of a single and small size lesion
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