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001-es BibID:BIBFORM097389
035-os BibID:(cikkazonosító)5078 (WoS)000713798000001 (Scopus)85116812701
Első szerző:Gaál Zsuzsanna (csecsemő-és gyermekgyógyász központi gyakornok)
Cím:Recent Advances in the Management of Pediatric Acute Myeloid Leukemia : report of the Hungarian Pediatric Oncology-Hematology Group / Gaál Zsuzsanna, Jakab Zsuzsanna, Kárai Bettina, Ujfalusi Anikó, Petrás Miklós, Kállay Krisztián, Kelemen Ágnes, Simon Réka, Kriván Gergely, Kovács Gábor T., Kiss Csongor, Szegedi István
Dátum:2021
ISSN:2072-6694
Megjegyzések:Outcome measures of pediatric acute myeloid leukemia (AML) improved considerably between 1990 and 2011 in Hungary. Since 2012, efforts of the Hungarian Pediatric Oncology Hematology Group (HPOG) included the reduction in the number of treatment centers, contemporary diagnostic procedures, vigorous supportation, enhanced access to hematopoietic stem cell trans plantation (HSCT), and to targeted therapies. The major aim of our study was to evaluate AML treatment results of HPOG between 2012 and 2019 with 92 new patients registered (52 males, 40 females, mean age 7.28 years). Two periods were distinguished: 2012?2015 and 2016?2019 (55 and 37 patients, respectively). During these periods, 2 y OS increased from 63.6% to 71.4% (p = 0.057), and the 2 y EFS increased significantly from 56.4% to 68.9% (p = 0.02). HSCT was performed in 37 patients (5 patients received a second HSCT). We demonstrate advances in the diagnosis and treatment of acute promyelocytic leukemia (APL) in two cases. Early diagnosis and follow-up were achieved by multidimensional flow cytometry and advanced molecular methods. Both patients were successfully treated with all-trans retinoic acid and arsenic-trioxide, in addition to chemotherapy. In order to meet international standards of pediatric AML management, HPOG will further centralize treatment centers and diagnostic facilities and join efforts with international study groups.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
acute myeloid leukemia
acute promyelocytic leukemia
Hungarian Pediatric Oncology-Hematology
survival outcomes
multidimensional flow cytometry
Megjelenés:Cancers. - 13 : 20 (2021), p. 1-18. -
További szerzők:Jakab Zsuzsanna (gyermekgyógyász) Kárai Bettina (1984-) (orvos) Ujfalusi Anikó (1968-) (gyermekorvos, laboratóriumi szakorvos) Petrás Miklós (1977-) (orvos) Kállay Krisztián Kelemen Ágnes Simon Réka Kriván Gergely Kovács Gábor T. Kiss Csongor (1956-) (hematológus, onkológus) Szegedi István (1969-) (hematológus, onkológus, nefrológus)
Pályázati támogatás:Foundation of Children with Leukemia
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