Clinical aspects of acute myeloid leukemias of the FAB types M3 and M4Eo

ISSN:
1432-0584
Keywords:
Acute myeloid leukemia ; Acute promyelocytic leukemia ; Acute myelomonocytic leukemia ; t (15, 17) ; inv(16)
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary Acute promyelocytic leukemia (AML FAB M3, APL) and acute myelomonocytic leukemia with abnormal eosinophils (AML M4Eo) are considered distinct entities with characteristic clinical, morphological, cytogenetic, and prognostic features. Promyelocytic leukemia is characterized by abnormal promyelocytes replacing normal hematopoiesis associated with a translocation between the long arms of chromosomes 15 and 17 t (15; 17), severe coagulopathy, and responsiveness to all-trans retinoic acid (tretinoin). Characteristic features of AML M4Eo are a myelomonocytic marrow infiltration, eosinophils with abnormal immature granules positive for chloroacetate esterase, an inversion or translocation of chromosome 16, and an increased risk of meningeal relapses. Prognosis of both types of AML has been reported to be better than prognosis of the other entities combined. Since most of the published data were collected from heterogeneous patient populations treated with various chemotherapeutic regimens, we have analyzed treatment outcome of AML M3 and M4Eo in the AMLCG-85 study for patients younger than 60 years. For the total population of 594 patients of this study, CR rate was 68.89%, early death rate 11.60%, and no or partial remission was achieved in 19.51% of the cases. Of 40 patients with AML M3 or M3v complete remission was attained in 62.5%. Nine patients died within 42 days after the start of antileukemic therapy (22.5%). Of these nine, four died because of infection, five because of bleeding. Relapse-free survival rate was 59% after 3 years, significantly better than the respective curve of the other FAB types combined (35% after 3 years). In AML M4Eo, 91.7% of the 24 patients reached complete remission. The early death rate was 8.3%. No case of nonresponse was seen. Relapse-free survival rate was 49% after 3 years compared with 35% for the other types combined.
Type of Medium:
Electronic Resource
URL:
_version_ 1798295418365280256
autor Haferlach, T.
Gassmann, W.
Löffler, H.
Jürgensen, C.
Noak, J.
Ludwig, W. -D.
Thiel, E.
Haase, D.
Fonatsch, C.
Becher, R.
Schlegelberger, B.
Nowrousian, M. R.
Lengfelder, E.
Eimermacher, H.
Weh, H. J.
Braumann, D.
Maschmeyer, G.
Koch, P.
Heinecke, A.
Sauerland, M. C.
autorsonst Haferlach, T.
Gassmann, W.
Löffler, H.
Jürgensen, C.
Noak, J.
Ludwig, W. -D.
Thiel, E.
Haase, D.
Fonatsch, C.
Becher, R.
Schlegelberger, B.
Nowrousian, M. R.
Lengfelder, E.
Eimermacher, H.
Weh, H. J.
Braumann, D.
Maschmeyer, G.
Koch, P.
Heinecke, A.
Sauerland, M. C.
book_url http://dx.doi.org/10.1007/BF01703230
datenlieferant nat_lic_papers
hauptsatz hsatz_simple
identnr NLM202971880
issn 1432-0584
journal_name Annals of hematology
materialart 1
notes Summary Acute promyelocytic leukemia (AML FAB M3, APL) and acute myelomonocytic leukemia with abnormal eosinophils (AML M4Eo) are considered distinct entities with characteristic clinical, morphological, cytogenetic, and prognostic features. Promyelocytic leukemia is characterized by abnormal promyelocytes replacing normal hematopoiesis associated with a translocation between the long arms of chromosomes 15 and 17 t (15; 17), severe coagulopathy, and responsiveness to all-trans retinoic acid (tretinoin). Characteristic features of AML M4Eo are a myelomonocytic marrow infiltration, eosinophils with abnormal immature granules positive for chloroacetate esterase, an inversion or translocation of chromosome 16, and an increased risk of meningeal relapses. Prognosis of both types of AML has been reported to be better than prognosis of the other entities combined. Since most of the published data were collected from heterogeneous patient populations treated with various chemotherapeutic regimens, we have analyzed treatment outcome of AML M3 and M4Eo in the AMLCG-85 study for patients younger than 60 years. For the total population of 594 patients of this study, CR rate was 68.89%, early death rate 11.60%, and no or partial remission was achieved in 19.51% of the cases. Of 40 patients with AML M3 or M3v complete remission was attained in 62.5%. Nine patients died within 42 days after the start of antileukemic therapy (22.5%). Of these nine, four died because of infection, five because of bleeding. Relapse-free survival rate was 59% after 3 years, significantly better than the respective curve of the other FAB types combined (35% after 3 years). In AML M4Eo, 91.7% of the 24 patients reached complete remission. The early death rate was 8.3%. No case of nonresponse was seen. Relapse-free survival rate was 49% after 3 years compared with 35% for the other types combined.
