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Acute Myelogenous Leukemia: Current Status of Therapy in Children

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Leukemia

Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 93))

Abstract

In contrast to the major advances in the treatment of childhood acute lymphoblastic leukemia (ALL), the progress achieved in the therapy of children with acute myelogenous leukemia (AML) has not been satisfactory. Until recently, no differences in therapeutic response and prognosis were found between children and adults with AML. While the majority of patients obtain a complete remission, remission duration has remained disappointingly short, ranging from 8 to 15 months [2, 10, 12, 19, 20, 25, 36, 39, 42, 44, 49]. Recent data from a study in the United States [55] and a multicenter trial in the Federal Republic of Germany [14, 15], however, suggest that a significant increase in the proportion of long-term survivors and possible cures in childhood AML have been achieved with prolonged, aggressive chemotherapy. In addition, bone marrow transplantation in first remission may provde a new approach for improvement of treatment results for AML, both in children and in young adults [23, 41, 52].

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References

  1. Andreeff M, Darzynkiewiez Z, Sharpless TK, Clarkson BD, Melamend MR (1980) Discrimination of human leukemia subtypes by flow cytometric analysis of cellular DNA and rNA. Blood 55: 282–292

    PubMed  CAS  Google Scholar 

  2. Beahner RL, Bernstein ID, Sather H, Higgins G, McCreadie S, Chard RL, Hammond D (1979) Improved remission induction rate with D-ZAPO but unimproved remission duration with additionof immunotherapy to chemotherapy in previously untreated children with ANLL. Med Pediatro Oncol 7: 127–139

    Article  Google Scholar 

  3. Baehner RL, Kennedy A, Sather H, Chard RL, Hammond D (1981) Characteristics of children with acute nonlymphocytic leukemia in long-term continuous remission: a report for Childrens Cancer Study Group. Med Pediatr Oncol 9: 393–403

    Article  PubMed  CAS  Google Scholar 

  4. Baker MA, Falk JA, Carter WH, Taub RN, and the Toronto Leukemic Study Group (1979) Early diagnosis of relapse in acute myeloblasts leukemia. N Engl J MEd 301: 1353–1357

    Article  PubMed  CAS  Google Scholar 

  5. Bennett JM, Catovsky D, Danial MT, Flandrin G, Galton DAG, Gralnick HR, Sultan C (1976) Proposals for the classification of the acute leukaemias. Br J Maematol 33: 451–548

    Article  CAS  Google Scholar 

  6. Brandmann J, Bukowski R, Greenstein R, Hewlet J, Hoffmann G (1979) Prognostic factors affecting remission, remission duration and survival in acute adult nonlymphocytic leukemia. Cancer 44: 1062–1065

    Article  Google Scholar 

  7. Bloomfield CD (1980) Treatment of adult acute nonlymphocytic leukemia. Ann Intern Med 93: 133–134

    PubMed  CAS  Google Scholar 

  8. Büchner T, Hiddemann W, Wörmann B, Gödhe W, Schumann J (1980) Flow cytometry and cell kinetic during treatment of human leukemia. Kinetic manipulations of leukemic cells by ARA-C in correlation to therapeutic response. In: Laerum O, Lindmo T, Thorud E (eds) Flow cytometry I V. Univeritetsforlaget, Bergen

    Google Scholar 

  9. Büchner T, Urbanitz D, Emmerich B, Fischer JT, Fülle HH, Heinecke A, Hossfeld DK, Koeppens KM, Labedzki L, Löffler H, Nowrousian MR, Pfreundschuh M, Pralle H, Rühl H, Wendt FC, for the AML cooperative group (1982) Multicentre study on intensified remission induction therapy for acute myeloid leukemia. Leuk Res 6: 827–831

    Article  PubMed  Google Scholar 

  10. Burgert EO, Nieri RL, Mills SD, Linman JW (1983) Nonlymphocytic leukemia in childhood. Mayo Clin Proc 48: 255–259

    Google Scholar 

  11. Burns CP, Armitage J, Frey A, Dick F, Jordan J, Woolson R (1981) Analysis of the presenting features of adult acute leukemia: The FAB classification. Cancer 47: 2460–2469

    Article  PubMed  CAS  Google Scholar 

  12. Chard RL Jr, Finklestein JZ, Sonley MJ, Nesbit M, McCreadie S, Weiner J, Sather H, Hammond GD (1978) Increased survival in childhood acute nonlymphocytic leukemia after treatment with prednisone, cytosine-arabinoside, 6-thioguanine, cyclophosphamide and oncivin (PATCO) combination chemotherapy. Med Pediatr Oncol 4: 263–273

