Clinical analysis of children acute lymphoblastic leukemia
10.3760/cma.j.issn.1673-4408.2014.02.021
- VernacularTitle:儿童急性淋巴细胞白血病的临床分析
- Author:
Xiaolan LIU
;
Huirong MAI
;
Changang LI
;
Ying WANG
;
Sixi LIU
;
Xiuli YUAN
;
Feiqiu WEN
- Publication Type:Journal Article
- Keywords:
Acute,lymphoblastic,Leukemia;
Children;
Event-free survival
- From:
International Journal of Pediatrics
2014;41(2):185-188
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analysis the clinical characteristics and the long-term effect of children with acute lymphoblastic leukemia (ALL).Methods From 2005 to 2010,80 newly diagnosed ALL children were enrolled and treated with protocol based on ALL-BFM2002.The five-years overall survival (OS)and event-free survival(EFS) were analyzed by the method of Kaplan-Meier.Results For the 80 patients,male to female ratio is 1.22∶1.The median age was 4.3 years.33 were in standard risk(41.2％),37 were in medium risk(46.3％),and 10 were in high risk(12.5％).22 had white blood cell count ≥20 x 109/L(27.5％).three patients with BCR-ABL translocation(3.8％),one patient with MLL gene rearrangement(1.3％),17 patients with TEL-AML translocation (21.3％).During induction therapy,79 patients (98.8 ％) achieved complete remission(CR).The five-years OS and EFS were (85.9 ± 4.0) ％ and (79.2 ± 4.7) ％ respectively.The five-years EFS:SR group (86.6 ± 6.4) ％,IR group (81.1 ± 6.4) ％,HR group (48.0 ± 16.4) ％.The difference among risk groups was statistically significant(x2 =7.03,P ＜0.05).12 patients relapsed(15.0％),the median time from diagnosis to relapse was 23.5 months.11 patients died (13.8 ％).Conclusion According to stratification by risk factors and risk-adapted therapy,the quality of ALL children's life had improved.