package_name Springer
publikationsjahr_anzeige 1993
publikationsjahr_facette 1993
publikationsjahr_intervall 8009:1990-1994
publikationsjahr_sort 1993
publisher Springer
reference 66 (1993), S. 165-170
schlagwort Acute myeloid leukemia
Acute promyelocytic leukemia
Acute myelomonocytic leukemia
t (15, 17)
inv(16)
search_space articles
shingle_author_1 Haferlach, T.
Gassmann, W.
Löffler, H.
Jürgensen, C.
Noak, J.
Ludwig, W. -D.
Thiel, E.
Haase, D.
Fonatsch, C.
Becher, R.
Schlegelberger, B.
Nowrousian, M. R.
Lengfelder, E.
Eimermacher, H.
Weh, H. J.
Braumann, D.
Maschmeyer, G.
Koch, P.
Heinecke, A.
Sauerland, M. C.
shingle_author_2 Haferlach, T.
Gassmann, W.
Löffler, H.
Jürgensen, C.
Noak, J.
Ludwig, W. -D.
Thiel, E.
Haase, D.
Fonatsch, C.
Becher, R.
Schlegelberger, B.
Nowrousian, M. R.
Lengfelder, E.
Eimermacher, H.
Weh, H. J.
Braumann, D.
Maschmeyer, G.
Koch, P.
Heinecke, A.
Sauerland, M. C.
shingle_author_3 Haferlach, T.
Gassmann, W.
Löffler, H.
Jürgensen, C.
Noak, J.
Ludwig, W. -D.
Thiel, E.
Haase, D.
Fonatsch, C.
Becher, R.
Schlegelberger, B.
Nowrousian, M. R.
Lengfelder, E.
Eimermacher, H.
Weh, H. J.
Braumann, D.
Maschmeyer, G.
Koch, P.
Heinecke, A.
Sauerland, M. C.
shingle_author_4 Haferlach, T.
Gassmann, W.
Löffler, H.
Jürgensen, C.
Noak, J.
Ludwig, W. -D.
Thiel, E.
Haase, D.
Fonatsch, C.
Becher, R.
Schlegelberger, B.
Nowrousian, M. R.
Lengfelder, E.
Eimermacher, H.
Weh, H. J.
Braumann, D.
Maschmeyer, G.
Koch, P.
Heinecke, A.
Sauerland, M. C.
shingle_catch_all_1 Haferlach, T.
Gassmann, W.
Löffler, H.
Jürgensen, C.
Noak, J.
Ludwig, W. -D.
Thiel, E.
Haase, D.
Fonatsch, C.
Becher, R.
Schlegelberger, B.
Nowrousian, M. R.
Lengfelder, E.
Eimermacher, H.
Weh, H. J.
Braumann, D.
Maschmeyer, G.
Koch, P.
Heinecke, A.
Sauerland, M. C.
Clinical aspects of acute myeloid leukemias of the FAB types M3 and M4Eo
Acute myeloid leukemia
Acute promyelocytic leukemia
Acute myelomonocytic leukemia
t (15, 17)
inv(16)
Acute myeloid leukemia
Acute promyelocytic leukemia
Acute myelomonocytic leukemia
t (15, 17)
inv(16)
Summary Acute promyelocytic leukemia (AML FAB M3, APL) and acute myelomonocytic leukemia with abnormal eosinophils (AML M4Eo) are considered distinct entities with characteristic clinical, morphological, cytogenetic, and prognostic features. Promyelocytic leukemia is characterized by abnormal promyelocytes replacing normal hematopoiesis associated with a translocation between the long arms of chromosomes 15 and 17 t (15; 17), severe coagulopathy, and responsiveness to all-trans retinoic acid (tretinoin). Characteristic features of AML M4Eo are a myelomonocytic marrow infiltration, eosinophils with abnormal immature granules positive for chloroacetate esterase, an inversion or translocation of chromosome 16, and an increased risk of meningeal relapses. Prognosis of both types of AML has been reported to be better than prognosis of the other entities combined. Since most of the published data were collected from heterogeneous patient populations treated with various chemotherapeutic regimens, we have analyzed treatment outcome of AML M3 and M4Eo in the AMLCG-85 study for patients younger than 60 years. For the total population of 594 patients of this study, CR rate was 68.89%, early death rate 11.60%, and no or partial remission was achieved in 19.51% of the cases. Of 40 patients with AML M3 or M3v complete remission was attained in 62.5%. Nine patients died within 42 days after the start of antileukemic therapy (22.5%). Of these nine, four died because of infection, five because of bleeding. Relapse-free survival rate was 59% after 3 years, significantly better than the respective curve of the other FAB types combined (35% after 3 years). In AML M4Eo, 91.7% of the 24 patients reached complete remission. The early death rate was 8.3%. No case of nonresponse was seen. Relapse-free survival rate was 49% after 3 years compared with 35% for the other types combined.
