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  • Acute lymphoblastic leukemia(ALL) diagnosed in the first month of life (congenital ALL) is very rare. Although congenital ALL is often assumed to be fatal,no studies have been published on outcome except for case reports. The present study reports the outcome of 30 patients with congenital ALL treated with the uniform Interfant-99 protocol, a hybrid regimen combining ALL treatment with elements designed for treatment of acute myeloid leukemia. Congenital ALL was characterized by a higher white blood cell count and a strong trend for higher incidence of ML Lrearrangements compared with older infants.Relapse rate was significantly higher in congenital ALL patiens (2-year cumulative incidence [SE] was 60.0 [9.3] vs 34.2 [2.3],P < .001).Two-year event-free survival and survival of congenital ALL patients treated with this protocol was 20%. The survival of 17% after last follow-up,combined with a toxicity profile comparable with that in older infants,justifies treating congenital ALL with curative intent.
  • Acute lymphoblastic leukemia(ALL) diagnosed in the first month of life (congenital ALL) is very rare. Although congenital ALL is often assumed to be fatal,no studies have been published on outcome except for case reports. The present study reports the outcome of 30 patients with congenital ALL treated with the uniform Interfant-99 protocol, a hybrid regimen combining ALL treatment with elements designed for treatment of acute myeloid leukemia. Congenital ALL was characterized by a higher white blood cell count and a strong trend for higher incidence of ML Lrearrangements compared with older infants.Relapse rate was significantly higher in congenital ALL patiens (2-year cumulative incidence [SE] was 60.0 [9.3] vs 34.2 [2.3],P < .001).Two-year event-free survival and survival of congenital ALL patients treated with this protocol was 20%. The survival of 17% after last follow-up,combined with a toxicity profile comparable with that in older infants,justifies treating congenital ALL with curative intent. (en)
Title
  • Outcome of congenital acute lymphoblastic leukemia treated on the Interfant-99 protocol
  • Outcome of congenital acute lymphoblastic leukemia treated on the Interfant-99 protocol (en)
skos:prefLabel
  • Outcome of congenital acute lymphoblastic leukemia treated on the Interfant-99 protocol
  • Outcome of congenital acute lymphoblastic leukemia treated on the Interfant-99 protocol (en)
skos:notation
  • RIV/00216208:11130/09:5345!RIV10-MSM-11130___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • Z(MSM0021620813)
http://linked.open...iv/cisloPeriodika
  • 18
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 332353
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11130/09:5345
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • oncology-group; prognostic-factors; infants; experience; therapy; trial (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [FDF692176F5F]
http://linked.open...i/riv/nazevZdroje
  • Blood
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 114
http://linked.open...iv/tvurceVysledku
  • Campbell, M.
  • Pieters, R.
  • Starý, Jan
  • Rubnitz, J. E
  • Biondi, A.
  • Janka, G.
  • Szczepanski, T.
  • De Lorenzo, P.
  • Valsecchi, MG
  • Vora, A.
  • van der Linden, MH
  • Moricke, A.
  • Felice, M.
  • Ferster, A.
  • Hann, I.
  • Hovi, L.
  • Leblanc, T. M.
  • Silverman, LB
http://linked.open...ain/vavai/riv/wos
  • 000271268100010
http://linked.open...n/vavai/riv/zamer
issn
  • 0006-4971
number of pages
http://localhost/t...ganizacniJednotka
  • 11130
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