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Acute Myeloid Leukemia

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Part of the book series: Pediatric Oncology ((PEDIATRICO))

Abstract

Great advances have been made in recent years in our understanding of the biology and epidemiology of acute myeloid leukemia (AML). These gains, in turn, have led to the identification of new prognostic markers, improved risk stratification, and more targeted chemotherapies. As outcomes with chemotherapy alone for children with newly diagnosed AML improve, the use of allogeneic hematopoietic cell transplantation (HCT) in the first complete remission has declined. HCT, however, remains the standard for children whose AML relapses. The approach to HCT has, likewise, evolved. The use of autologous transplantation has largely been abandoned; however, with advances in HLA matching in unrelated adult donor transplantation and the growing availability of unrelated cord blood units, the role of unrelated HCT has been greatly expanded. Efforts continue to be made to identify less toxic preparative regimens to abrogate late effects as well as acute transplant-related morbidity and mortality.

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Horan, J., Hasle, H., Meshinchi, S. (2014). Acute Myeloid Leukemia. In: Smith, F., Reaman, G., Racadio, J. (eds) Hematopoietic Cell Transplantation in Children with Cancer. Pediatric Oncology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39920-6_9

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