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Title: | Outcome of adolescents and young adults with acute lymphoblastic leukemia in a single center in Brazil |
Authors: | Aguiar, Thais Ferraz Barbosa, Thayana da Conceição Maciel, Ana Luiza Tardem Blunck, Caroline Barbieri Laclette, João de Sellos Rocha Melo, Andreia Cristina de Mansur, Marcela Braga Emerenciano, Mariana |
Keywords: | Leucemia-Linfoma Linfoblástico de Células Precursoras Precursor Cell Lymphoblastic Leukemia-Lymphoma |
Issue Date: | 2022 |
Publisher: | Hematology, Transfusion and Cell Therapy |
Citation: | AGUIAR, Thais Ferraz; BARBOSA, Thayana da Conceição; MACIEL, Ana Luiza Tardem; BLUNK, Caroline Barbieri; LACLETTE, João de Sellos Rocha; MELO, Andreia Cristina de; MANSUR, Marcela Braga; EMERENCIANO, Mariana. Outcome of adolescents and young adults with acute lymphoblastic leukemia in a single center in Brazil. Hematology, Transfusion and Cell Therapy, Rio de Janeiro, 2022. DOI: 10.1016/j.htct.2022.06.006 |
Abstract: | Introduction: Acute lymphoblastic leukemia (ALL) presents a poor prognosis in adults. The adoption of pediatric protocols has been changing this scenario, especially for adolescents and young adults (AYA). Objective and method: We aimed to evaluate a consecutive series of patients treated at the State Institute of Hematology of Rio de Janeiro between 2012 and 2020, focusing on the AYA subgroup. Result: The B-ALL was the most frequent subtype (81.6%) and AYA, the predominant age group (57.7%). The median overall survival (OS) was 9.4 months. High early mortality was observed and sepsis was the main cause of death. Better OS results were noted in AYA, in comparison to over 39y (13.3 × 6.2 months, respectively), the Berlin-Frankfurt-Münster (BFM) being the protocol of choice in this group. Conclusion: The use of the pediatric protocol seems to improve the OS of AYA, however, high rates of deaths from infection were observed, demonstrating the need for advances in the Brazilian public system clinical support. |
Description: | DOI: 10.1016/j.htct.2022.06.006 |
URI: | https://ninho.inca.gov.br/jspui/handle/123456789/12331 |
ISSN: | 2531-1379 |
Appears in Collections: | Artigo de Periódicos da Pesquisa Clínica |
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