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伴TLS::ERG融合基因的儿童急性髓系白血病12例临床分析

李湘 冯晓勤 贺湘玲 陈可可 田鑫 郑湧智 张本山 江华 杨丽华 麦惠容 徐宏贵

中国当代儿科杂志2026,Vol.28Issue(9):1099-1105,7.
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中国当代儿科杂志2026,Vol.28Issue(9):1099-1105,7.DOI:10.7499/j.issn.1008-8830.2601123

伴TLS::ERG融合基因的儿童急性髓系白血病12例临床分析

Childhood acute myeloid leukemia with TLS::ERG fusion gene:a clinical analysis of 12 cases

李湘 1冯晓勤 2贺湘玲 1陈可可 1田鑫 1郑湧智 3张本山 4江华 5杨丽华 6麦惠容 7徐宏贵8

作者信息

  • 1. 湖南师范大学附属第一医院/湖南省人民医院小儿血液肿瘤科,湖南 长沙 410005
  • 2. 南方医科大学南方医院小儿血液肿瘤科,广东 广州 510515
  • 3. 福建医科大学附属协和医院小儿血液肿瘤中心,福建 福州 350001
  • 4. 湖南省儿童医院血液肿瘤科,湖南 长沙 410005
  • 5. 广州市妇女儿童医疗中心小儿血液肿瘤科,广东 广州 510623
  • 6. 南方医科大学珠江医院小儿血液肿瘤科,广东 广州 510280
  • 7. 深圳市儿童医院小儿血液肿瘤科,广东 深圳 518026
  • 8. 中山大学孙逸仙纪念医院小儿血液肿瘤科,广东 广州 510120
  • 折叠

摘要

Abstract

Objective To investigate the clinical characteristics and prognosis of pediatric acute myeloid leukemia(AML)with TLS::ERG fusion gene.Methods Clinical data from multiple pediatric hematology centers in South China were retrospectively reviewed for the period September 2015 to October 2025.Cases harboring the TLS::ERG fusion gene were identified and analyzed.Results Among 875 children with AML,12(1.4%)were TLS::ERG positive;there were 6 males and 6 females,with a median age of 88 months.The complete remission rate after 2 induction courses was 83%(10/12).Six patients relapsed,yielding a relapse rate of 50%(6/12).Four patients remained disease-free,six died after relapse,and two were lost to follow-up.The 5-year overall survival and event-free survival were 38.4%(95%CI:16.8%-87.8%)and 30.0%(95%CI:12.0%-74.7%),respectively.Conclusions Pediatric AML with TLS::ERG fusion is rare,shows a high early induction remission rate,but has a high relapse rate and poor prognosis.

关键词

急性髓系白血病/TLS::ERG融合基因/C-HUANAN-AML-15方案/染色体易位/儿童

Key words

Acute myeloid leukemia/TLS::ERG fusion gene/C-HUANAN-AML-15 protocol/Chromosomal translocation/Child

引用本文复制引用

李湘,冯晓勤,贺湘玲,陈可可,田鑫,郑湧智,张本山,江华,杨丽华,麦惠容,徐宏贵..伴TLS::ERG融合基因的儿童急性髓系白血病12例临床分析[J].中国当代儿科杂志,2026,28(9):1099-1105,7.

基金项目

湖南省科技创新计划项目(2024JJ9153). (2024JJ9153)

中国当代儿科杂志

1008-8830

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