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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2006-1-4
pubmed:abstractText
We retrospectively analysed the significance of FLT3 mutations in patients with acute myeloid leukemia (AML) having a normal karyotype, who were treated with high-dose chemotherapy and autologous peripheral blood stem cell transplantation (auto-PBSCT). In all, 34 patients with normal karyotype AML in first complete remission receiving high-dose chemotherapy and auto-PBSCT were analysed based on the presence or absence of FLT3/ITDs and FLT3/D835. They were 16 males and 18 females and with a median age of 41.5 years. FLT3/ITDs were detected in eight of 34 patients (23.5 %), and FLT3 D835 mutations in two of 34 patients (5.9%). White blood cell count (P=0.0087), serum concentration of lactate dehydrogenase (P=0.005), and percentages of peripheral blood (P=0.0131) and bone marrow (BM) blasts (P=0.0312) were significantly higher in patients showing the FLT3 mutations. Overall survival (OS) and disease-free survival (DFS) were similar between patients with or without FLT3 mutations (5 year DFS, 67.5 vs 68.55%, P=0.819; 5 year OS, 64.81 vs 78.88%, P=0.4457, by the log-rank test). FLT3 mutations demonstrate no further prognostic impact in patients with normal karyotype AML in first CR treated with high-dose chemotherapy and auto-PBSCT. Myeloablative chemotherapy supported by auto-PBSCT may overcome any poor prognostic implications of FLT3 mutations.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0268-3369
pubmed:author
pubmed:issnType
Print
pubmed:volume
36
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
977-83
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:16184177-Acute Disease, pubmed-meshheading:16184177-Adolescent, pubmed-meshheading:16184177-Adult, pubmed-meshheading:16184177-Aged, pubmed-meshheading:16184177-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:16184177-DNA Mutational Analysis, pubmed-meshheading:16184177-Female, pubmed-meshheading:16184177-Humans, pubmed-meshheading:16184177-Karyotyping, pubmed-meshheading:16184177-Leukemia, Myeloid, pubmed-meshheading:16184177-Male, pubmed-meshheading:16184177-Middle Aged, pubmed-meshheading:16184177-Mutation, pubmed-meshheading:16184177-Mutation, Missense, pubmed-meshheading:16184177-Peripheral Blood Stem Cell Transplantation, pubmed-meshheading:16184177-Prognosis, pubmed-meshheading:16184177-Remission Induction, pubmed-meshheading:16184177-Retrospective Studies, pubmed-meshheading:16184177-Survival Analysis, pubmed-meshheading:16184177-Tandem Repeat Sequences, pubmed-meshheading:16184177-Transplantation, Autologous, pubmed-meshheading:16184177-fms-Like Tyrosine Kinase 3
pubmed:year
2005
pubmed:articleTitle
FLT3 mutations in normal karyotype acute myeloid leukemia in first complete remission treated with autologous peripheral blood stem cell transplantation.
pubmed:affiliation
Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
pubmed:publicationType
Journal Article