Prognosis


Results of the most recent clinical studies
 

Prognosis refers to how well a patient is expected to respond to treatment based on their individual characteristics at time of diagnosis. In JMML, three characteristic areas have been identified as significant in the prognosis of patients:

 

Characteristic Values indicating a more favorable prognosis
Sex Male
Age at diagnosis < 2 years old
Other existing conditions Diagnosis of Noonan's Syndrome

Without treatment, the survival of children with JMML is approximately 5%.

Only Hematopoietic Stem Cell Transplantation (HSCT), commonly referred to as a bone marrow or (umbilical) cord blood transplant, has been shown to be successful in curing a child of JMML; with HSCT, recent research studies have found the survival rate to be approximately 50%.

Relapse is a significant risk after HSCT for children with JMML; it is the greatest cause of death in JMML children who have had stem cell transplants. Relapse rate has been recorded as high as 50%. Many children have been brought into remission after a second stem cell transplant, so this should always be considered seriously as a treatment possibility after relapse.

If you need help with some of the medical terms included in these pages, please use the NIH Medical Glossary.

Page created:  12 May 2005 by Fred Dini
Last reviewed:  Aug 2005 by Mignon Loh, MD
 

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