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dc.contributor.authorHann, I M
dc.contributor.authorScarffe, J Howard
dc.contributor.authorPalmer, Michael K
dc.contributor.authorEvans, D I
dc.contributor.authorJones, P H
dc.date.accessioned2011-06-16T21:13:09Z
dc.date.available2011-06-16T21:13:09Z
dc.date.issued1981-09
dc.identifier.citationHaemoglobin and prognosis in childhood acute lymphoblastic leukaemia. 1981, 56 (9):684-6 Arch. Dis. Child.en
dc.identifier.issn1468-2044
dc.identifier.pmid6945824
dc.identifier.doi10.1136/adc.56.9.684
dc.identifier.urihttp://hdl.handle.net/10541/133514
dc.description.abstractTwo hundred and nine children presenting consecutively with acute lymphoblastic leukaemia to a regional paediatric oncology unit were investigated to determine the prognostic significance of various factors at diagnosis. There was a strong positive correlation between the pretreatment haemoglobin level and the percentage of bone marrow blast cells in S phase of the cell cycle as assessed by flow cytometry. Patients with T- and B-cell leukaemia had significantly higher haemoglobin levels than non-B non-T patients. In patients with total white cell counts less than 20 X 10(9)/l, aged less than 13 years, and no mediastinal mass, there was no association of haemoglobin with length of first remission. However, among those with white blood counts greater than 20 +/- 10(9)/l there was a strong positive trend towards shorter remission with higher haemoglobin levels. Children with high white blood counts at diagnosis and low haemoglobin levels may have a better prognosis than predicted by the white blood count alone.
dc.language.isoenen
dc.subject.meshChild
dc.subject.meshHemoglobins
dc.subject.meshHumans
dc.subject.meshLeukemia, Lymphoid
dc.subject.meshPrognosis
dc.subject.meshTime Factors
dc.titleHaemoglobin and prognosis in childhood acute lymphoblastic leukaemia.en
dc.typeArticleen
dc.contributor.departmentDepartment of Haematology and Department of Oncology, Royal Manchester Children's Hospitalen
dc.identifier.journalArchives of Disease in Childhooden
html.description.abstractTwo hundred and nine children presenting consecutively with acute lymphoblastic leukaemia to a regional paediatric oncology unit were investigated to determine the prognostic significance of various factors at diagnosis. There was a strong positive correlation between the pretreatment haemoglobin level and the percentage of bone marrow blast cells in S phase of the cell cycle as assessed by flow cytometry. Patients with T- and B-cell leukaemia had significantly higher haemoglobin levels than non-B non-T patients. In patients with total white cell counts less than 20 X 10(9)/l, aged less than 13 years, and no mediastinal mass, there was no association of haemoglobin with length of first remission. However, among those with white blood counts greater than 20 +/- 10(9)/l there was a strong positive trend towards shorter remission with higher haemoglobin levels. Children with high white blood counts at diagnosis and low haemoglobin levels may have a better prognosis than predicted by the white blood count alone.


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