Source:http://linkedlifedata.com/resource/pubmed/id/11054069
Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
|
pubmed:dateCreated |
2000-11-9
|
pubmed:abstractText |
Primary myelosarcomas are rare manifestations of acute myeloid leukaemia (AML) that precede bone marrow involvement. Out of 744 children observed during the AML-Berlin-Frankfurt-Münster (BFM) studies 87 and 93, 34 children presented with extramedullar myelosarcomas and no blasts (n = 21; 2.8%), or a low blast count (n = 13; 1.7%) in the bone marrow. Owing to the initially mild and variable symptoms, in some children (n = 12) diagnostic procedures were delayed and treatment intensity was reduced. At 0.65 +/- 0.13, the cumulative incidence of relapse was significantly higher than in other AML patients (0.28 +/- 0.02). The 5-year event-free survival was 0.19 +/- 0.08 (compared with 0.48 +/- 0.02 in AML-BFM studies 87/93; P(log rank) < 0.03). Overall, 18 out of 34 patients died from disease (estimated 5 year survival 0.44 +/- 0.09 compared with 0.55 +/- 0.02 in the AML-BFM-studies 87/93; P(log rank) = 0.35, n.s.). An early diagnostic workup is needed in children with unusual skin lesions or tumours, considering myelosarcoma as a primary manifestation of AML. Intensive AML-specific chemotherapy is recommended soon after diagnosis.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:month |
Sep
|
pubmed:issn |
0007-1048
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
110
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
863-6
|
pubmed:dateRevised |
2004-11-17
|
pubmed:meshHeading |
pubmed-meshheading:11054069-Acute Disease,
pubmed-meshheading:11054069-Adolescent,
pubmed-meshheading:11054069-Bone Marrow Cells,
pubmed-meshheading:11054069-Bone Marrow Transplantation,
pubmed-meshheading:11054069-Child,
pubmed-meshheading:11054069-Child, Preschool,
pubmed-meshheading:11054069-Disease-Free Survival,
pubmed-meshheading:11054069-Female,
pubmed-meshheading:11054069-Humans,
pubmed-meshheading:11054069-Incidence,
pubmed-meshheading:11054069-Infant,
pubmed-meshheading:11054069-Infant, Newborn,
pubmed-meshheading:11054069-Leukemia, Myeloid,
pubmed-meshheading:11054069-Male,
pubmed-meshheading:11054069-Recurrence,
pubmed-meshheading:11054069-Treatment Outcome
|
pubmed:year |
2000
|
pubmed:articleTitle |
Primary myelosarcomas are associated with a high rate of relapse: report on 34 children from the acute myeloid leukaemia-Berlin-Frankfurt-Münster studies.
|
pubmed:affiliation |
Children's Hospital, Westfaelische-Wilhelms University, Münster, Germany. dreinh@uni-muenster.de
|
pubmed:publicationType |
Journal Article,
Multicenter Study
|