Detection of residual disease in acute lymphoblastic leukemia of childhood.

Detection of residual disease in acute lymphoblastic leukemia of childhood.
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儿童急性淋巴细胞白血病残留病灶的检测。

DOI:
10.3109/10428199909093724
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发表时间:
1999
影响因子:
2.6
通讯作者:
M. Freedman
M. Freedman
中科院分区:
医学4区
文献类型:
--
作者:
Z. Estrov;M. Freedman

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近年来开发的几种技术为我们提供了在缓解期检测亚显微白血病的能力。定量聚合酶链反应(PCR)是迄今为止适用于大多数儿童急性淋巴细胞白血病(ALL)患者的最敏感的检测方法。然而,假阳性和假阴性结果可能会为临床医生提供误导性数据,因此PCR分析应伴随另一种检测,残留疾病水平的变化应在治疗后的不同时间点确认。此外,一些研究没有确定残留疾病水平的阈值,超过该阈值可能发生复发,最近的数据显示,在存在残留疾病的情况下,长期缓解可能持续。因此,在残留疾病检测和定量的敏感检测方法可用于临床之前,应进行儿童ALL残留疾病生物学的额外研究。
Several techniques developed in recent years provide us with the capability to detect sub-microscopic leukemia during remission. Quantitative polymerase chain reaction (PCR) is thus far the most sensitive assay that is applicable in most patients with acute lymphoblastic leukemia (ALL) of childhood. However, false-positive and false-negative results may provide the clinician with misleading data and therefore PCR analysis should be accompanied by another assay and changes in the level of residual disease should be confirmed at different time points following treatment. Furthermore, several studies did not determine a threshold of residual disease level above which relapse is likely to occur, and more recent data show that long-term remission may be sustained in the presence of residual disease. Thus, additional studies of the biology of residual disease in childhood ALL should be performed before sensitive assays of residual disease detection and quantitation can be clinically utilized.
DOI: 10.1056/nejm199008163230705
发表时间: 1990-08
期刊: The New England journal of medicine
影响因子: --
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发表时间: 1993
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影响因子: --
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