Leverger G, Bernheim A, Daniel M T, Flandrin G, Schaison G, Berger R
Unité d'Hématologie Infantile, INSERM, U 301, Paris, France.
Nouv Rev Fr Hematol (1978). 1988;30(1-2):115-8.
Cytogenetic studies performed on 130 consecutive childhood acute non lymphoblastic leukemias (ANLL) and investigated in the same center between 1977 and 1986 have been studied for their prognostic value. Clonal chromosome changes were detected in 68.5% (89/130) of the cases prior to treatment. Complete remission rate and median survival were significantly lower in patients with only abnormal metaphases than in patients with only normal metaphases (NN) or a mixture of normal and abnormal mitoses (AN). The ANLL with translocation t(8;21), which were 58.6% of the M2 ANLL, were not associated with a particularly long survival (16 months) when compared with AN and NN ANLL. The longest survival (26 months) was observed in patients with acute myelomonocytic leukemia with bone marrow eosinophilia. Cytogenetic analysis have a prognostic value in childhood ANLL.
对1977年至1986年间在同一中心研究的130例连续性儿童急性非淋巴细胞白血病(ANLL)进行了细胞遗传学研究,以探讨其预后价值。治疗前68.5%(89/130)的病例检测到克隆性染色体改变。仅有异常中期分裂相的患者完全缓解率和中位生存期显著低于仅有正常中期分裂相(NN)或正常与异常有丝分裂混合(AN)的患者。与AN和NN ANLL相比,占M2 ANLL 58.6%的伴有t(8;21)易位的ANLL患者生存期并不特别长(16个月)。急性粒单核细胞白血病伴骨髓嗜酸性粒细胞增多的患者生存期最长(26个月)。细胞遗传学分析对儿童ANLL具有预后价值。