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1.3 预后
预后分组参考Gökbuget等 [5]发表的危险度分组标准(表1-1)。细胞遗传学分组参考NCCN 2019(表1-2)。
ALL诊断确立后,应根据具体分型、预后分组采用规范化的分层治疗策略,以取得最佳治疗效果。
表1-1 成人ALL预后分组
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表1-1 成人ALL预后分组(续表)
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注:CR.完全缓解;MRD.微小残留病;?.可能有意义,但尚未达成共识
表1-2 NCCN2019年B-ALL细胞遗传学危险度分组
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参考文献
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[2] NCCN Clinical Practice Guidelines in Oncology-Acute Lymphoblastic Leukemia (2019 Version 2) [DB/OL]. http: //www. nccn. org.
[3] BENE MC, CASTOLDI G, KNAPP W, et al. Proposals for the immunological classi fi cation of acute leukemias. European Group for the Immunological Characterization of Leukemias (EGIL). Leukemia, 1995, 9 (10): 1783-1786.
[4] ARBER DA, ORAZI A, HASSERJIAN R, et al. The 2016 revision to the World Health Organization classi fi cation of myeloid neoplasms and acute leukemia. Blood, 2016, 127: 2391-2405.
[5] GÖKBUGET N, HOELZER D. Treatment of adult acute lymphoblastic leukemia. Semin Hematol, 2009, 46 (1): 64-75.