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CD56 抗原表达对急性髓系白血病患者的预后意义。

Prognostic significance of CD56 antigen expression in patients with acute myeloid leukemia.

机构信息

Clinic for Hematology, Clinical Center of Serbia, Koste Todorovica 2, 11000 Belgrade, Serbia.

出版信息

Med Oncol. 2012 Sep;29(3):2077-82. doi: 10.1007/s12032-011-0104-9. Epub 2011 Nov 12.

Abstract

The aims of this study were to investigate the frequency and prognostic relevance of CD56 expression in patients with acute myeloid leukemia (AML) and to compare the importance of CD56 expression with standard prognostic factors, such as age, leukocytosis, cytogenetic abnormalities and performance status. We analyzed the data of 184 newly diagnosed patients with non-promyelocytic AML and a follow-up of 36 months. The median patient age was 58 years, with a range of 18-79. CD56+ antigen was recorded in 40 patients (21.7%). CD56 + was the most significant risk factor for OS: P = 0.05. The most significant factor for a poor rate of CR was age ≥ 55 years (P = 0.001). CD56 positivity had no significant influence on CR rate, but it was the most significant risk factor for disease-free survival (P = 0.005). The CD56 antigen is an independent prognostic risk factor, and its presence should be measured regularly for a better prognostic assessment of patients with AML.

摘要

本研究旨在探讨 CD56 表达在急性髓系白血病(AML)患者中的频率和预后相关性,并将 CD56 表达的重要性与年龄、白细胞增多、细胞遗传学异常和表现状态等标准预后因素进行比较。我们分析了 184 例新诊断的非早幼粒细胞性 AML 患者的数据,随访时间为 36 个月。患者的中位年龄为 58 岁,范围为 18-79 岁。40 例患者(21.7%)记录到 CD56+抗原。CD56+是 OS 的最显著危险因素:P=0.05。CR 率较差的最显著因素是年龄≥55 岁(P=0.001)。CD56 阳性对 CR 率没有显著影响,但它是无病生存的最显著危险因素(P=0.005)。CD56 抗原是一个独立的预后危险因素,应定期测量其存在,以更好地评估 AML 患者的预后。

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