Translocation (9;22) is associated with extremely poor prognosis in intensively treated children with acute lymphoblastic leukemia.

Abstract:

:The prognostic implications of t(9;22)(q34;q11) were assessed at a median follow-up of 3.5 years in 434 children receiving intensive treatment for acute lymphoblastic leukemia (ALL). Four-year event-free and overall survivals were 81% and 88%, respectively, in 419 children lacking t(9;22), but were 0% and 20%, respectively, in 15 children with t(9;22) (P less than .001). Poor outcome for children with t(9;22)-positive ALL was particularly notable because we have reported improved survival in other historically poor prognosis ALL cytogenetic categories when treated with similarly intensive therapy. We recommend that very intensive treatment approaches, including bone marrow transplantation in first remission, be considered for all children with t(9;22)-positive ALL.

journal_name

Blood

journal_title

Blood

authors

Fletcher JA,Lynch EA,Kimball VM,Donnelly M,Tantravahi R,Sallan SE

subject

Has Abstract

pub_date

1991-02-01 00:00:00

pages

435-9

issue

3

eissn

0006-4971

issn

1528-0020

journal_volume

77

pub_type

临床试验,杂志文章,多中心研究

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