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[Acute lymphoblastic leukemia: treatment results in 27 children (author's transl)]
Anales Espanoles De Pediatria
|June 1, 1976
Insights
This study on childhood acute lymphoblastic leukemia achieved an 88% remission rate. Prophylaxis with intrathecal Methotrexate significantly reduced leukemic meningitis, though infection remained a leading cause of mortality.
Area of Science:
- Pediatric Oncology
- Hematology
- Leukemia Research
Context:
- Acute lymphoblastic leukemia (ALL) is a significant childhood cancer.
- Effective treatment protocols are crucial for improving outcomes.
- Managing complications like leukemic meningitis is a key challenge.
Purpose:
- To describe the therapeutic protocol and treatment outcomes for pediatric acute lymphoblastic leukemia.
- To evaluate the efficacy of intrathecal Methotrexate for preventing leukemic meningitis.
- To identify the primary causes of mortality in this cohort.
Summary:
- Twenty-seven children with acute lymphoblastic leukemia (ALL) were treated. An 88% remission rate was achieved.
- Intrathecal Methotrexate prophylaxis for leukemic meningitis was highly effective, with only one case developing.
- Survival rates were 35% for those followed for two or more years. Infection was the most frequent cause of death.
Impact:
- Demonstrates the effectiveness of a specific therapeutic protocol for pediatric ALL.
- Highlights the success of intrathecal Methotrexate in preventing leukemic meningitis.
- Provides insights into mortality factors, guiding future research and clinical practice in pediatric leukemia treatment.
Abstract:
Therapeutic protocol and treatment results of 27 children with acute lymphoblastic leukemia are described. A remission rate of 88 per 100 was obtained. Fourteen children are living. Five of those followed for two or more years are living (35 per 100). The prophylaxis of leukemic meningitis was done with intrathecal Methotrexate. Only one child treated in this manner developed leukemic meningitis. Infection was the most frequent cause of death.