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Frequency of acute myeloid leukemia in children attended in Belém, Pará from August 2005 to May 2009

Frequência de leucemia mieloide aguda em crianças atendidas em Belém, Pará, no período de agosto de 2005 a maio de 2009

Introduction:

Acute myeloid leukemia (AML) has variable incidence in different regions of Brazil.

Objective:

To determine the frequency of AML subtypes in children aged 0-17 years attended at Belém, Pará, from August 2005 to May 2009.

Patients and methods:

A retrospective study was performed with 278 patients diagnosed with acute or chronic leukemia based on clinical and morphological criteria (French-American-British [FAB]/World Health Organization classification [WHO]) and immunophenotyping profile by flow cytometry, to determine the frequency of the subtypes in AML.

Results:

We found 70 (25.18%) cases of AML, 37 of these (52.9%) were children aged 0-17 years (median age of 7 years and 8 months). There was no statistical difference in relation to gender. We observed a higher frequency of AML subtype M2 (18/37 - 48.6%) and M0/M1 (10/37 - 27%), especially in the first decade of life (16/28 [57.1%] AML M2 and 9/28 [32.1%] AML M0/M1).

Conclusion:

In the pediatric population, the types of AML M2, M0/M1 and M3 were respectively the most frequent.

acute myeloid leukemia; pediatrics; Amazon area


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