학술논문

Transient leukemia of Down syndrome.
Document Type
Article
Source
Critical Reviews in Clinical Laboratory Sciences. Jun2019, Vol. 56 Issue 4, p247-259. 13p. 1 Color Photograph, 1 Diagram.
Subject
*CHROMOSOME abnormalities
*HEMATOPOIESIS
*MANUSCRIPTS
*TUMORS in children
*DOWN syndrome
*ACUTE myeloid leukemia
Language
ISSN
1040-8363
Abstract
Childhood leukemia is mostly a "developmental accident" during fetal hematopoiesis and may require multiple prenatal and postnatal "hits". The World Health Organization defines transient leukemia of Down syndrome (DS) as increased peripheral blood blasts in neonates with DS and classifies this type of leukemia as a separate entity. Although it was shown that DS predisposes children to myeloid leukemia, neither the nature of the predisposition nor the associated genetic lesions have been defined. Acute myeloid leukemia of DS is a unique disease characterized by a long pre-leukemic, myelodysplastic phase, unusual chromosomal findings and a high cure rate. In the present manuscript, we present a comprehensive review of the literature about clinical and biological findings of transient leukemia of DS (TL-DS) and link them with the genetic discoveries in the field. We address the manuscript to the pediatric generalist and especially to the next generation of pediatric hematologists. [ABSTRACT FROM AUTHOR]