J 2011

Clinical and laboratory features of leukemias at the time of diagnosis: An analysis of 1,004 consecutive patients

RÁČIL, Zdeněk, Lucie BUREŠOVÁ, Martin BREJCHA, Jiřina PROCHÁZKOVÁ, René ZOUNAR et. al.

Basic information

Original name

Clinical and laboratory features of leukemias at the time of diagnosis: An analysis of 1,004 consecutive patients

Name in Czech

Klinické a laboratorní charakteristiky leukémií v době diagnozy: Analýza 1,004 po sobě jdoucích pacientů

Authors

RÁČIL, Zdeněk (203 Czech Republic, guarantor, belonging to the institution), Lucie BUREŠOVÁ (203 Czech Republic, belonging to the institution), Martin BREJCHA (203 Czech Republic), Jiřina PROCHÁZKOVÁ (203 Czech Republic, belonging to the institution), René ZOUNAR (203 Czech Republic), Shira TIMILSINA (524 Nepal, belonging to the institution), Filip RÁZGA (703 Slovakia, belonging to the institution), Martina TOŠKOVÁ (703 Slovakia, belonging to the institution), Petr CETKOVSKÝ (203 Czech Republic) and Jiří MAYER (203 Czech Republic, belonging to the institution)

Edition

American Journal of Hematology, Wiley-Blackwell, 2011, 0361-8609

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 4.671

RIV identification code

RIV/00216224:14740/11:00053037

Organization unit

Central European Institute of Technology

UT WoS

000295003800019

Keywords in English

Clinical laboratory features; leukemia analysis

Tags

Tags

International impact
Změněno: 3/4/2012 02:16, Olga Křížová

Abstract

V originále

To determine the major presenting features of the most frequent leukemias and to describe the period from the first symptoms to the final diagnosis, we analyzed the records of 1,004 consecutive patients with acute (AL) and chronic (CL) leukemias diagnosed between 2004 and 2009. In 24% of AL and 63% of CL, the diagnosis was made incidentally. In contrast to the frequency of the symptoms, their spectrum did not differ from historical studies, and fatigue and weakness were the most frequent symptoms observed [with the exception of acute promyelocytic leukemia (APL) where bleeding predominated]. More profound cytopenia was found in AL compared to CL. The median time from the first symptoms to final diagnosis was 3 weeks in AL and 4 weeks in CL. APL had the shortest time to a definitive diagnosis (2 weeks); however, a very short duration of symptoms was also observed in CML (3 weeks). This study is the largest series reported to date on symptoms in leukemia patients at the time of diagnosis, and the first such report that reflects on clinical practice in the new millennium.

In Czech

Za účelem určit hlavní rysy nejčastějších leukémií a popis období od prvních příznaků do finální diagnózy, jsme analyzovali záznamy od 1004 po sobě jdoucích pacientů s akutní (AL) a chronickou (CL) leukémií diagnostikovaných v letech 2004 až 2009.

Links

MSM0021622430, plan (intention)
Name: Funkční a molekulární charakteristiky nádorových a normálních kmenových buněk - identifikace cílů pro nová terapeutika a terapeutické strategie
Investor: Ministry of Education, Youth and Sports of the CR, Functional and molecular characteristics of cancer and normal stem cells - identification of targets for novel therapeutics and therapeutic strategies