Long survival in childhood lymphoblastic leukaemia.

Long term follow-up of 378 children with acute lymphoblastic leukaemia (ALL) treated at a single centre showed that at six years from diagnosis 202 (53%) were alive, of whom 140 (37%) remained in first remission. Only three children had a first relapse after six years. Children who survived six year...

Полное описание

Библиографические подробности
Главные авторы: Chessells, J, Hardisty, R, Richards, S
Формат: Journal article
Язык:English
Опубликовано: 1987
_version_ 1826299827501137920
author Chessells, J
Hardisty, R
Richards, S
author_facet Chessells, J
Hardisty, R
Richards, S
author_sort Chessells, J
collection OXFORD
description Long term follow-up of 378 children with acute lymphoblastic leukaemia (ALL) treated at a single centre showed that at six years from diagnosis 202 (53%) were alive, of whom 140 (37%) remained in first remission. Only three children had a first relapse after six years. Children who survived six years despite a single extramedullary relapse in the testis or CNS were likely to remain in second remission but patients with previous marrow or with multiple relapses continued at risk for up to ten years from diagnosis. Presenting factors influencing event-free survival were: leucocyte count, age and sex. After allowing for these factors morphological (FAB) subtype and liver enlargement retained their prognostic significance. Immunological type of ALL was not of independent prognostic significance, except for the small number of patients with B-ALL. Most factors lost their significance after 2-4 years. It is concluded that patients alive 6 years from diagnosis without relapse or even with a single extramedullary relapse of ALL, have a high chance of prolonged survival and cure.
first_indexed 2024-03-07T05:07:52Z
format Journal article
id oxford-uuid:da8b98b2-8af7-44d7-bd1b-57fcebeb9e52
institution University of Oxford
language English
last_indexed 2024-03-07T05:07:52Z
publishDate 1987
record_format dspace
spelling oxford-uuid:da8b98b2-8af7-44d7-bd1b-57fcebeb9e522022-03-27T09:03:59ZLong survival in childhood lymphoblastic leukaemia.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:da8b98b2-8af7-44d7-bd1b-57fcebeb9e52EnglishSymplectic Elements at Oxford1987Chessells, JHardisty, RRichards, SLong term follow-up of 378 children with acute lymphoblastic leukaemia (ALL) treated at a single centre showed that at six years from diagnosis 202 (53%) were alive, of whom 140 (37%) remained in first remission. Only three children had a first relapse after six years. Children who survived six years despite a single extramedullary relapse in the testis or CNS were likely to remain in second remission but patients with previous marrow or with multiple relapses continued at risk for up to ten years from diagnosis. Presenting factors influencing event-free survival were: leucocyte count, age and sex. After allowing for these factors morphological (FAB) subtype and liver enlargement retained their prognostic significance. Immunological type of ALL was not of independent prognostic significance, except for the small number of patients with B-ALL. Most factors lost their significance after 2-4 years. It is concluded that patients alive 6 years from diagnosis without relapse or even with a single extramedullary relapse of ALL, have a high chance of prolonged survival and cure.
spellingShingle Chessells, J
Hardisty, R
Richards, S
Long survival in childhood lymphoblastic leukaemia.
title Long survival in childhood lymphoblastic leukaemia.
title_full Long survival in childhood lymphoblastic leukaemia.
title_fullStr Long survival in childhood lymphoblastic leukaemia.
title_full_unstemmed Long survival in childhood lymphoblastic leukaemia.
title_short Long survival in childhood lymphoblastic leukaemia.
title_sort long survival in childhood lymphoblastic leukaemia
work_keys_str_mv AT chessellsj longsurvivalinchildhoodlymphoblasticleukaemia
AT hardistyr longsurvivalinchildhoodlymphoblasticleukaemia
AT richardss longsurvivalinchildhoodlymphoblasticleukaemia