Prognostic significance of CNSL at diagnosis of childhood B-cell acute lymphoblastic leukemia: A report from the South China Children’s Leukemia Group

Autor: Lu-Hong Xu, Xu Geng, Ning Liao, Li-Hua Yang, Hui-Rong Mai, Wu-Qing Wan, Li-Bin Huang, Min-Cui Zheng, Chuan Tian, Hui-Qin Chen, Qi-Wen Chen, Xing-Jiang Long, Zi-Jun Zhen, Ri-Yang Liu, Qiao-Ru Li, Bei-Yan Wu, Li-Na Wang, Xian-Ling Kong, Guo-Hua Chen, Jian-Pei Fang, Yang Li
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Frontiers in Oncology, Vol 12 (2022)
Druh dokumentu: article
ISSN: 2234-943X
DOI: 10.3389/fonc.2022.943761
Popis: ObjectivesThe prognostic significance of acute lymphoblastic leukemia (ALL) patients with central nervous system leukemia (CNSL) at diagnosis is controversial. We aimed to determine the impact of CNSL at diagnosis on the clinical outcomes of childhood B-cell ALL in the South China Children’s Leukemia Group (SCCLG).MethodsA total of 1,872 childhood patients were recruited for the study between October 2016 and July 2021. The diagnosis of CNSL depends on primary cytological examination of cerebrospinal fluid, clinical manifestations, and imaging manifestations. Patients with CNSL at diagnosis received two additional courses of intrathecal triple injections during induction.ResultsThe frequency of CNLS at the diagnosis of B-cell ALL was 3.6%. Patients with CNSL at diagnosis had a significantly higher mean presenting leukocyte count (P = 0.002) and poorer treatment response (P
Databáze: Directory of Open Access Journals