1432-0584
14320584
Springer
shingle_catch_all_2 Haferlach, T.
Gassmann, W.
Löffler, H.
Jürgensen, C.
Noak, J.
Ludwig, W. -D.
Thiel, E.
Haase, D.
Fonatsch, C.
Becher, R.
Schlegelberger, B.
Nowrousian, M. R.
Lengfelder, E.
Eimermacher, H.
Weh, H. J.
Braumann, D.
Maschmeyer, G.
Koch, P.
Heinecke, A.
Sauerland, M. C.
Clinical aspects of acute myeloid leukemias of the FAB types M3 and M4Eo
Acute myeloid leukemia
Acute promyelocytic leukemia
Acute myelomonocytic leukemia
t (15, 17)
inv(16)
Acute myeloid leukemia
Acute promyelocytic leukemia
Acute myelomonocytic leukemia
t (15, 17)
inv(16)
Summary Acute promyelocytic leukemia (AML FAB M3, APL) and acute myelomonocytic leukemia with abnormal eosinophils (AML M4Eo) are considered distinct entities with characteristic clinical, morphological, cytogenetic, and prognostic features. Promyelocytic leukemia is characterized by abnormal promyelocytes replacing normal hematopoiesis associated with a translocation between the long arms of chromosomes 15 and 17 t (15; 17), severe coagulopathy, and responsiveness to all-trans retinoic acid (tretinoin). Characteristic features of AML M4Eo are a myelomonocytic marrow infiltration, eosinophils with abnormal immature granules positive for chloroacetate esterase, an inversion or translocation of chromosome 16, and an increased risk of meningeal relapses. Prognosis of both types of AML has been reported to be better than prognosis of the other entities combined. Since most of the published data were collected from heterogeneous patient populations treated with various chemotherapeutic regimens, we have analyzed treatment outcome of AML M3 and M4Eo in the AMLCG-85 study for patients younger than 60 years. For the total population of 594 patients of this study, CR rate was 68.89%, early death rate 11.60%, and no or partial remission was achieved in 19.51% of the cases. Of 40 patients with AML M3 or M3v complete remission was attained in 62.5%. Nine patients died within 42 days after the start of antileukemic therapy (22.5%). Of these nine, four died because of infection, five because of bleeding. Relapse-free survival rate was 59% after 3 years, significantly better than the respective curve of the other FAB types combined (35% after 3 years). In AML M4Eo, 91.7% of the 24 patients reached complete remission. The early death rate was 8.3%. No case of nonresponse was seen. Relapse-free survival rate was 49% after 3 years compared with 35% for the other types combined.
1432-0584
14320584
Springer
shingle_catch_all_3 Haferlach, T.
Gassmann, W.
Löffler, H.
Jürgensen, C.
Noak, J.
Ludwig, W. -D.
Thiel, E.
Haase, D.
Fonatsch, C.
Becher, R.
Schlegelberger, B.
Nowrousian, M. R.
Lengfelder, E.
Eimermacher, H.
Weh, H. J.
Braumann, D.
Maschmeyer, G.
Koch, P.
Heinecke, A.
Sauerland, M. C.
