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September 17, 2026Annals of HematologyOpen Access

Outcomes of down syndrome-related myeloid leukemia in Turkiye: a multicenter retrospective observational cohort study by the Turkish Pediatric Hematology Association

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Authors

YKYeter Düzenli KarHÖHale ÖrenMEMelike Sezgin Evim

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Overview

Retrospective cohort study reveals superior survival in Down syndrome myeloid leukemia versus standard acute myeloid leukemia, indicating the need for subtype-specific treatment intensity.

Key Points

  • To compare clinical features, survival, relapse, and mortality between Down syndrome-related myeloid leukemia and standard acute myeloid leukemia occurring in children with Down syndrome.
  • Multicenter retrospective cohort study across Turkish Pediatric Hematology Association centers including newly diagnosed pediatric patients aged 6 months to 18 years (N = 53).
  • Patients were classified according to WHO guidelines and BFM-AML protocols into Down syndrome-related myeloid leukemia (DS-ML, n = 38) or standard acute myeloid leukemia (standard AML-DS, n = 15).
  • Patients with DS-ML presented at a significantly younger mean age than those with standard AML-DS (23 ± 9 months vs. 48 ± 51 months, p = 0.033).
  • Five-year overall survival was significantly higher in the DS-ML group compared to the standard AML-DS group (84.1% ± 6.0% vs. 53.3% ± 12.9%, p = 0.039).
  • Five-year event-free survival was significantly higher in the DS-ML group compared to the standard AML-DS group (81.3% ± 6.4% vs. 45.7% ± 13.1%, p = 0.025).

Cite This Study

Kar et al. (2026) studied this question.

synapsesocial.com/papers/6aabb6f95f706d05830e5c73https://doi.org/10.1007/s00277-026-07245-0
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Also Consider

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