PMID- 36522588 OWN - NLM STAT- MEDLINE DCOM- 20230403 LR - 20230403 IS - 1865-3774 (Electronic) IS - 0925-5710 (Linking) VI - 117 IP - 4 DP - 2023 Apr TI - The characteristics and long-term outcomes of acute promyelocytic leukemia patients with early intracranial hemorrhage. PG - 538-543 LID - 10.1007/s12185-022-03515-5 [doi] AB - Intracranial hemorrhage (ICH) is a major cause of early death (ED) and leads to poor prognosis in acute promyelocytic leukemia (APL). We retrospectively described 27 unselected APL patients who experienced early ICH. The ED rate was 37%. The 3-year overall survival (OS) rate was 45.4%, while the 3-year OS rate of patients who survived through induction therapy was 87.5%. No patient experienced central nervous system leukemia (CNSL). Concurrent differentiation syndrome, white blood cell count, prothrombin time and D-dimer were related to death. Although the ED rate among APL patients with early ICH was high, patients with early ICH had a favorable outcome after surviving through induction therapy. CNSL was rare despite a history of ICH during induction therapy. Compared with APL patients without ICH, it seems unnecessary to administer additional measures to prevent CNSL for this subpopulation in the era of all-trans retinoic acid and arsenic trioxide, but this needs further validation in prospective trials. CI - (c) 2022. Japanese Society of Hematology. FAU - Li, He AU - Li H AD - Department of Hematology, Institute of Hematology, West China Hospital of Sichuan University, #37 Guo Xue Xiang Street, Chengdu, 610041, Sichuan, China. FAU - Niu, Ting AU - Niu T AD - Department of Hematology, Institute of Hematology, West China Hospital of Sichuan University, #37 Guo Xue Xiang Street, Chengdu, 610041, Sichuan, China. FAU - Huang, Jie AU - Huang J AD - Department of Hematology, Institute of Hematology, West China Hospital of Sichuan University, #37 Guo Xue Xiang Street, Chengdu, 610041, Sichuan, China. FAU - Xie, Liping AU - Xie L AD - Department of Hematology, Institute of Hematology, West China Hospital of Sichuan University, #37 Guo Xue Xiang Street, Chengdu, 610041, Sichuan, China. FAU - He, Chuan AU - He C AD - Department of Hematology, Institute of Hematology, West China Hospital of Sichuan University, #37 Guo Xue Xiang Street, Chengdu, 610041, Sichuan, China. FAU - Li, Jianjun AU - Li J AD - Department of Hematology, Institute of Hematology, West China Hospital of Sichuan University, #37 Guo Xue Xiang Street, Chengdu, 610041, Sichuan, China. FAU - Xiang, Bing AU - Xiang B AD - Department of Hematology, Institute of Hematology, West China Hospital of Sichuan University, #37 Guo Xue Xiang Street, Chengdu, 610041, Sichuan, China. FAU - Cui, Xu AU - Cui X AD - Department of Hematology, Institute of Hematology, West China Hospital of Sichuan University, #37 Guo Xue Xiang Street, Chengdu, 610041, Sichuan, China. FAU - Wu, Yu AU - Wu Y AD - Department of Hematology, Institute of Hematology, West China Hospital of Sichuan University, #37 Guo Xue Xiang Street, Chengdu, 610041, Sichuan, China. FAU - Tang, Yun AU - Tang Y AD - Department of Hematology, Institute of Hematology, West China Hospital of Sichuan University, #37 Guo Xue Xiang Street, Chengdu, 610041, Sichuan, China. FAU - Jia, Yongqian AU - Jia Y AD - Department of Hematology, Institute of Hematology, West China Hospital of Sichuan University, #37 Guo Xue Xiang Street, Chengdu, 610041, Sichuan, China. FAU - Liu, Zhigang AU - Liu Z AD - Department of Hematology, Institute of Hematology, West China Hospital of Sichuan University, #37 Guo Xue Xiang Street, Chengdu, 610041, Sichuan, China. FAU - Ma, Hongbing AU - Ma H AUID- ORCID: 0000-0002-1174-4078 AD - Department of Hematology, Institute of Hematology, West China Hospital of Sichuan University, #37 Guo Xue Xiang Street, Chengdu, 610041, Sichuan, China. hongbingma@foxmail.com. LA - eng GR - 2022HXFH040/1.3.5 project for disciplines of excellence-Clinical Research Incubation Project, West China Hospital, Sichuan University/ PT - Journal Article DEP - 20221215 PL - Japan TA - Int J Hematol JT - International journal of hematology JID - 9111627 RN - S7V92P67HO (Arsenic Trioxide) RN - 5688UTC01R (Tretinoin) SB - IM MH - Humans MH - *Leukemia, Promyelocytic, Acute/complications/drug therapy MH - Retrospective Studies MH - Prospective Studies MH - Arsenic Trioxide/adverse effects MH - Tretinoin/therapeutic use MH - Intracranial Hemorrhages/etiology MH - Antineoplastic Combined Chemotherapy Protocols OTO - NOTNLM OT - Acute promyelocytic leukemia OT - Central nervous system leukemia OT - Differentiation syndrome OT - Early death OT - Intracranial hemorrhage EDAT- 2022/12/16 06:00 MHDA- 2023/04/03 06:42 CRDT- 2022/12/15 23:40 PHST- 2022/09/14 00:00 [received] PHST- 2022/12/08 00:00 [accepted] PHST- 2022/12/07 00:00 [revised] PHST- 2023/04/03 06:42 [medline] PHST- 2022/12/16 06:00 [pubmed] PHST- 2022/12/15 23:40 [entrez] AID - 10.1007/s12185-022-03515-5 [pii] AID - 10.1007/s12185-022-03515-5 [doi] PST - ppublish SO - Int J Hematol. 2023 Apr;117(4):538-543. doi: 10.1007/s12185-022-03515-5. Epub 2022 Dec 15.