PROGNOSTIC VALUE OF THE "RISK" FACTORS IN TREATMENT OF CHILDREN SUFFERING FROM HEMOBLASTOSIS
Main researcher
: KONJA, JOSIP (76313) Assistants
PETKOVIĆ, ISKRA (36570)
ĐERMANOVIĆ-CAR, MILENA (900431)
Type of research: applied Duration from: 01/01/91. to 12/31/99. Papers on project (total): 73
Papers on project quoted in Current Contents: 4
Institution name: Medicinski fakultet, Zagreb (108) Department/Institute: HEMATOLOGY-ONCOLOGY DEPARTMENT CHILDREN'S CLINIC SALATA MEDICAL FACULTY ZAGREB Address: ŠALATA 4 City: 10000 - Zagreb, Croatia
Communication
Phone: 385 (0)41 452-333/317
Fax: 385 (0)41 271-720
Summary: We are going to show the importance of the prognostic
"risk" factors on the sample of 25o children suffering from hemoblastosis,
(the most frequent malignant disease of children), who have been treated in
the period from the 1st of January 1991, and are to be treated until the
31st December 1999, at the Centre for Hemoblastosis of the Institute for
Children Hemoblastosis and Oncology of the Clinic for Children Disease, the
Medical Faculty Šalata,Zagreb. The research is to improve: a) diagnosis, b)
classification, c) predictability of disease prognoses, d) to establish the
real value (therapeutic and prognostic) of risk factors, e) easier
establishing of tumour cell characteristics (by means of defining
citomorphologic, citochemical and especially, immunofenotype, changes in
chromosomes, in the DNA substance, and the level of CD 8 antigens in tumour
cells), before the beginning of a treatment, f) finding out the level of
achieved remission, g) earlier establischiment of a relapse. All this is to
improve the accuracy in determining "risk" factors which would help to
distinguish among the low, standard and highly risky groups of patients. It
would also determine the most optimal type of treatment (very aggressive
type of treatment followed by high risk of serious side-effects, less
aggressive type of treatment followed by a smaller number of side-effects).
This would also improve results of a treatment and increase the number of
cured children suffering from this malignant disease.
Keywords: Prognostic factors, Treatment, Acute lymphatic leukemia, Acute myeloic leukemia, Hodgkin lymphoma, Non-Hodgkin lymphoma in children
Research goals: The main goal of this research is to improve the
treatment of children suffering from malignant disease, the most frequent
one being hemoblastosis, which is the main couse of death of children,
according to the research on the importance of the prognostic "risk"
factors. The research is to benefit in: a) diagnosis( more accurate
diagnosis and possibility at an earlier stage), b) classification (higher
accuracy in establishing the subtype of a disease), c) predictability of
disease prognoses, d) finding out the real value (therapeutic and
prognostic) of "risk" factors, e) defining tumour cell characteristics (to
determine citomorphological, citochemical and especially immunofenotype,
change of chromosome, the DNA substance, as well as CD 8 antigenes in
tumour cells) before the beginning of a treatment which would help
determine the most optimal protocol of a treatment, f) establishing the
level of achieved remission, g) earlier progmoses of a relapse, h)
following the immunity, cariogram, as well as all the above mentioned
parameters would direct the intensity and duration of a treatment. All the
above mentioned examinations, this is to say the results of examinations,
should improve treatment results of children suffering from hemoblastosis.
COOPERATION - PROJECTS
Name of project
: ALL-BFM 90 MULTIZENTRISCHE THERAPIESTUDIE DER
GESELLSCHAFT FUR PADIATRISCHE ONKOLOGIE UND HAMATOLOGIE Name of institution: MEDIZINISCHE HOCHSCHULE City: 3000 - HANNOVER, DEUTSCHLAND
COOPERATION - INSTITUTIONS
Name of institution
: SIOP - INTERNATIONAL SOCIETY OF PAEDIATRIC
ONCOLOGY GPOH - GESELLSCHAFT FUR PADIATRISCHE ONKOLOGIE UND HAMATOLOGIE Type of institution: University/Faculty City: 0532 - YORKSHIRE, ENGLAND Other information about the project.