Question 84 · LEK · Leukemias

Acute lymphoblastic leukemia (ALL) in a child population presents a relatively good prognosis compared with other neoplastic diseases. Which of the following is a prognostic high risk factor in ALL in children that urges intensive treatment and decreases chances of curing the disease?

  1. A. susceptibility to introductory glucocorticoid treatment.
  2. B. presence of translocation t(9;22).
  3. C. normal leukocyte count at the diagnosis of the bone marrow infiltration by leukemic cells.
  4. D. coexisting Down syndrome.
  5. E. no trace of minimal residual disease in bone marrow after one-month treatment.
Hint

Sort the options into favorable and unfavorable prognostic features; only one is a classic high-risk criterion.

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