Acute Lymphoblastic Leukaemia

Lymphoblastic leukaemia is a heterogeneous disease of children and adults resulting from clonal expansion of progenitor cells. Treatment with intensive cytotoxic therapy is effective in the majority of children, but treatments for adults are less effective, probably because the disease originates from relatively drug-resistant stem cells.

Keywords: leukaemia; clinical trials; bone marrow transplantation; molecular genetics

 References
    Chessells JM (1994) Central nervous system directed therapy in acute lymphoblastic leukaemia. Ballière's Clinical Haematology 7: 349–363.
    Chessells JM (1998) Relapsed lymphoblastic leukaemia in children: a continuing challenge. British Journal of Haematology 102: 423–438.
    Chessells JM, Hall E, Prentice HG, Durrant J, Bailey CC and Richards SM (1998) The impact of age on outcome in lymphoblastic leukaemia; MRC UKALL X and XA compared. A report from the MRC Paediatric and Adult Working Parties. Leukemia 12: 463–473.
    Gale RP and Butturini A (1991) Maintenance chemotherapy and cure of childhood acute lymphoblastic leukaemia. Lancet 338: 1315–1318.
    Greaves M (1997) Aetiology of acute leukaemia. Lancet 349: 344–349.
    Greaves MF (1993) Stem cell origins of leukaemia and curability. British Journal of Cancer 67: 413–423.
    Jenney ME and Kissen GDN (1995) Late effects following treatment of childhood leukaemia and lymphoma. Baillière's Clinical Paediatrics 3: 715–733.
    Martinez-Climent JA (1997) Molecular cytogenetics of childhood hematological malignancies. Leukemia 11: 1999–2021.
    Pui C-H and Evans WE (1998) Acute lymphoblastic leukemia. New England Journal of Medicine 339: 605–615.
    Sandler RM and Ross JA (1997) Epidemiology of acute leukemia in children and adults. Seminars in Oncology 24: 3–16.
    Thomas ED, Buckner CD, Banaji M et al. (1977) One hundred patients with acute leukemia treated by chemotherapy, total body irradiation and allogeneic bone marrow transplantation. Blood 49: 513–533.
 Further Reading
    book Catovsky D and Hoffbrand AV (1999) "Acute leukaemias". In: Hoffbrand AV, Lewis SM and Tuddenham EGD (eds) Postgraduate Haematology, 4th edn, pp. 373–404. London: Butterworths.
    book Heslop HE, Brenner MK and Krance RA (1999) "Bone marrow transplantation". In: Hoffbrand AV, Lewis SM and Tuddenham EGD (eds) Postgraduate Haematology, 4th edn, pp. 430–549. London: Butterworths.
    book Secker-Walker LM (1999) "Cytogenetics". In: Hoffbrand AV, Lewis SM and Tuddenham EGD (eds) Postgraduate Haematology, 4th edn, pp. 336–354. London: Butterworths.
    book Wickremasinghe RG and Hoffbrand AV (1999) "The molecular basis of leukaemia". In: Hoffbrand AV, Lewis SM and Tuddenham EGD (eds) Postgraduate Haematology, 4th edn, pp. 354–373. London: Butterworths.
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Chessells, Judith M(Apr 2001) Acute Lymphoblastic Leukaemia. In: eLS. John Wiley & Sons Ltd, Chichester. http://www.els.net [doi: 10.1038/npg.els.0002172]