Citation
Pon, Maha Abdullah@Maha-Lakswmi
(2003)
Prognostic Markers Of Resistance And Relapse In Acute Leukaemia.
Doctoral thesis, Universiti Putra Malaysia.
Abstract
Leukaemia is the malignant transformation of cells of the haemopoietic system. It is the
most common cancer in children. The Ministry of Health, Malaysia (1999) reported an
incidence rate of 3.36 in every 100,000. Nevertheless, leukaemia is nine times more
frequent in adults. It is differentiated into acute and chronic leukaemia by morphology
of the cell. Acute leukaemia is also a more aggressive disease. Chronic leukaemia is
rare among children. The majority of leukaemia (83%) is acute leukaemia (National
Cancer Registry, Malaysia, 2002). The two main cell types are the lymphoid and
myeloid lineage.
The conventional method for the treatment of acute leukaemia is chemotherapy.
Children achieve a remission rate of > 90%. In adult acute lymphoblastic leukaemia
(ALL) remission is only 65-80%. Response rate is worst among adults with acute
myeloid leukaemia (AML), 70% in young adults decreasing to 25% in the elderly. The
rest are resistant to treatment.
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