Abstract
The WHO classification that defines subtypes of acute myeloid leukaemias (AMLs) is relatively unexplored at the population-based level. This study aimed to examine the frequency of acute promyelocytic leukaemia (APL or AML-M3) in Brazil. Data were extracted from 239 cancer centres (2001–2012) and categorized according to the International Classification of Diseases for Oncology (CID-O 3.0) and WHO classification (n = 9116). CID-O3 code 9866 identified 614 APL patients. AML not otherwise specified (NOS) was frequent, and the APL group represented the main subtype specified. The mean age of APL was lower than that of other AMLs (31.5, standard deviation (SD) 18.6 versus 40.9, SD 24.6; p < 0.001); there was a high frequency of APL in the 13–21-year-old (11.8 %) and ≤12.9-year-old (6.4 %) age groups. Time taken to begin treatment (as ≤14 days versus >14 days) and induction death rate were lower in APL than in other AML subtypes (p < 0.001). This report provides additional evidence on the distribution of APL among cases of AML in Brazil.
Similar content being viewed by others
References
Deschler B, Lubbert M (2006) Acute myeloid leukemia: epidemiology and etiology. Cancer 107:2099–2107
Estey EH (2013) Acute myeloid leukemia: 2013 update on risk-stratification and management. Am J Hematol 88:318–327
Bennett JM, Catovsky D, Daniel MT et al (1985) Proposed revised criteria for the classification of acute myeloid leukemia. A report of the French-American-British Cooperative Group. Ann Intern Med 103(30):620–625
Bennett JM, Catovsky D, Daniel MT et al (1985) Criteria for the diagnosis of acute leukemia of megakaryocyte lineage (M7). A report of the French-American-British Cooperative Group. Ann Intern Med 103(3):460–462
Bennett JM, Catovsky D, Daniel MT et al (1991) Proposal for the recognition of minimally differentiated acute myeloid leukaemia (AML-MO). Br J Haematol 78:325–329
Creutzig U, van den Heuvel-Eibrink MM, Gibson B et al (2012) Diagnosis and management of acute myeloid leukemia in children and adolescents: recommendations from an international expert panel. Blood 120:3187–3205
Dohner H, Estey EH, Amadori S et al (2010) Diagnosis and management of acute myeloid leukemia in adults: recommendations from an international expert panel, on behalf of the European LeukemiaNet. Blood 115:453–474
Vardiman JW, Thiele J, Arber DA et al (2009) The 2008 revision of the World Health Organization (WHO) classification of myeloid neoplasms and acute leukemia: rationale and important changes. Blood 114:937–951
Swerdlow SH, Campo E, Harris NL et al (2008) WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues, 4th edn. International Agency for Research on Cancer, Lyon
Dores GM, Devesa SS, Curtis RE, Linet MS, Morton LM (2012) Acute leukemia incidence and patient survival among children and adults in the United States, 2001–2007. Blood 119:34–43
Ferlay J, Bray F, Pisani P, Parkin DM, GLOBOCAN 2002 (2004) Cancer Incidence, Mortality and Prevalence Worldwide, IARC Cancer Base No. 5 Version 2.0. IARC-Press, Lyon
Groves FD, Linet MS, Devesa SS (1995) Patterns of occurrence of the leukaemias. Eur J Cancer 31A:941–949
Douer D, Santillana S, Ramezani L et al (2003) Acute promyelocytic leukaemia in patients originating in Latin America is associated with an increased frequency of the bcr1 subtype of the PML/RARalpha fusion gene. Br J Haematol 122:563–570
Ribeiro RC, Rego E (2006) Management of APL in developing countries: epidemiology, challenges and opportunities for international collaboration. Hematology Am Soc Hematol Educ Program 2006(1):162–168
Howlader N, Noone AM, Krapcho M et al (2013) SEER Cancer Statistics Review, 1975–2010. National Cancer Institute, Bethesda
Chen Y, Kantarjian H, Wang H, Cortes J, Ravandi F (2012) Acute promyelocytic leukemia: a population-based study on incidence and survival in the United States, 1975–2008. Cancer 118:5811–5818
Sant M, Allemani C, Tereanu C, De Angelis R, Capocaccia R, Visser O et al (2010) Incidence of hematologic malignancies in Europe by morphologic subtype: results of the HAEMACARE project. Blood 116(19):3724–3734
Gregory J, Feusner J (2009) Acute promyelocytic leukemia in childhood. Curr Oncol Rep 11:439–445
Biondi A, Rovelli A, Cantu-Rajnoldi A et al (1994) Acute promyelocytic leukemia in children: experience of the Italian Pediatric Hematology and Oncology Group (AIEOP). Leukemia 8:1264–1268
Gomez SM, Schuttenberg V, Armendariz H et al (2001) Childhood acute leukemia: a single institution experience in La Plata, Argentina. Med Pediatr Oncol 36:383–385
Jacomo RH, Melo RA, Souto FR et al (2007) Clinical features and outcomes of 134 Brazilians with acute promyelocytic leukemia who received ATRA and anthracyclines. Haematologica 92:1431–1432
Matasar MJ, Ritchie EK, Consedine N, Magai C, Neugut AI (2006) Incidence rates of acute promyelocytic leukemia among Hispanics, blacks, Asians, and non-Hispanic whites in the United States. Eur J Cancer Prev 15:367–370
Hitzler JK, Zipursky A (2005) Origins of leukaemia in children with Down syndrome. Nat Rev Cancer 5:11–20
Appelbaum FR, Gundacker H, Head DR et al (2006) Age and acute myeloid leukemia. Blood 107:3481–3485
Vigitel Brazil 2013 (2014) Protective and risk factors for chronic diseases by telephone survey. Brasilia/DF: Health Minister; URL:http://biavati.files.wordpress.com/2014/05/vigitel-2013.pdf. Accessed 30 Jan 2016
Rego EM, Kim HT, Ruiz-Arguelles GJ et al (2013) Improving acute promyelocytic leukemia (APL) outcome in developing countries through networking, results of the International Consortium on APL. Blood 121:1935–1943
Park JH, Qiao B, Panageas KS et al (2011) Early death rate in acute promyelocytic leukemia remains high despite all-trans retinoic acid. Blood 118:1248–1254
Nagendra S, Meyerson H, Skallerud G, Rosenthal N (2002) Leukemias resembling acute promyelocytic leukemia, microgranular variant. Am J Clin Pathol 117:651–657
Acknowledgments
MSPO has been supported by FAPERJ #E026/101.562/2010; the project was partially funded by grants from FAPERJ#E026/110.169/2013.
Authors’ contributions
LCT and MSPO contributed equally in the manuscript description.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Thuler, L.C.S., Pombo-de-Oliveira, M.S. Acute promyelocytic leukaemia is highly frequent among acute myeloid leukaemias in Brazil: a hospital-based cancer registry study from 2001 to 2012. Ann Hematol 96, 355–362 (2017). https://doi.org/10.1007/s00277-016-2846-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00277-016-2846-0