Surveillance and expected outcome of acute lymphoblastic leukemia in children and adolescents: An experience from Eastern India

Objective: Research in Eastern India especially among children and adolescents for acute lymphoblastic leukemia (ALL) have not been well documented until recently when it was conducted at a cancer institute of tertiary care with primary objectives of examining and correlating different cell surface...

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Main Authors: Ashis Mukhopadhyay, Sudeshna Gangopadhyay, Swati Dasgupta, Samrat Paul, Soma Mukhopadhyay, Ujjal Kanti Ray
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2013-01-01
Series:Indian Journal of Medical and Paediatric Oncology
Subjects:
Online Access:http://www.ijmpo.org/article.asp?issn=0971-5851;year=2013;volume=34;issue=4;spage=280;epage=282;aulast=Mukhopadhyay
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author Ashis Mukhopadhyay
Sudeshna Gangopadhyay
Swati Dasgupta
Samrat Paul
Soma Mukhopadhyay
Ujjal Kanti Ray
author_facet Ashis Mukhopadhyay
Sudeshna Gangopadhyay
Swati Dasgupta
Samrat Paul
Soma Mukhopadhyay
Ujjal Kanti Ray
author_sort Ashis Mukhopadhyay
collection DOAJ
description Objective: Research in Eastern India especially among children and adolescents for acute lymphoblastic leukemia (ALL) have not been well documented until recently when it was conducted at a cancer institute of tertiary care with primary objectives of examining and correlating different cell surface markers involved with respect to disease surveillance thereby highlighting it as a strong prognostic marker for future diagnosis and treatment. Materials and Methods: A total of 500 consecutively selected ALL patients were diagnosed and treated according to National Cancer Institute protocol (MCP 841) for a period of 24-88 months during this hospital-based study. Results: Of the total, 50.4% had a higher incidence of T-ALL and 47.6% had pro-B, B-cell precursor ALL. Disease free survival and event free survival were remarkably higher in B-ALL adolescent patients as compared to T-ALL, who had significantly lower overall survival ratio. Prevalence of T-ALL was also observed in relapse cases for adolescent patients. Conclusions: We conclude that there is an increased prevalence of T-ALL among adolescents in Eastern India. Immunophenotypic analysis might help in proper evaluation and prediction of treatment outcomes with an increased thrust on studying age-specific incident rates enabling well planned future treatments for improved and better outcome.
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spelling doaj-art-7ada14a3fe8b478a915989b3735b33eb2025-08-20T01:51:11ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Medical and Paediatric Oncology0971-58512013-01-0134428028210.4103/0971-5851.125245Surveillance and expected outcome of acute lymphoblastic leukemia in children and adolescents: An experience from Eastern IndiaAshis MukhopadhyaySudeshna GangopadhyaySwati DasguptaSamrat PaulSoma MukhopadhyayUjjal Kanti RayObjective: Research in Eastern India especially among children and adolescents for acute lymphoblastic leukemia (ALL) have not been well documented until recently when it was conducted at a cancer institute of tertiary care with primary objectives of examining and correlating different cell surface markers involved with respect to disease surveillance thereby highlighting it as a strong prognostic marker for future diagnosis and treatment. Materials and Methods: A total of 500 consecutively selected ALL patients were diagnosed and treated according to National Cancer Institute protocol (MCP 841) for a period of 24-88 months during this hospital-based study. Results: Of the total, 50.4% had a higher incidence of T-ALL and 47.6% had pro-B, B-cell precursor ALL. Disease free survival and event free survival were remarkably higher in B-ALL adolescent patients as compared to T-ALL, who had significantly lower overall survival ratio. Prevalence of T-ALL was also observed in relapse cases for adolescent patients. Conclusions: We conclude that there is an increased prevalence of T-ALL among adolescents in Eastern India. Immunophenotypic analysis might help in proper evaluation and prediction of treatment outcomes with an increased thrust on studying age-specific incident rates enabling well planned future treatments for improved and better outcome.http://www.ijmpo.org/article.asp?issn=0971-5851;year=2013;volume=34;issue=4;spage=280;epage=282;aulast=MukhopadhyayAcute lymphoblastic leukemiaB-acute lymphoblastic leukemiaimmunophenotypeprognostic markerT-acute lymphoblastic leukemia
spellingShingle Ashis Mukhopadhyay
Sudeshna Gangopadhyay
Swati Dasgupta
Samrat Paul
Soma Mukhopadhyay
Ujjal Kanti Ray
Surveillance and expected outcome of acute lymphoblastic leukemia in children and adolescents: An experience from Eastern India
Indian Journal of Medical and Paediatric Oncology
Acute lymphoblastic leukemia
B-acute lymphoblastic leukemia
immunophenotype
prognostic marker
T-acute lymphoblastic leukemia
title Surveillance and expected outcome of acute lymphoblastic leukemia in children and adolescents: An experience from Eastern India
title_full Surveillance and expected outcome of acute lymphoblastic leukemia in children and adolescents: An experience from Eastern India
title_fullStr Surveillance and expected outcome of acute lymphoblastic leukemia in children and adolescents: An experience from Eastern India
title_full_unstemmed Surveillance and expected outcome of acute lymphoblastic leukemia in children and adolescents: An experience from Eastern India
title_short Surveillance and expected outcome of acute lymphoblastic leukemia in children and adolescents: An experience from Eastern India
title_sort surveillance and expected outcome of acute lymphoblastic leukemia in children and adolescents an experience from eastern india
topic Acute lymphoblastic leukemia
B-acute lymphoblastic leukemia
immunophenotype
prognostic marker
T-acute lymphoblastic leukemia
url http://www.ijmpo.org/article.asp?issn=0971-5851;year=2013;volume=34;issue=4;spage=280;epage=282;aulast=Mukhopadhyay
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