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العنوان
Minimal Residual Disease Assessment by Flowcytometry in Acute Myeloid Leukemia to Assess Response to Treatment and Impact Outcome/
المؤلف
Raafat ,Verna Adib .
هيئة الاعداد
باحث / فيرنا أديب رأفت
مشرف / هدى احمد السيد جاد الله
مشرف / عصام علي عبد المحسن
مشرف / جيهان محمد كمال
مشرف / ولاء علي السلكاوي
مشرف / هيثم محمد محمد عبدالباري
تاريخ النشر
2017.
عدد الصفحات
206.p;
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الطب الباطني
تاريخ الإجازة
1/8/2017
مكان الإجازة
جامعة عين شمس - كلية الطب - Internal Medicine
الفهرس
Only 14 pages are availabe for public view

from 206

from 206

Abstract

FITC, PE, ECD, PC5 & PC7 labeled anti-CDs were used to evaluate MRD on blast cells gated on CD45 in all hematological remitted patients. The choice of monoclonal antibodies used was tailored in each subject according to the original panel.
Our results show that 2 different patient risk groups can be clearly identified based on the number of residual cells displaying leukemia-associated phenotypes (LAP+ cells). Thus, none of the patients with fewer than 0.01 LAP+ cells have relapsed so far (good risk), whereas in the group at poor risk (MRD greater than 0.01) around 61.8% of them relapsed during follow up.
In addition about 52.6% of post induction cases had MRD –ve and 100% of relapsed cases had MRD +ve results and the best cut off point for MRD detection is 0.095.
On the other hand 60% of Post consolidation cases with remission had MRD –ve and 100% of relapsed cases had MRD +ve results and best cut off point for MRD in post induction phase is around 0.05.
This means that there is a positive correlation between the detection of MRD post treatment and the fate of patients with acute myeloid leukemia.
We concluded that assessment of minimal residual disease in AML is of great value in determination of prognosis of the disease and its outcome and it is of great value to determine the levels of minimal residual disease (MRD) during the course of therapy and to stratify patient to identify high risk patient and to plan the therapeutic program accordingly.
In addition we explore that the level of MRD and cytogenetic abnormalities influence the fate of patients not only after chemotherapy but also after BM transplantation and additional measures may be needed later on to protect patients with myeloid malignancy from relapse.