PMID- 36044298 OWN - NLM STAT- MEDLINE DCOM- 20230227 LR - 20230918 IS - 1536-3678 (Electronic) IS - 1077-4114 (Linking) VI - 45 IP - 2 DP - 2023 Mar 1 TI - Clinical and Cytogenetic Characteristics of Children With Leukemia 20-Year Retrospective Study. PG - e161-e166 LID - 10.1097/MPH.0000000000002529 [doi] AB - Acute leukemias are the most common malignant diseases in childhood. The aims of this retrospective cohort study were to investigate the frequency of cytogenetic abnormalities in acute pediatric leukemia; the correlation between cytogenetic abnormalities and 5-year survival; and the correlation between cytogenetic abnormalities and clinical and laboratory features. We included 105 patients; acute lymphoblastic leukemia (ALL) had 80.9% patients, B-cell lineage ALL (B-ALL) 84.7% of them, and T-cell lineage (T-ALL) 15.3%. The overall 5-year survival for B-ALL was 85.9% and for T-ALL was 84.6%. The most common cytogenetic abnormalities in patients with B-ALL were t(12;21)(p13.2;q22.1); ETV6-RUNX1 with 22.2% and hyperdiploidy with 19.4%. Our survival analysis showed that t(12;21)(p13.2;q22.1); ETV6-RUNX1 and t(1;19)(q23;p13.3); TCF3-PBX1 had the best 5-year survival with 100% of patients surviving, whereas t(v;11q23.3); KMT2A rearranged had the worst 5-year survival of just 33.3% of patients surviving after 5 years. We found no difference in 5-year survival in B-ALL when comparing clinical features. Acute myelogenous leukemia had 20 patients with 70.6% 5-year survival. The most common cytogenetic abnormality in acute myelogenous leukemia was t(8;21)(q21;q22.1); RUNX1-RUNX1T1 (20%). In conclusion, this study showed the correlation of different cytogenetic abnormalities with 5-year survival in B-ALL patients. Such correlation was not found when comparing clinical features and 5-year survival of patients with B-ALL. This emphasized the significance of cytogenetic analysis in pediatric leukemia. CI - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved. FAU - Runjic, Edita AU - Runjic E AD - Department of Pediatrics, University Hospital Split. FAU - Jelicic Kadic, Antonia AU - Jelicic Kadic A AD - Department of Pediatrics, University Hospital Split. FAU - Bastian, Lorenz AU - Bastian L AD - School of Medicine, University of Split, Split, Croatia. FAU - Lozic, Mirela AU - Lozic M AD - School of Medicine, University of Split, Split, Croatia. FAU - Buljubasic Soda, Maja AU - Buljubasic Soda M AD - Department of Pediatrics, University Hospital Split. FAU - Petrovic, Marija AU - Petrovic M AD - Department of Pediatrics, University Hospital Split. FAU - Malic Tudor, Karolina AU - Malic Tudor K AD - Department of Pediatrics, University Hospital Split. FAU - Kuljis, Dubravka AU - Kuljis D AD - Department of Pediatrics, University Hospital Split. FAU - Armanda, Visnja AU - Armanda V AD - Department of Pediatrics, University Hospital Split. FAU - Lozic, Bernarda AU - Lozic B AD - Department of Pediatrics, University Hospital Split. AD - School of Medicine, University of Split, Split, Croatia. LA - eng PT - Journal Article DEP - 20220829 PL - United States TA - J Pediatr Hematol Oncol JT - Journal of pediatric hematology/oncology JID - 9505928 RN - 0 (Core Binding Factor Alpha 2 Subunit) SB - IM MH - Child MH - Humans MH - Retrospective Studies MH - Core Binding Factor Alpha 2 Subunit/genetics MH - *Precursor T-Cell Lymphoblastic Leukemia-Lymphoma MH - Chromosome Aberrations MH - Translocation, Genetic MH - Cytogenetic Analysis MH - *Precursor Cell Lymphoblastic Leukemia-Lymphoma/genetics MH - *Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/genetics MH - *Leukemia, Myeloid, Acute/genetics COIS- The authors declare no conflict of interest. EDAT- 2022/09/01 06:00 MHDA- 2023/03/03 06:00 CRDT- 2022/08/31 12:13 PHST- 2021/11/22 00:00 [received] PHST- 2022/06/26 00:00 [accepted] PHST- 2022/09/01 06:00 [pubmed] PHST- 2023/03/03 06:00 [medline] PHST- 2022/08/31 12:13 [entrez] AID - 00043426-202303000-00013 [pii] AID - 10.1097/MPH.0000000000002529 [doi] PST - ppublish SO - J Pediatr Hematol Oncol. 2023 Mar 1;45(2):e161-e166. doi: 10.1097/MPH.0000000000002529. Epub 2022 Aug 29.