监测微小残留病MRD在儿童急性淋巴细

文章来源:急性白血病   发布时间:2016-11-3 12:52:33   点击数:
 

Monitoringminimalresidualdiseaseinchildrenwithhigh-riskrelapsesofacutelymphoblasticleukemia:prognosticrelevanceofearlyandlateassessment

摘要原文Theprognosisforchildrenwithhigh-riskrelapsedacutelymphoblasticleukemia(ALL)ispoor.Here,weassessedtheprognosticimportanceofresponseduringinductionandconsolidationtreatmentpriortohematopoieticstemcelltransplantation(HSCT)aimingtoevaluatethebesttimetoassessminimalresidualdisease(MRD)forinterventionstrategiesandinfuturetrialsinhigh-riskALLrelapsepatients.Includedpatients(n=)weretreateduniformlyaccordingtotheALL-REZBFM(Berlin-Frankfurt-Münster)relapsetrial(medianfollow-uptime=4.8years).PatientswithMRD≥10?3afterinductiontreatment(76/,64%)orimmediatelyprecedingHSCT(19/71,27%)hadasignificantlyworseprobabilityofdisease-freesurvival10yearsafterrelapsetreatmentbegin,with26%(±6%)or23%(±7%),respectively,







































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