Papersleukemia8711723

Prognostic factors for clinical outcomes of patients with central nervous system leukemia

Hematology/oncology and stem cell therapy · 01-9-2021 · 8711723 on PMC →
Entities in this paper
Intrathecal chemotherapy Intrathecal consolidation chemotherapy Inadequate achievement of developmental tasks Timing of stage International neuroblastoma pathology classification: Favorable histology group, patient age 1.5 years up to but less than 5 years, with differentiating neuroblastoma (Schwannian stroma-poor), and low mitosis-karyorrhexis index CNS leukemia response to treatment Central nervous system overall survival CNS leukemia complete remission rate

Extracted findings (6)

Patients with CNS leukemia treated with intrathecal chemotherapy alone had significantly better 3-year overall survival compared to those who received intrathecal chemotherapy in combination with cran

Effect: improvement; 51% vs. 18%

Size: 51% vs. 18%

Patients with CNS leukemia who received intrathecal consolidation chemotherapy after achieving CNS complete remission had significantly improved 3-year overall survival in a dose-dependent pattern com

Effect: improvement; 61% vs. 53% vs. 13%

Size: 61% vs. 53% vs. 13%

Patients who achieved systemic leukemia complete remission had a significantly higher probability of achieving CNS leukemia complete remission compared to those who did not achieve systemic remission.

Effect: improvement; 89% vs. 58%

Size: 89% vs. 58%
Timing of stage
decline

Patients who developed CNS leukemia after hematopoietic cell transplantation had uniformly fatal outcomes, with 0% 3-year survival, compared to patients diagnosed with CNS leukemia before or at the ti

Effect: decline; 0% vs. 42% vs. 47%

Size: 0% vs. 42% vs. 47%

Pediatric patients with CNS leukemia had significantly better 3-year overall survival compared to adult patients, though the likelihood of achieving CNS complete remission was not significantly differ

Effect: decline; 81% vs. 28%

Size: 81% vs. 28%

Patients who achieved and maintained CNS leukemia complete remission had the best 3-year survival at 60%, those with CNS relapse had 30% survival, and none of the patients with persistent CNS leukemia

Effect: improvement; 60% vs. 30% vs. 0%

Size: 60% vs. 30% vs. 0%