    Article  PubMed  Google Scholar 

  13. Choi SI, Simone JV (1976) Acute nonlymphocytic leukemia in 171 children. Med Pediatr Oncol 2: 119–146

    Article  PubMed  CAS  Google Scholar 

  14. 13a.Creutzig U, Eschenbach C, Ritter J, Schellong G (1981) Akute Leukämie bei einem 13jährigen Jungen mit gleichzeitigem Auftreten von Lymphoblasten und Monoblasten. Klin Pädiatr 193: 162–164

    Article  Google Scholar 

  15. Creutzig U, Schellong G, Ritter J, Sutor AH, Riehm H, Langermann HJ, Niethammer D, Löffler H (1983) Ergebnisse und Risikoanalysen bei 130 Patienten der kooperativen Studie BFM-78 zur Behandlung der akuten myeloischen Leukämie im Kindesalter. Verh Dtsch Krebsges 4: 207–215

    Google Scholar 

  16. Creutzig U, Ritter J, Langermann HJ, Riehm H, Henze G, Niethammer D, Jürgens H, Stollmann B, Lasson U, Kabisch H, Wahlen W, Löffler H, Schellong G (1983) Akute myeloische Leukämie bei Kindern: Ergebnisse der kooperativen Therapiestunde BFM-78 nach 3% Jahren. Klin Pädiatr 196: 152–160

    Article  Google Scholar 

  17. Crowther D, Beard M, Bateman C, Sawell R (1975) Factors influencing prognosis in adults with acute myelogenous leukaemia. Br J Cancer 32: 456–461

    Article  PubMed  CAS  Google Scholar 

  18. Cutler S, Ederer F (1958) Maximum utilization of life-table-method in analyzing survival. J Chron Dis 4: 699–731

    Article  Google Scholar 

  19. Dahl GV, Simone JV, Hustu HO, Mason C (1978) Preventive central nervous system irradiation in children with acute nonlymphocytic leukemia. Cancer 42: 2187–2192

    Article  PubMed  CAS  Google Scholar 

  20. Dahl GV, Kalwinsky DK, Murphy S, Look AT, Amadori S, Kumar M, Novak R, George SL, Mason C, Mauer AM, Simone JV (1982) Cytokinetically based induction chemotherapy and splenectomy for childhood acute nonlymphocytic leukemia. Blood 60: 856–863

    PubMed  CAS  Google Scholar 

  21. Evans DIK, Jones PHM, Morley CJ (1975) Treatment of acute myeloid leukemia of childhood with cytosine arabinoside, daunorubicin, prednisone, and mercaptopurine or thioguanine. Cancer 36: 1547–1551

    Article  PubMed  CAS  Google Scholar 

  22. Fleming I, Simone J, Jackson R, Johnson W, Walters T, Mason C (1974) Splenectomy and chemotherapy in acute myelocytic leukemia in childhood. Cancer 33: 427–434

    Article  PubMed  CAS  Google Scholar 

  23. Foon K, Naiem F, Yale C, Gale R (1979) Acute myelocytic leukemia: Morphologic classification and response to therapy. Leuk Res 3: 171–173

    Article  PubMed  CAS  Google Scholar 

  24. Gale RP, Kay HEM, Rimm AA, Bortin MM (1982) Bone marrow transplantation for acute leukaemia in first remission. Lancet 2: 1006–1009

    Article  PubMed  CAS  Google Scholar 

  25. Haghbin M, Tan CC, Clarkson BD, Mike V, Burchenal JH, Murphy ML (1974) Intensive chemotherapy in children with ALL (L -2 protocol). Cancer 33: 1491–1498

    Article  PubMed  CAS  Google Scholar 

  26. Haghbin M, Murphy ML, Tan C (1977) Treatment of acute nonlymphoblastic leukemia in children with a multiple-drug protocol. Cancer 40: 1417–1421

    Article  PubMed  CAS  Google Scholar 

  27. Hart J, George S, Frei E, Bodey G, Nickerson R, Freireich E (1977) Prognostic significance of pretreatment proliferative activity in adult acute leukemia. Cancer 39: 1603–1617

    Article  PubMed  CAS  Google Scholar 

  28. Henze G, Langermann HJ, Ritter J, Schellong G, Riehm H (1981) Treatment strategy for different risk groups in childhood acute lymphoblastic leukemia: a report from the BFM study group. In: Neth R, Gallo RC, Graf T, Mannweiler K, Winkler K (eds) Modern trends in human leukemia 4. Springer, Berlin Heidelberg New York, Haematology and Blood Transfusion, vol 26, pp 87–93

