Table 1.

Prognostic factors in acute lymphoblastic leukemia.*

Host-Related
Disease-Related
Treatment-Related
Age White Blood Cell Count Protocol 
Gender  CNS disease  Early Response 
Race  Mediastinal Mass   Day 7 marrow  
Down syndrome   Splenomegaly   Day 14 marrow  
Immunodeficiency   Hepatomegaly   Day 28 marrow  
 Renomegaly  Peripheral blasts  
 Testicular Disease  Minimal residual disease  
Nutrition  Hemoglobin > 10 g/dL  CDRIII PCR  
Compliance  Platelets < 100,000/mL  TCR PCR  
Access  Visible adenopathy  Immunologic fingerprint  
 FAB Morphology  Combined PCR and Immunologic  
Pharmacogenetics  PAS Positivity  Fluoresecent in situ hybridization  
GST variants  Labeling Index  Leukemic Colony-Forming Units  
Pharmacogenomics    Prednisone Response  
 T-cell lineage  
  Immature T-cell lineage   RBC Thioguanine Nucleotides  
 B-lineage  Systemic thiopurine exposure  
  CD 10 Negativity   Systemic methotrexate exposure  
 Myeloid Antigen Positivity  Methotrexate polyglutamates  
 Karyotype  MTT assay  
 Hyperdiploidy  
 Hypodiploidy  
  +4, +10   
  del 9p   
  +10, +17, +18   
  13q12-14   
  15(q13-15)   
 t(9;22)  
 t(4;11)  
  other t(11q23)   
  t(1;19)   
 balanced t(1;19)  
 TEL/AML1  
  MLLr   
 Lactate Dehydrogenase  
 Glucocorticoid Receptor Number  
Abbreviations: CNS, central nervous sytem; GST, glutathione S-transferase  
Host-Related
Disease-Related
Treatment-Related
Age White Blood Cell Count Protocol 
Gender  CNS disease  Early Response 
Race  Mediastinal Mass   Day 7 marrow  
Down syndrome   Splenomegaly   Day 14 marrow  
Immunodeficiency   Hepatomegaly   Day 28 marrow  
 Renomegaly  Peripheral blasts  
 Testicular Disease  Minimal residual disease  
Nutrition  Hemoglobin > 10 g/dL  CDRIII PCR  
Compliance  Platelets < 100,000/mL  TCR PCR  
Access  Visible adenopathy  Immunologic fingerprint  
 FAB Morphology  Combined PCR and Immunologic  
Pharmacogenetics  PAS Positivity  Fluoresecent in situ hybridization  
GST variants  Labeling Index  Leukemic Colony-Forming Units  
Pharmacogenomics    Prednisone Response  
 T-cell lineage  
  Immature T-cell lineage   RBC Thioguanine Nucleotides  
 B-lineage  Systemic thiopurine exposure  
  CD 10 Negativity   Systemic methotrexate exposure  
 Myeloid Antigen Positivity  Methotrexate polyglutamates  
 Karyotype  MTT assay  
 Hyperdiploidy  
 Hypodiploidy  
  +4, +10   
  del 9p   
  +10, +17, +18   
  13q12-14   
  15(q13-15)   
 t(9;22)  
 t(4;11)  
  other t(11q23)   
  t(1;19)   
 balanced t(1;19)  
 TEL/AML1  
  MLLr   
 Lactate Dehydrogenase  
 Glucocorticoid Receptor Number  
Abbreviations: CNS, central nervous sytem; GST, glutathione S-transferase  
*

Factors in bold face are those that are recognized as predictive of outcome in the majority of studies; those that are italicized are ones that are either no longer considered predictive or are no longer in general use.

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