Since 1970, the rate of cure of acute lymphoblastic leukemia(ALL) in children has increased dramatically, from less than30 percent to approximately 80 percent. This remarkable improvementhas resulted from the marriage of laboratory and clinical science.The identification of effective agents in randomized cooperative-groupstudies, the application of treatment to the central nervoussystem before the onset of symptoms, the intensification oftreatment, and the use of "risk-adapted therapy" (therapy tailoredto the predicted risk of relapse) have led to today's impressivecure rates.
Despite these successes, however, much work remains. Many ofthe children with ALL who . . . [Full Text of this Article]
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From the University of Texas Southwestern Medical Center, Dallas (N.J.W.); New York University School of Medicine and Mount Sinai School of Medicine, New York (W.L.C.); and the University of Florida College of Medicine, Gainesville (S.P.H.).
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