Clinical aspects of acute myeloid leukemias of the FAB types M3 and M4Eo
Acute myeloid leukemia
Acute promyelocytic leukemia
Acute myelomonocytic leukemia
t (15, 17)
inv(16)
Acute myeloid leukemia
Acute promyelocytic leukemia
Acute myelomonocytic leukemia
t (15, 17)
inv(16)
Summary Acute promyelocytic leukemia (AML FAB M3, APL) and acute myelomonocytic leukemia with abnormal eosinophils (AML M4Eo) are considered distinct entities with characteristic clinical, morphological, cytogenetic, and prognostic features. Promyelocytic leukemia is characterized by abnormal promyelocytes replacing normal hematopoiesis associated with a translocation between the long arms of chromosomes 15 and 17 t (15; 17), severe coagulopathy, and responsiveness to all-trans retinoic acid (tretinoin). Characteristic features of AML M4Eo are a myelomonocytic marrow infiltration, eosinophils with abnormal immature granules positive for chloroacetate esterase, an inversion or translocation of chromosome 16, and an increased risk of meningeal relapses. Prognosis of both types of AML has been reported to be better than prognosis of the other entities combined. Since most of the published data were collected from heterogeneous patient populations treated with various chemotherapeutic regimens, we have analyzed treatment outcome of AML M3 and M4Eo in the AMLCG-85 study for patients younger than 60 years. For the total population of 594 patients of this study, CR rate was 68.89%, early death rate 11.60%, and no or partial remission was achieved in 19.51% of the cases. Of 40 patients with AML M3 or M3v complete remission was attained in 62.5%. Nine patients died within 42 days after the start of antileukemic therapy (22.5%). Of these nine, four died because of infection, five because of bleeding. Relapse-free survival rate was 59% after 3 years, significantly better than the respective curve of the other FAB types combined (35% after 3 years). In AML M4Eo, 91.7% of the 24 patients reached complete remission. The early death rate was 8.3%. No case of nonresponse was seen. Relapse-free survival rate was 49% after 3 years compared with 35% for the other types combined.
1432-0584
14320584
Springer
shingle_catch_all_4 Haferlach, T.
Gassmann, W.
Löffler, H.
Jürgensen, C.
Noak, J.
Ludwig, W. -D.
Thiel, E.
Haase, D.
Fonatsch, C.
Becher, R.
Schlegelberger, B.
Nowrousian, M. R.
Lengfelder, E.
Eimermacher, H.
Weh, H. J.
Braumann, D.
Maschmeyer, G.
Koch, P.
Heinecke, A.
Sauerland, M. C.
Clinical aspects of acute myeloid leukemias of the FAB types M3 and M4Eo
Acute myeloid leukemia
Acute promyelocytic leukemia
Acute myelomonocytic leukemia
t (15, 17)
inv(16)
Acute myeloid leukemia
Acute promyelocytic leukemia
Acute myelomonocytic leukemia
t (15, 17)
inv(16)
Summary Acute promyelocytic leukemia (AML FAB M3, APL) and acute myelomonocytic leukemia with abnormal eosinophils (AML M4Eo) are considered distinct entities with characteristic clinical, morphological, cytogenetic, and prognostic features. Promyelocytic leukemia is characterized by abnormal promyelocytes replacing normal hematopoiesis associated with a translocation between the long arms of chromosomes 15 and 17 t (15; 17), severe coagulopathy, and responsiveness to all-trans retinoic acid (tretinoin). Characteristic features of AML M4Eo are a myelomonocytic marrow infiltration, eosinophils with abnormal immature granules positive for chloroacetate esterase, an inversion or translocation of chromosome 16, and an increased risk of meningeal relapses. Prognosis of both types of AML has been reported to be better than prognosis of the other entities combined. Since most of the published data were collected from heterogeneous patient populations treated with various chemotherapeutic regimens, we have analyzed treatment outcome of AML M3 and M4Eo in the AMLCG-85 study for patients younger than 60 years. For the total population of 594 patients of this study, CR rate was 68.89%, early death rate 11.60%, and no or partial remission was achieved in 19.51% of the cases. Of 40 patients with AML M3 or M3v complete remission was attained in 62.5%. Nine patients died within 42 days after the start of antileukemic therapy (22.5%). Of these nine, four died because of infection, five because of bleeding. Relapse-free survival rate was 59% after 3 years, significantly better than the respective curve of the other FAB types combined (35% after 3 years). In AML M4Eo, 91.7% of the 24 patients reached complete remission. The early death rate was 8.3%. No case of nonresponse was seen. Relapse-free survival rate was 49% after 3 years compared with 35% for the other types combined.
1432-0584
14320584
Springer
shingle_title_1 Clinical aspects of acute myeloid leukemias of the FAB types M3 and M4Eo
shingle_title_2 Clinical aspects of acute myeloid leukemias of the FAB types M3 and M4Eo
shingle_title_3 Clinical aspects of acute myeloid leukemias of the FAB types M3 and M4Eo
shingle_title_4 Clinical aspects of acute myeloid leukemias of the FAB types M3 and M4Eo
sigel_instance_filter dkfz
geomar
wilbert
ipn
albert
fhp
source_archive Springer Online Journal Archives 1860-2000
timestamp 2024-05-06T09:35:53.787Z
titel Clinical aspects of acute myeloid leukemias of the FAB types M3 and M4Eo
titel_suche Clinical aspects of acute myeloid leukemias of the FAB types M3 and M4Eo
topic WW-YZ
uid nat_lic_papers_NLM202971880