Synonyms
Definition
Acute lymphoblastic leukemia (ALL) is a malignant disease that arises from several cooperative genetic mutations in a single B- or T-lymphoid progenitor, leading to altered blast cell proliferation, survival, and maturation and eventually to the lethal accumulation of leukemic cells. Although cases can be subclassified further according to the multiple stages of T- or B-cell maturation, these distinctions are not therapeutically useful.
Characteristics
ALL accounts for about 12 % of all childhood and adult leukemias diagnosed in developed countries and for 60 % of those diagnosed in persons younger than 20 years. It is the most common cancer in children (25 % of all cases) and has a peak incidence in patients between the ages of 2 and 5 years, with a second, smaller peak in the elderly.
The factors predisposing children and adults to ALL remain largely unknown. Children with certain constitutional genetic abnormalities (e.g., trisomy 21) are at increased risk of...
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References
Pui C-H, Campana D, Pei D et al (2009) Treating childhood acute lymphoblastic leukemia without cranial irradiation. N Engl J Med 360:2730–27412
Pui C-H, Pei D, Coustan-Smith E et al (2015a) Clinical utility of sequential minimal residual disease measurements in the context of risk-directed therapy in childhood acute lymphoblastic leukaemia: a prospective study. Lancet Oncol 16:465–474
Pui C-H, Yang JJ, Hunger SP et al (2015b) Childhood acute lymphoblastic leukemia: progress through collaboration. J Clin Oncol 33:2938–2948
Roberts KG, Mullighan CG (2015) Genomics in acute lymphoblastic leukaemia: insights and treatment implications. Nat Rev Clin Oncol 12:344–357
Zhang J, Walsh MF, Wu G et al (2015) Germline mutations in predisposition genes in pediatric cancer. N Engl J Med 373:2336–2346
See Also
(2012) Dasatinib. In: Schwab M (ed) Encyclopedia of cancer, 3rd edn. Springer, Berlin/Heidelberg, p 1060. doi:10.1007/978-3-642-16483-5_1518
(2012) Extramedullary. In: Schwab M (ed) Encyclopedia of cancer, 3rd edn. Springer, Berlin/Heidelberg, p 1366. doi:10.1007/978-3-642-16483-5_2074
(2012) Karyotype. In: Schwab M (ed) Encyclopedia of cancer, 3rd edn. Springer, Berlin/Heidelberg, p 1941. doi:10.1007/978-3-642-16483-5_3200
(2012) Remission. In: Schwab M (ed) Encyclopedia of cancer, 3rd edn. Springer, Berlin/Heidelberg, p 3225. doi:10.1007/978-3-642-16483-5_5020
(2012) Sanctuary site. In: Schwab M (ed) Encyclopedia of cancer, 3rd edn. Springer, Berlin/Heidelberg, p 3334. doi:10.1007/978-3-642-16483-5_5154
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Pui, CH. (2015). Acute Lymphoblastic Leukemia. In: Schwab, M. (eds) Encyclopedia of Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27841-9_57-5
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DOI: https://doi.org/10.1007/978-3-642-27841-9_57-5
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Latest
Acute Lymphoblastic Leukemia- Published:
- 08 February 2016
DOI: https://doi.org/10.1007/978-3-642-27841-9_57-5
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Original
Acute Lymphoblastic Leukemia- Published:
- 24 November 2015
DOI: https://doi.org/10.1007/978-3-642-27841-9_57-4