Acute monocytic leukemia

نویسندگان

  • Arnauld C. Verschuur
  • Gilles Vassal
چکیده

Keywords Disease name and synonyms Definition Differential diagnosis Etiology Clinical presentation Diagnostic methods Epidemiology Management including treatment Outcome Unresolved questions and conclusion References Abstract Acute myeloblastic leukemia (AML) is a group of malignant bone marrow neoplasms of myeloid precursors of white blood cells. Acute monocytic leukemia (AML-M5) is one of the most common type of AML in young children (< 2 years). However, the condition is rare and represents approximately 2.5% of all leukemias during childhood and has an incidence of 0.8 – 1.1 per million per year. The symptoms may be aspecific: asthenia, pallor, fever, dizziness and respiratory symptoms. More specific symptoms are bruises and/or (excessive) bleeding, coagulation disorders (DIC), neurological disorders and gingival hyperplasia. Diagnostic methods include blood analysis, bone marrow aspirate for cytochemical, immunological and cytogenetical analysis, and cerebrospinal fluid (CSF) investigations. A characteristic translocation observed in AML-M5 is t(9;11). Treatment includes intensive multidrug chemotherapy and in selected cases allogeneic bone marrow transplantation. Nevertheless, outcome of AML remains poor with an overall survival of 35-60%. New therapeutics are required to increase the probability of cure in this serious disorder.

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تاریخ انتشار 2004