Prognostic factors and outcome for children after second central nervous system relapse of acute lymphoblastic leukaemia.

The Medical Research Council acute lymphoblastic leukaemia trials (UKALL X and XI) recruited 3,702 children with ALL between January 1985 and March 1997. Seventy-nine children had central nervous system (CNS) involvement in their first two relapses. Fourteen children survived at a median follow-up o...

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Egile Nagusiak: Morris, E, Harrison, G, Bailey, C, Hann, I, Hill, F, Gibson, B, Richards, S, Webb, D
Formatua: Journal article
Hizkuntza:English
Argitaratua: 2003
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author Morris, E
Harrison, G
Bailey, C
Hann, I
Hill, F
Gibson, B
Richards, S
Webb, D
author_facet Morris, E
Harrison, G
Bailey, C
Hann, I
Hill, F
Gibson, B
Richards, S
Webb, D
author_sort Morris, E
collection OXFORD
description The Medical Research Council acute lymphoblastic leukaemia trials (UKALL X and XI) recruited 3,702 children with ALL between January 1985 and March 1997. Seventy-nine children had central nervous system (CNS) involvement in their first two relapses. Fourteen children survived at a median follow-up of 22 months from second relapse; seven (9%) in third remission, two in later remissions and five with disease. Factors predictive of survival from second relapse were site (isolated CNS was better than combined CNS, P = 0.02) and time from diagnosis to second CNS relapse (longer time was better, P = 0.004). Prognosis after second CNS relapse is extremely poor, and palliative therapy is appropriate.
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spelling oxford-uuid:4502d878-0a71-4d3e-9311-62d6eaeef4632022-03-26T15:05:12ZPrognostic factors and outcome for children after second central nervous system relapse of acute lymphoblastic leukaemia.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4502d878-0a71-4d3e-9311-62d6eaeef463EnglishSymplectic Elements at Oxford2003Morris, EHarrison, GBailey, CHann, IHill, FGibson, BRichards, SWebb, DThe Medical Research Council acute lymphoblastic leukaemia trials (UKALL X and XI) recruited 3,702 children with ALL between January 1985 and March 1997. Seventy-nine children had central nervous system (CNS) involvement in their first two relapses. Fourteen children survived at a median follow-up of 22 months from second relapse; seven (9%) in third remission, two in later remissions and five with disease. Factors predictive of survival from second relapse were site (isolated CNS was better than combined CNS, P = 0.02) and time from diagnosis to second CNS relapse (longer time was better, P = 0.004). Prognosis after second CNS relapse is extremely poor, and palliative therapy is appropriate.
spellingShingle Morris, E
Harrison, G
Bailey, C
Hann, I
Hill, F
Gibson, B
Richards, S
Webb, D
Prognostic factors and outcome for children after second central nervous system relapse of acute lymphoblastic leukaemia.
title Prognostic factors and outcome for children after second central nervous system relapse of acute lymphoblastic leukaemia.
title_full Prognostic factors and outcome for children after second central nervous system relapse of acute lymphoblastic leukaemia.
title_fullStr Prognostic factors and outcome for children after second central nervous system relapse of acute lymphoblastic leukaemia.
title_full_unstemmed Prognostic factors and outcome for children after second central nervous system relapse of acute lymphoblastic leukaemia.
title_short Prognostic factors and outcome for children after second central nervous system relapse of acute lymphoblastic leukaemia.
title_sort prognostic factors and outcome for children after second central nervous system relapse of acute lymphoblastic leukaemia
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