Factors influencing survival in philadelphia chromosome positive chronic myelocytic leukemia
β Scribed by Shigeru Oguma; Kiyoshi Takatsuki; Haruto Uchino; Nanao Kamada; Nobuo Oguma; Atsushi Kuramoto
- Publisher
- John Wiley and Sons
- Year
- 1982
- Tongue
- English
- Weight
- 620 KB
- Volume
- 50
- Category
- Article
- ISSN
- 0008-543X
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β¦ Synopsis
The prognostic value of several clinical and hematologic features, recorded at diagnosis, in chronic phase Ph' positive chronic myelocytic leukemia (CML), was analyzed in 135 patients using life-table analysis. About one third of patients were atomic bomb survivors and they had been examined twice a year before the diagnosis of CML. In general, features representing tumor cell burden, i.e., leukocyte count, spleen sizes, and absolute differential cell counts of all granulocyte series cells except myeloblasts affected survival significantly, while sex, age, hemoglobin, platelets, and features representing quality of leukemia, i.e., neutrophil alkaline phosphatase score, percent Ph' positive cells in bone marrow, and percent differentials of all granulocyte series cells except promyelocytes and segmented neutrophils were all insignificant. Multivariate life-table analysis was also performed using age, sex, hemoglobin, platelets, and leukocyte count as predictor variables. The result was that leukocyte was the single most important factor in this analysis and annual death rates between low risk (risk ratio < 0.8) and high risk (risk ratio > 1.4) differed considerably up to four years from diagnosis, indicating our formula to calculate risk ratio is valid as a grading parameter of chronic phase Ph' positive CML within four years from diagnosis.
π SIMILAR VOLUMES
## Abstract A female patient with chronic myelocytic leukemia (CML) in chronic phase after busulfan and interferon treatment had four different cell lines in her bone marrow. In addition to cells with a normal karyotype there were cells with the Philadelphia chromosome (Ph^1^), cells with trisomy 8
## Abstract ## BACKGROUND Anecdotal cases of chromosomal abnormalities in Philadelphia chromosome (Ph)βnegative metaphases have been reported in patients with chronic myelogenous leukemia (CML) in the chronic phase during treatment with interferon and, more recently, with imatinib. This phenomenon