Page 413 - Clinical Hematology_ Theory _ Procedures ( PDFDrive )
P. 413

CHAPTER 21  ■  Acute Leukemias                         397




                                                                                                                                          . W                                                               mm

                        BOX  21.5                                                                                                           m                        k  m                    k           ,         k

                                                                                                                                         m                           ,                                            -      -

                                                                                                                                                                       .
                     Adverse Prognostic Factors



                     FACTORS USED TO PREDICT A POOR RESPONSE TO                                                                Relapse

                     INDUCTION CHEMOTHERAPY                                                                                    A                 AML          m  j        m              . D                  -

                     U                  k                                                                                                               m                         AML

                     A     >                                                                                                                . A                             m                          m       ,

                     S                 AML                                                                                                                         ,                                                    ,

                     Ex                                                                                                                      ,                                              m  j              m . A

                     F                m                                                                                                      ,         m  j

                     P                              k                    >    ,       ×     /L

                                                                                                                                                                                                                               .

                     FACTORS USED TO PREDICT A RELAPSE                                                                              P                                                                       — (    ;    ),

                     U                  k                                                                                       (  ;    ),          (    ) m          —                      m              m

                     A     >                                                                                                                                                                    x m             %

                     D                                                    m                                                                                    q                   . F

                     F                m                                                                                                                                                                       m

                     P                              k                    >    ,       ×    /L                                                           -                                    ,                mm

                     F  m                                                                                                                    m        -             (       -       )            x            m

                     AML,           m                k  m   .                                                                                           m                     m                               ,           -
                                                                                                                                                                           m                        HLA-m


                                                                                                                                                                                       HLA-m

                   Chemotherapy                                                                                                         . P                                                   q                       -

                                                                                                                                                                                         m
                   C        x          m                                      k  m                                                %                    m        .        m          APL

                             .        m                                                 AML                                        m                                                            AML.

                                         . L    -                                                              %

                           %                            m                                             m        .               Allogeneic Hematopoietic-Cell

                        M                         AML        ALL                        m        ,

                                                      x   .                                                                    Transplantation

                        T                                                 :                                                    A                   m                               m        HLA-m

                           m                    . T    m  j                   m                                                                                                                                                 .

                   m                                                       m                                                   P       m                           AML              m               k  m   -

                                             m            .                                                                                                           m        ,                 x m             %

                                                                                                                                 %                                                                      .

                   Induction Phase of Therapy                                                                                       P       m                                                       m                -

                   I                                                m                    m

                     m                                   m             m                                                                                                                                                   -

                                                  k  m                       m                                .                                          mm                          k  m           -         -     -

                        C               -                                                                                      k  m             . A                    m                -

                      m               m                                              .  A      m                                                                                      k                     x

                                                            %         %                                                           m            m

                                                       . I                                          ,     m-                                                  .

                                                                   %         %.

                        I                                 AML                        m                                         Transplantation Techniques

                                              (                , A  -C)                                                        C    m

                   (                                            ).  P                                                                    k m                            f           mm

                               AML m                             m                                  ,                              m              m     . N    m                                     -

                                                                                  (HIDAC)                                                           m              f             mm

                           m                       m           , m    x            ,                    .                                     j                                      . A

                        O           m                             ,                         m                                                                                   m         m

                                     AML                                               .                                                                m                                               ,


                                                                                                                                       m            x                                     m       . F
                   Consolidation Therapy                                                                                                                   m                             k


                   S                       m                                                                                                           m

                        m                                 m                                                                         mm               .                                                                   k
   408   409   410   411   412   413   414   415   416   417   418