Patients with diffuse large B cell lymphomas over-expressing FOXP1 have a poor prognosis, and diffuse large B cell lymphoma cells with high FOXP1 levels were sensitive to Wnt inhibitors.
PAH is a very serious condition which, at present, has a poorer prognosis than many cancers and there are only a few appropriate methods for treatment and evaluation.
Chromosomal abnormalities associated with poor prognosis in adults with AML include those involving chromosome 5(monosomy 5 and del(5q)) and chromosome 7(monosomy 7).
Small cell carcinoma of the ovary, hypercalcemic type(SCCOHT) is a rare, aggressive tumor that has an early age at onset(before age 40 years) and a poor prognosis.
Older children with local recurrence with either unfavorable International Neuroblastoma Pathology Classification at diagnosis or MYCN gene amplification have a poor prognosis and may be treated with surgery, aggressive combination chemotherapy, or they may be offered entry into a clinical trial.
In the HD14 trial, the GHSG randomly assigned 1,528 patients with early unfavorable HL to receive either four cycles of ABVD plus 30 Gy of IF-XRT or two cycles of escalated BEACOPP followed by two cycles of ABVD plus 30 Gy of IF-XRT.
Transformation of CLL to diffuse large cell lymphoma(Richter syndrome) carries a poor prognosis with a median survival of less than 1 year, though 20% of the patients may live more than 5 years after aggressive combination chemotherapy.
Six of 11 patients with RUNX1-mutated AML failed to achieve remission and their 5-year EFS was 9%, suggesting that the RUNX1 mutation confers a poor prognosis in both children and adults.
Any child initially categorized as low risk who is older than 1 year at the time of metastatic recurrent or progressive disease and whose recurrence is not in the stage 4S pattern usually has a poor prognosis and is treated as follows.
At present, about 200 patients, most of whom suffer from hematopoietic malignant diseases, are admitted annually. Among these inpatients, those with refractory disease and/or poor outcome undergo related bone marrow transplantation or unrelated hematopoietic stem cell transplantation with the assistance of the Japan Marrow Donor Program JMDP.
TP53 is mutated in 40% to 80% of anaplastic thyroid carcinomas and 10% to 35% of poorly differentiated papillary thyroid carcinoma; it is considered to be a final step of tumor progression and a marker for poor prognosis.
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