Chronic myeloid leukemia in children and adolescentes: An analys of cases
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/44821 |
Resumo: | Objective: to analyze the characteristics and evolution of patients diagnosed with chronic myeloid leukemia at a reference center in pediatric oncology in the western region of paraná. Method: analytical, descriptive, and retrospective study composed of medical records of pediatric oncology patients from the Cancer Hospital of Cascavel-UOPECCAN, between january 2002 and january 2022. Results: seven medical records were analyzed. Among these, 5 (71%) were male and 2 (29%) were female. The median age at diagnosis was 12 years and 1 month. The average time from symptom onset to diagnosis was 2 months and 5 days. Two (29%) patients were diagnosed in less than 30 days, 3 (43%) between 30 and 60 days, and 2 (29%) in more than 60 days. The most common clinical manifestations were weight loss (57%), splenomegaly (43%), fever (29%), and bruising (29%). Regarding clinical treatment, 2 (29%) patients showed a good therapeutic response to imatinib mesylate and remain on the medication, 3 (43%) required a switch to nilotinib, 1 (14%) patient who did not respond to both previous drugs required hematopoietic stem cell transplantation, and 1 (14%) experienced a blast crisis of acute leukemia, necessitating a distinct therapeutic approach. Out of the 7 analyzed medical records, 6 (86%) patients remain alive. Conclusion: based on this study, it is concluded that early diagnosis, recognition of the disease's clinical phase, and appropriate treatment are important factors influencing the prognosis and survival of these patients. Therefore, studies on this malignant neoplasm are of utmost importance. |
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Chronic myeloid leukemia in children and adolescentes: An analys of casesLeucemia mieloide crónica en niños y adolescentes: Un análises de casos Leucemia mieloide crônica em crianças e adolescentes: Uma análise de casosOncologyChronic myeloide leukemiaPediatrics.Leucemia mieloide crónicaOncologíaPediatría.Leucemia mieloide crônicaOncologia Pediatria.Objective: to analyze the characteristics and evolution of patients diagnosed with chronic myeloid leukemia at a reference center in pediatric oncology in the western region of paraná. Method: analytical, descriptive, and retrospective study composed of medical records of pediatric oncology patients from the Cancer Hospital of Cascavel-UOPECCAN, between january 2002 and january 2022. Results: seven medical records were analyzed. Among these, 5 (71%) were male and 2 (29%) were female. The median age at diagnosis was 12 years and 1 month. The average time from symptom onset to diagnosis was 2 months and 5 days. Two (29%) patients were diagnosed in less than 30 days, 3 (43%) between 30 and 60 days, and 2 (29%) in more than 60 days. The most common clinical manifestations were weight loss (57%), splenomegaly (43%), fever (29%), and bruising (29%). Regarding clinical treatment, 2 (29%) patients showed a good therapeutic response to imatinib mesylate and remain on the medication, 3 (43%) required a switch to nilotinib, 1 (14%) patient who did not respond to both previous drugs required hematopoietic stem cell transplantation, and 1 (14%) experienced a blast crisis of acute leukemia, necessitating a distinct therapeutic approach. Out of the 7 analyzed medical records, 6 (86%) patients remain alive. Conclusion: based on this study, it is concluded that early diagnosis, recognition of the disease's clinical phase, and appropriate treatment are important factors influencing the prognosis and survival of these patients. Therefore, studies on this malignant neoplasm are of utmost importance.Objetivo: Analizar las características y evolución de pacientes diagnosticados con leucemia mieloide crónica en un centro de referencia en oncología pediátrica en el oeste de Paraná. Método: Estudio analítico, descriptive y retrospectivo compuesto por historias clínicas de