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Advances in treatment of Ph-positive adult acute lymphoblastic leukaemia


Authors: M. Doubek 1;  J. Maaloufová 2;  P. Žák 3;  F. Folber 1;  P. Cetkovský 2;  J. Mayer 1
Authors‘ workplace: Kooperující pracoviště České leukemická skupiny – pro život (CELL, The Czech Leukemia Study Group – for Life) *;  Interní hematoonkologická klinika LF MU a FN Brno, 2Ústav hematologie a krevní transfuze Praha *;  2. Interní klinika - oddělení klinické hematologie FN Hradec Králové 3
Published in: Transfuze Hematol. dnes,14, 2008, No. 2, p. 55-61.
Category: Comprehensive Reports, Original Papers, Case Reports

Overview

Philadelphia chromosome-positive (Ph+) acute lymphoblastic leukaemia (ALL) is the most common subtype of ALL in adults. The prognosis of adult patients with Ph+ ALL treated only with chemotherapy is poor, with a less than 10% probability of long-term survival. Therefore, allogeneic stem cell transplantation performed during the first remission is the recommended therapy. Recently, the availability of imatinib mesylate and other tyrosine kinase inhibitors and small molecules that affect the BCR-ABL signaling pathways has introduced a new therapeutic opportunity, and could change the treatment paradigm and prognosis for these patients.

Key words:
acute lymphoblastic leukemia, Philadelphia chromosome, treatment


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