Acute Myeloid Leukaemia

Author(s):  
Gertjan Kaspers ◽  
Dirk Reinhardt

Acute myeloid leukaemia (AML) is the second most frequent type of leukaemia in children, and is cured nowadays in about 75% of patients in settings with essentially unlimited resources. This chapter discusses the aetiology and epidemiology of this interesting disease, its typical clinical presentation, diagnostics, and biology. The classifications, prognostic factors, and risk stratification (including minimal residual disease), and AML treatment (covering chemotherapy and allogeneic stem-cell transplantation) is presented. Several practical illustrations are included, and results of recent studies from the main cooperative study groups are summarized. Finally, side effects during treatment and late effects, as well as acute promyelocytic leukaemia (APL) and myeloid leukaemia of Down syndrome (ML-DS), are discussed. The chapter concludes with the actual challenges and perspectives.

Author(s):  
Henrik Hasle ◽  
Charlotte M. Niemeyer

Myeloid malignancies in children are divided into acute myeloid leukaemia (AML), myelodysplastic syndrome (MDS), juvenile myelomonocytic leukaemia (JMML), and the myeloid leukaemia of Down syndrome (ML-DS). Predisposing genetic conditions are common in MDS. Differentiating MDS from inherited bone marrow failure or AML may be challenging. Therapy consists of observation, immunosuppression, or stem-cell transplantation (SCT). Germline and somatic mutations deregulating the Ras/MAPK signal pathways are key initiating events in JMML. Genetics in JMML defines clinically relevant subgroups and indications for SCT. ML-DS presents with unique clinical characteristics and responds favourably to reduced doses of AML chemotherapy; however, relapse is often refractory to therapy.


2016 ◽  
Vol 175 (5) ◽  
pp. 904-916 ◽  
Author(s):  
Simone Weber ◽  
Torsten Haferlach ◽  
Tamara Alpermann ◽  
Karolína Perglerová ◽  
Susanne Schnittger ◽  
...  

2010 ◽  
Vol 11 (6) ◽  
pp. 543-552 ◽  
Author(s):  
Jeffrey E Rubnitz ◽  
Hiroto Inaba ◽  
Gary Dahl ◽  
Raul C Ribeiro ◽  
W Paul Bowman ◽  
...  

1996 ◽  
Vol 49 (1) ◽  
pp. 15-18 ◽  
Author(s):  
A Macedo ◽  
J F San Miguel ◽  
M B Vidriales ◽  
M C Lopez-Berges ◽  
M A Garcia-Marcos ◽  
...  

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