Monitoring and Managing Minimal Residual Disease in Acute Lymphoblastic Leukemia
Dieter Hoelzer
Abstract
Dieter Hoelzer
Abstract
In adult acute lymphoblastic leukemia (ALL) the complete remission (CR) rates have improved to 85% to 90%. Despite this high CR rate, 40% to 50% of patients eventually relapse. This occurs because of the limited sensitivity of cytomorphology in assessing complete molecular remission. Thus, more sensitive methods that detect leukemic cells on a molecular level and identify minimal residual disease are needed.
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In adult acute lymphoblastic leukemia (ALL) the complete remission (CR) rates have improved to 85% to 90%. Despite this high CR rate, 40% to 50% of patients eventually relapse. This occurs because of the limited sensitivity of cytomorphology in assessing complete molecular remission. Thus, more sensitive methods that detect leukemic cells on a molecular level and identify minimal residual disease are needed.
Key concepts: Minimal residual disease, Lymphoblastic Leukemia, Complete remission, Medicine, Residual, Disease, Oncology, Internal medicine