A systematic approach on the frequency of cleft lip/palate in pediatric patients with leukemia

D A Prodan1, S Bran1, C Dinu1

  • 1Department of Maxillofacial Surgery and Implantology, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.

Insights

This study found limited evidence linking pediatric cleft lip/palate (CL/P) with leukemia. Further research with larger patient groups is necessary to confirm any association between CL/P and leukemia.

Area of Science:

  • Pediatric Hematology
  • Craniofacial Anomalies
  • Oncology

Background:

  • Cleft lip/palate (CL/P) are common congenital anomalies.
  • The potential association between CL/P and childhood leukemia requires further investigation.

Purpose of the Study:

  • To systematically review and analyze the existing literature on the frequency of leukemia in pediatric patients with cleft lip/palate.

Main Methods:

  • A systematic literature search was conducted across PubMed, Web of Science, and Cochrane databases.
  • Keywords included various terms for cleft lip/palate and leukemia types.
  • Studies published up to March 2020 reporting an association were included.

Main Results:

  • Five studies (2 case-control, 3 cohort) met the inclusion criteria.
  • Case-control studies identified 9 CL/P cases among 445 leukemia patients (ALL/AML).
  • Cohort studies found 6 CL/P cases among 10 ALL patients.

Conclusions:

  • The current literature provides limited evidence for an association between CL/P and leukemia in pediatric patients.
  • Larger cohort studies are essential to establish a definitive correlation.
Abstract