Cytogenetic and clinical study of Philadelphia chromosome positive adult acute leukemia / 中国实验血液学杂志
Journal of Experimental Hematology
; (6): 358-363, 2005.
Article
de Zh
| WPRIM
| ID: wpr-356559
Bibliothèque responsable:
WPRO
ABSTRACT
To explore the cytogenetics and related clinical characteristics of adult acute leukemia with Philadelphia chromosome positive (Ph(+)AL), MIC classification by morphology, immunology and cytogenetics was used to retrospectively study 79 patients with Ph(+)AL hospitalized in the Institute of Hematology, People Hospital in Beijing from October 1991 to September 2003. The results showed that 6.9% cases were diagnosed as Ph(+)AL and classified into three subtypes: acute lymphoblastic leukemia (Ph(+)ALL) in 56 patients (18%), acute myeloid leukemia (Ph(+)AML) in 10 patients (1.2%) and mixed acute leukemia (Ph(+)MAL) in 13 patients. B-cell antigen expression was found in 52 out of 56 patients with Ph(+)ALL. 54.4% (43/79) patients had additional chromosome abnormalities including chromosome 7, double Ph and plus 8, etc. Complete remission (CR) rate of Ph(+)ALL and Ph(+)MAL was 57.0%, none of Ph(+)AML achieved CR. Median overall survival of Ph(+)ALL, Ph(+)MAL and Ph(+)AML were 10, 10 and 2.5 months respectively. It is concluded that Ph(+)AL has highly heterogeneity involving various differentiated stages of immature leukemic cells. Since the poor prognosis associated with this kind of AL, early diagnosis with MIC classification is a prerequisite to take more effective conditioning regimen and prospectively consideration of allogeneic stem cell transplantation to improve prognosis.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Anatomopathologie
/
Thérapeutique
/
Induction de rémission
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Chromosome Philadelphie
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Leucémie aigüe myéloïde
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Transplantation de cellules souches hématopoïétiques
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Analyse cytogénétique
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Utilisations thérapeutiques
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Estimation de Kaplan-Meier
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Leucémie-lymphome lymphoblastique à précurseurs B et T
Type d'étude:
Prognostic_studies
/
Screening_studies
Limites du sujet:
Adolescent
/
Adult
/
Aged
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Female
/
Humans
/
Male
langue:
Zh
Texte intégral:
Journal of Experimental Hematology
Année:
2005
Type:
Article