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General Pediatric Leukemia

 

Incidence

Leukemias are the commonest form of pediatric cancer.

Incidence in Canada is 3 to 4 per 100,000 children/year.

33% of all new cancers in children are leukemias.

In Canada Between 2000 and 2004 : 1,380 children (aged 0 - 14 years) were diagnosed with leukemia. Of those:

  • 1,091 acute lymphoblastic leukemia (ALL)
  • 176 acute and chronic myeloid (AML and CML)
  • 184 children died of leukemia
  • 51 of deaths were in children with AML

Relative Incidence of Leukemias in Children:

Diagnosis

% Childhood

Cancer

% Childhood

Leukemia

Peak Age Group

ALL

25%

75%

2 – 4 years

AML

5%

15 – 20%

Neonate/Teen

CML

<1%

<5%

None

 

50 years ago:

  • Leukemia was lmost universally fatal
  • Mean time from diagnosis of leukemia to death was only 4 months

 

Today:

  • Standard risk ALL: 90% cure
  • High Risk ALL: over 75% cure
  • AML: 50 to 60% 5 year EFS (event free survival)

 

 

 

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