Sandbox: prognosis

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  • The table below lists prognostic factors for chronic lymphocytic leukemia:[1]

Gender Males are associated with a worse prognosis Stage Binet stages B and C or Rai stages II–IV are associated with a worse prognosis Lymphocyte doubling time Rapid lymphocyte doubling time is associated with a worse prognosis Genetic mutations Deletion of chromosome 17 short arm is associated with a worse prognosis Histological analysis Diffuse histology on bone marrow aspiration is associated with a worse prognosis Lactate dehydrogenase (LDH) level Elevated levels of LDH is associated with a worse prognosis Lymphocyte surface marker Positive expression of CD38 is associated with a worse prognosis Immunoglobulin (Ig)VH gene The absence of VH gene mutation is associated with a worse prognosis Membrane protein The expression of Zeta-chain-associated protein kinase 70 (ZAP)is associated with a poor prognosis


Prognostic Factor Description
Gender
  • Males are associated with a worse prognosis
Stage
  • Binet stages B and C or Rai stages II–IV are associated with a worse prognosis
Lymphocyte doubling time
  • Deletion of chromosome 17 short arm is associated with a worse prognosis
Genetic mutations
  • Deletion of chromosome 17 short arm is associated with a worse prognosis
Histological analysis
  • Diffuse histology on bone marrow aspiration is associated with a worse prognosis
Lactate dehydrogenase (LDH) level
  • Elevated levels of LDH is associated with a worse prognosis
Lymphocyte surface marker
  • Positive expression of CD38 is associated with a worse prognosis
Immunoglobulin (Ig)VH gene
  • The absence of VH gene mutation is associated with a worse prognosis
Membrane-bound proteins
  • The expression of Zeta-chain-associated protein kinase 70 (ZAP)is associated with a poor prognosis
  1. Hoffbrand V, Moss P. Essential Haematology. John Wiley & Sons; 2011