    Google Scholar 

  29. Henze G, Langermann HJ, Fengler R, Brandeis M, Evers KG, Gadner H, Hinderfeld L, Jobke A, Kornhuber B, Lampert F, Lasson U, Ludwig R, Müller-Weihrich S, Neidhardt M, Nessler G, Niethammer D, Rister M, Ritter J, Schaaff A, Schellong G, Stollmann B, Treuner J, Wahlen W, Weinel W, Wehinger H, Riehm H (1982) Therapiestudie BFM 79/81 zur Behandlung der akuten lymphoblastischen Leukämie bei Kindern und Jugendlichen: intensivierte Reinduktionstherapie für Patientengruppen mit unterschiedlichem Rezidivrisiko. Klin Pädiatr 194: 195–203

    Article  PubMed  CAS  Google Scholar 

  30. Hiddemann W, Clarkson B, Büchner T, Melamed M, Adreeff M (1982) Bone marrow cell count per cubic millimeter bone marrow. A new parameter for quantitating therapy induced cytoreduction in acute leukemia. Blood 59: 216–225

    PubMed  CAS  Google Scholar 

  31. Hiddemann W, Wörmann B, Ritter J, Henze G, Langermann HJ, Kaufmann U, Schellong G, Riehm H, Büchner T (1982) Diagnostik von Aneuploidien bei akuten Leukämien mittels Impulszytophotometrie (ICP): Häufigkeit und klinische Relevanz. Verh Dtsch Ges Inn Med 88: 934–936

    Google Scholar 

  32. Hittiemann WN, Broussard LC, Dosik G, Mc Credie KB (1980) Predicting relapse of human leukemia by means of premature chromosome condensation. N Engl J Med 303: 475–484

    Google Scholar 

  33. Janossy G, Hoffbrand A, Greaves M, Ganeshaguru K, Pair C, Bradstock K, Prentice H, Kay H (1980) Terminal transferase enzyme assay and immunological membrane markers in the diagnosis of leukaemia in a multiparameter analysis of 300 cases. Br J Haematol 44: 221–234

    Article  PubMed  CAS  Google Scholar 

  34. Kay HEM (1976) Development of CNS leukaemia in acute myeloid leukaemia in childhood. Arch Dis Child 51: 73–74

    Article  PubMed  CAS  Google Scholar 

  35. Keating MJ, Smith TL, Gehan EA, McCredie KB, Bodey GP, Spitzer G, Hersh E, Guttermann J, Freireich EJ (1980) Factors related to length of complete remission in adult acute leukemia. Cancer 45: 2017–2029

    Article  PubMed  CAS  Google Scholar 

  36. Kobrinsky NL, Robison LL, Nesbit ME (1980) Acute nonlymphocytic leukemia. Pediatr Clin North Am 27: 345–360

    PubMed  CAS  Google Scholar 

  37. Madanat F, Sullivan MP (1978) Improved survival in young children with acute granulocytic leukemia (AGL) treated with combination therapy using cyclophosphamide, oncovin, cytosine arabinoside and prednisone mini-COAP. Proc Am Soc Clin Oncol 19: 417

    Google Scholar 

  38. Mayer RJ, Weinstein HJ, Coral FS, Rosenthal DS, Frei E (1982) The role of intensive post-induction chemotherapy in the management of patients with acute myelogenous leukemia. Cancer Treat Rep 66: 1455–1462

    PubMed  CAS  Google Scholar 

  39. Mertelsmann R, Koziner B, Ralph P, Filippa D, McKenzie S, Arlin ZA, Gee TS, Moore MAS, Clarkson BD (1978) Evidence for distinct lymphocytic and monocytic populations in a patient with terminal transferase-positive acute leukemia. Blood 51: 1051–1056

    PubMed  CAS  Google Scholar 

  40. Mertelsmann R, Thaler H, To L, Gee T, McKenzie S, Schauer P, Friedman A, Arlin Z, Cirrincione C, Clarkson B (1980) Morphological classification, response to therapy and survival in 263 adult patients with acute non-lymphoblastic leukemia. Blood 56: 773–781

    PubMed  CAS  Google Scholar 

  41. Moreno H, Castleberry RP, McCann WP (1977) Cytosine arabinoside and 6-thioguanine in the treatment of childhood acute myeloblasts leukemia. Cancer 40: 998–1004

    Article  PubMed  CAS  Google Scholar 

  42. Necheles TF (1979) Acute myeloblasts leukemia. In: Necheles TF (ed) The acute leukemias. Thieme, Stuttgart

    Google Scholar 

  43. O’Leary M, Ramsay N, Nesbit M et al. (1979) Early bone marrow transplantation in acute leukemia in children and young adults. Blood [Suppl 1] 54: 201a (abstract)

    Google Scholar 

  44. Pizzo PA, Henderson ES, Leventhal GB (1976) Acute myelogenous leukemia in children: A preliminary report of combination chemotherapy. J Pediatr 88: 125–130

