Kubiczek K, Rytlewska M, Pituch-Noworolska A
Kliniki Hematologii Dzieciecej Instytutu Pediatrii, Krakowie.
Pol Tyg Lek. 1994;49(12-13):273-5.
Preliminary clinical course and the results of treatment of the acute T-cell lymphoblastic leukemia in 11 children have been analysed. All children has been treated with aggressive, multidrug chemotherapy with modified BFM scheme 79/81. In the majority (approximately 80%) of cases baseline high leucocytosis, hepatosplenomegaly and/or lymphadenopathy were seen. Mediastinal tumor was present in nearly 50% of cases. The first complete remission was achieved in the majority of children but complete recovery was noted only in 4 cases (36.4%). In the remaining patients therapy has failed due to early recurrence involving bone marrow or CNS. All recurrence developed within the first 18 month of the treatment. Further studies on new therapy regimens in T-cell acute lymphoblastic leukemia in childhood are needed.
分析了11例儿童急性T细胞淋巴细胞白血病的初步临床病程及治疗结果。所有儿童均采用改良的BFM 79/81方案进行积极的多药化疗。在大多数(约80%)病例中,可见基线白细胞增多、肝脾肿大和/或淋巴结病。近50%的病例存在纵隔肿瘤。大多数儿童实现了首次完全缓解,但仅4例(36.4%)实现了完全康复。其余患者因早期复发累及骨髓或中枢神经系统而治疗失败。所有复发均发生在治疗的前18个月内。需要对儿童T细胞急性淋巴细胞白血病的新治疗方案进行进一步研究。