pacientes pediátricos del Hospital del Cáncer de Cascavel-UOPECCAN, entre enero 2002-2022. Resultados: Se analizaron 7 historias clínicas. De estos, 5 (71%) niños y 2 (29%) niñas. La mediana de la edad al diagnóstico fue de 12 años y 1 mes. El tiempo promedio desde el inicio de los síntomas hasta el diagnóstico fue de 2 meses y 5 días. Dos (29%) pacientes obtuvieron el diagnóstico en menos de 30 dias, 3 entre 30 y 60 días y 2 em más de 60 días. Síntomas iniciales más communes fueron: pérdida de peso (57,14%), esplenomegalia (42,8%), fiebre (28,56%) y hematoma (28,57%). Dos (29%) pacientes mostraron una buena respuesta terapéutica al uso de mesilato de imatinib y continúan con el medicamento, 3 (43%) requirieron cambiar a nilotinib, 1 (14%) paciente que no respondió a ambas drogas anteriores necesitó un trasplante de células madre hematopoyéticas y 1 (14%) presentó una crisis blástica de leucemia aguda, requiriendo un enfoque terapéutico diferente. 6 (86%) pacientes siguen vivos. Conclusión: Con este estudio, se concluye que el diagnóstico temprano, el reconocimiento de la fase clínica de la enfermedad y el tratamiento adecuado son factores importantes que influyen en el pronóstico y la supervivencia de estos pacientes. Por esta razón, los estudios sobre esta neoplasia maligna son de extrema importancia.Objetivo: Analisar as características e evolução dos pacientes diagnosticados com leucemia mieloide crônica em um centro de referência em oncologia pediátrica no oeste do Paraná. Método: Estudo analítico, descritivo e retrospectivo composto por prontuários de pacientes pediátricos do Hospital do Câncer de Cascavel-UOPECCAN, entre janeiro de 2002 e janeiro de 2022. Resultados: Foram analisados 7 prontuários. Desses, 5 (71%) eram do sexo masculino e 2 (29%) feminino. A mediana da idade ao diagnóstico foi de 12 anos e 1 mês. A média de tempo do início dos sintomas até o diagnóstico foi de 2 meses e 5 dias. Dois (29%) pacientes obtiveram o diagnóstico em menos de 30 dias, 3 (43%) entre 30 e 60 dias e 2 (29%) em mais de 60 dias. As manifestações clínicas mais comuns foram: perda ponderal (57%), esplenomegalia (43%), febre (29%) e equimose (29%). Quanto ao tratamento clínico, 2 (29%) pacientes apresentavam boa resposta terapêutica ao uso do mesilato de imatinibe e permanecem em uso da medicação, 3 (43%) necessitaram alteração para nilotinibe, 1 (14%) paciente sem resposta as duas drogas anteriores, necessitou de transplante de células-tronco hematopoiéticas e 1 (14%) apresentou crise blástica de leucemia aguda, requerendo uma abordagem terapêutica distinta. Dos 7 prontuários analisados, 6 (86%) pacientes permanecem vivos. Conclusão: com este estudo, conclui-se que o diagnóstico precoce, o reconhecimento da fase clínica da doença e o tratamento adequado são importantes fatores que influenciam no prognóstico e sobrevida desses pacientes, por essa razão, estudos sobre essa neoplasia maligna são de extrema importância.Research, Society and Development2024-01-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/4482110.33448/rsd-v13i1.44821Research, Society and Development; Vol. 13 No. 1; e8913144821Research, Society and Development; Vol. 13 Núm. 1; e8913144821Research, Society and Development; v. 13 n. 1; e89131448212525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/44821/35799Copyright (c) 2024 Luiza Morandini Gaspar da Silva; Carmem Maria Medonça Fiori; Ian Hirt Prata; Isabella Cristina Michelon ; Jhessica Martelli Seibert; Nathália Larissa de Matos Abehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSilva, Luiza Morandini Gaspar da Fiori, Carmem Maria Medonça Prata, Ian Hirt Michelon , Isabella CristinaSeibert, Jhessica Martelli Abe, Nathália Larissa de Matos 2024-02-01T09:48:39Zoai:ojs.pkp.sfu.ca:article/44821Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-02-01T09:48:39Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Chronic myeloid leukemia in children and adolescentes: An analys of cases Leucemia mieloide crónica en niños y adolescentes: Un análises de casos Leucemia mieloide crônica em crianças e adolescentes: Uma análise de casos |
