Clinical features and treatment results in children with anaplastic large cell lymphoma

Anaplastic large cell lymphoma (ALCL) tends to have frequent relapse and good response to salvage chemotherapy. The frequency of ALCL among 1486 Non-Hodgkin's lymphoma (NHL) cases followed-up since 1972 was 1.5%, however, the percentage was 9.3% in cases diagnosed after 2000. Event-free...

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Main Authors: Erman Ataş, M Tezer Kutluk, Canan Akyüz, Gülsev Kale, Ali Varan, Bilgehan Yalçın, Burça Aydın, Münevver Büyükpamukçu
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2015-10-01
Series:The Turkish Journal of Pediatrics
Online Access:https://turkjpediatr.org/article/view/1268
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author Erman Ataş
M Tezer Kutluk
Canan Akyüz
Gülsev Kale
Ali Varan
Bilgehan Yalçın
Burça Aydın
Münevver Büyükpamukçu
author_facet Erman Ataş
M Tezer Kutluk
Canan Akyüz
Gülsev Kale
Ali Varan
Bilgehan Yalçın
Burça Aydın
Münevver Büyükpamukçu
author_sort Erman Ataş
collection DOAJ
description Anaplastic large cell lymphoma (ALCL) tends to have frequent relapse and good response to salvage chemotherapy. The frequency of ALCL among 1486 Non-Hodgkin's lymphoma (NHL) cases followed-up since 1972 was 1.5%, however, the percentage was 9.3% in cases diagnosed after 2000. Event-free survival (EFS) and overall survival (OS) rates for 23 children were 32.2% and 72.8% at 3 years, respectively. Disseminated diseases, no response to first line treatment, anaplastic lymphoma kinase (ALK) negativity were found as significant predictors on survival of ALCL. The proper diagnosis and early referral is essential in these children for a better survival rate. The children with ALK negative status should be monitored carefully because of the poor prognostic factors, and treated differently. The survival rates in this study are need of further improvement since the survival rates with current protocols are achievable at a level more than 80%. This is mainly related with late referral of those children with advanced disease.
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id doaj-art-0fc0d9b4172d4a60940a979c38c7f6fe
institution DOAJ
issn 0041-4301
2791-6421
language English
publishDate 2015-10-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-0fc0d9b4172d4a60940a979c38c7f6fe2025-08-20T03:16:22ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212015-10-01575Clinical features and treatment results in children with anaplastic large cell lymphomaErman Ataş0M Tezer KutlukCanan AkyüzGülsev KaleAli VaranBilgehan YalçınBurça AydınMünevver BüyükpamukçuDivision of Pediatric Oncology, Hacettepe University Faculty of Medicine, Ankara Turkey. tezerkutluk@gmail.com. Anaplastic large cell lymphoma (ALCL) tends to have frequent relapse and good response to salvage chemotherapy. The frequency of ALCL among 1486 Non-Hodgkin's lymphoma (NHL) cases followed-up since 1972 was 1.5%, however, the percentage was 9.3% in cases diagnosed after 2000. Event-free survival (EFS) and overall survival (OS) rates for 23 children were 32.2% and 72.8% at 3 years, respectively. Disseminated diseases, no response to first line treatment, anaplastic lymphoma kinase (ALK) negativity were found as significant predictors on survival of ALCL. The proper diagnosis and early referral is essential in these children for a better survival rate. The children with ALK negative status should be monitored carefully because of the poor prognostic factors, and treated differently. The survival rates in this study are need of further improvement since the survival rates with current protocols are achievable at a level more than 80%. This is mainly related with late referral of those children with advanced disease. https://turkjpediatr.org/article/view/1268
spellingShingle Erman Ataş
M Tezer Kutluk
Canan Akyüz
Gülsev Kale
Ali Varan
Bilgehan Yalçın
Burça Aydın
Münevver Büyükpamukçu
Clinical features and treatment results in children with anaplastic large cell lymphoma
The Turkish Journal of Pediatrics
title Clinical features and treatment results in children with anaplastic large cell lymphoma
title_full Clinical features and treatment results in children with anaplastic large cell lymphoma
title_fullStr Clinical features and treatment results in children with anaplastic large cell lymphoma
title_full_unstemmed Clinical features and treatment results in children with anaplastic large cell lymphoma
title_short Clinical features and treatment results in children with anaplastic large cell lymphoma
title_sort clinical features and treatment results in children with anaplastic large cell lymphoma
url https://turkjpediatr.org/article/view/1268
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