    Article  PubMed  CAS  Google Scholar 

  45. Preisler HD (1982) Therapy for patients with AML who enter remission. Bone marrow transplantation or chemotherapy? Cancer Treat Rep 66: 1467–1473

    PubMed  CAS  Google Scholar 

  46. Plüss HJ, Hitzig H (1980) Die akuten myeloischen Leukämien im Kindesalter. Schweiz Med Wochenschr 110: 1459–1462

    PubMed  Google Scholar 

  47. Riehm H, Gadner H, Henze G, Langermann HJ, Odenwald E (1980) The Berlin childhood lymphoblastic leukemia therapy study, 1970-1976. Am J Pediatr Hematol Oncol 2: 299–306

    Google Scholar 

  48. Robison L, Sather H, Coccia P, Nesbit M, Hammond D (1980) Assessment of the interrelationship of prognostic factors in childhood acute lymphoblastic leukemia. Am J Pediatr Haematol Oncol 2: 5–13

    Google Scholar 

  49. Scheer U, Schellong G, Riehm H (1979) Verbesserte Prognose der akuten myeloischen Leukämien bei Kidern nach intensivierter Anfangstherapie. Klin Pädiatr 191: 210–216

    PubMed  CAS  Google Scholar 

  50. Simone S (1976) Annotation: factors that influence haematological remission duration in acute lymphocytic leukaemia. Br J Haematol 32: 465–472

    Article  PubMed  CAS  Google Scholar 

  51. Sonley MJ, Nesbit M, Thatcher LG, Karon M, Hammond D (1971) Cytosine arabinoside, cyclophosphamide and vincristine in children with acute myelogenous leukemia. Proc Am Assoc Cancer Res 12: 87

    Google Scholar 

  52. Sutor AH (1979) Zur Blutungsproblematik bei akuten myeloischen Leukämien. Klin Pädiatr 191: 217–220

    PubMed  CAS  Google Scholar 

  53. Thomas ED, Buckner CD, Banaji M, Clift RA, Fefer R, Flournoy N, Goodell B, Hickman R, Lerner K, Neiman P, Sale G, Sanders J, Singer J, Stevens M, Storb R, Weiden PL (1982) One hundred patients with acute nonlymphoblastic leukemia who achieve a first remission. Cancer Treat Rep 66: 1463–1466

    PubMed  CAS  Google Scholar 

  54. Thomas ED, Clift RA, Buckner CD (1982) Marrow transplantation for patients with acute nonlymphoblastic leukemia who achieve a first remission. Cancer Treat Rep 66: 1463–1466

    PubMed  CAS  Google Scholar 

  55. Tischendorf F, Haas H, Tischendorf M (1978) Prognostic significance of leucocyte antigens in human leukemia. In: Rosalki S (ed) New pathway on laboratory medicine. Huber, Bern

    Google Scholar 

  56. Weiden PL, Fluornoy N, Thomas ED, Prentice R, Fefer R, Buckner CD, Storb R (1979) Antileukemic effect of graft-versus-host disease in human recipients of allogeneic-marrow grafts. N Engl J Med 300: 1068–1073

    Article  PubMed  CAS  Google Scholar 

  57. Weinstein HJ, Mayer RJ, Rosenthal DS, Camitta BM, Coral FS, Nathan DG, Frei E III (1980) Treatment of acute myelogenous leukemia in children and adults. N Engl J Med 303: 473–478

    Article  PubMed  CAS  Google Scholar 

  58. Whittacker J, Withey J, Powell D, Parry T, Kurshid M (1979) Leukaemia classification. A study of the accuracy of diagnosis in 456 patients. Br J Haematol 41: 177–181

    Article  Google Scholar 

  59. Wiernik PH, Serpick A A (1969) Clinical significance of serum and urine muramidase in leukemia and other hematologic malignancies. Am J Med 46: 330–343

    Article  PubMed  CAS  Google Scholar 

  60. Young JL, Miller RW (1975) Incidence of malignant tumors in U.S. children. J Pediatr 86: 254–258

    Article  PubMed  Google Scholar 

  61. Zwaan FE (1980) Bone marrow transplantation for acute leukaemia in remission — European results. Blut 41: 208–213

    Google Scholar 

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Ritter, J., Creutzig, U., Riehm, HJ., Schellong, G. (1984). Acute Myelogenous Leukemia: Current Status of Therapy in Children. In: Thiel, E., Thierfelder, S. (eds) Leukemia. Recent Results in Cancer Research, vol 93. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-82249-0_8

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  • DOI: https://doi.org/10.1007/978-3-642-82249-0_8

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