title |
Chronic myeloid leukemia in children and adolescentes: An analys of cases |
spellingShingle |
Chronic myeloid leukemia in children and adolescentes: An analys of cases Silva, Luiza Morandini Gaspar da Oncology Chronic myeloide leukemia Pediatrics. Leucemia mieloide crónica Oncología Pediatría. Leucemia mieloide crônica Oncologia Pediatria. |
title_short |
Chronic myeloid leukemia in children and adolescentes: An analys of cases |
title_full |
Chronic myeloid leukemia in children and adolescentes: An analys of cases |
title_fullStr |
Chronic myeloid leukemia in children and adolescentes: An analys of cases |
title_full_unstemmed |
Chronic myeloid leukemia in children and adolescentes: An analys of cases |
title_sort |
Chronic myeloid leukemia in children and adolescentes: An analys of cases |
author |
Silva, Luiza Morandini Gaspar da |
author_facet |
Silva, Luiza Morandini Gaspar da Fiori, Carmem Maria Medonça Prata, Ian Hirt Michelon , Isabella Cristina Seibert, Jhessica Martelli Abe, Nathália Larissa de Matos |
author_role |
author |
author2 |
Fiori, Carmem Maria Medonça Prata, Ian Hirt Michelon , Isabella Cristina Seibert, Jhessica Martelli Abe, Nathália Larissa de Matos |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Silva, Luiza Morandini Gaspar da Fiori, Carmem Maria Medonça Prata, Ian Hirt Michelon , Isabella Cristina Seibert, Jhessica Martelli Abe, Nathália Larissa de Matos |
dc.subject.por.fl_str_mv |
Oncology Chronic myeloide leukemia Pediatrics. Leucemia mieloide crónica Oncología Pediatría. Leucemia mieloide crônica Oncologia Pediatria. |
topic |
Oncology Chronic myeloide leukemia Pediatrics. Leucemia mieloide crónica Oncología Pediatría. Leucemia mieloide crônica Oncologia Pediatria. |
description |
Objective: to analyze the characteristics and evolution of patients diagnosed with chronic myeloid leukemia at a reference center in pediatric oncology in the western region of paraná. Method: analytical, descriptive, and retrospective study composed of medical records of pediatric oncology patients from the Cancer Hospital of Cascavel-UOPECCAN, between january 2002 and january 2022. Results: seven medical records were analyzed. Among these, 5 (71%) were male and 2 (29%) were female. The median age at diagnosis was 12 years and 1 month. The average time from symptom onset to diagnosis was 2 months and 5 days. Two (29%) patients were diagnosed in less than 30 days, 3 (43%) between 30 and 60 days, and 2 (29%) in more than 60 days. The most common clinical manifestations were weight loss (57%), splenomegaly (43%), fever (29%), and bruising (29%). Regarding clinical treatment, 2 (29%) patients showed a good therapeutic response to imatinib mesylate and remain on the medication, 3 (43%) required a switch to nilotinib, 1 (14%) patient who did not respond to both previous drugs required hematopoietic stem cell transplantation, and 1 (14%) experienced a blast crisis of acute leukemia, necessitating a distinct therapeutic approach. Out of the 7 analyzed medical records, 6 (86%) patients remain alive. Conclusion: based on this study, it is concluded that early diagnosis, recognition of the disease's clinical phase, and appropriate treatment are important factors influencing the prognosis and survival of these patients. Therefore, studies on this malignant neoplasm are of utmost importance. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-01-19 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/44821 10.33448/rsd-v13i1.44821 |
url |
https://rsdjournal.org/index.php/rsd/article/view/44821 |
identifier_str_mv |
10.33448/rsd-v13i1.44821 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/44821/35799 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 13 No. 1; e8913144821 Research, Society and Development; Vol. 13 Núm. 1; e8913144821 Research, Society and Development; v. 13 n. 1; e8913144821 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052637257924608 |