The European LeukemiaNet has periodically issued guidelines for the diagnosis and management of acute myeloid leukemia (AML) in adults. These consensus recommendations, most recently updated in 2022, incorporate recent advances in genomic testing, disease detection methods, target identification, and response assessment. Whilst similarities exist between AML in children and adults, pediatric AML is frequently characterized by unique cytogenetic and molecular features, which require distinct genetic and immunophenotypic diagnostics, therapeutic approaches, response assessment criteria, and supportive care strategies. To address these specific needs, an international panel of pediatric hematologist-oncologists, biologists, geneticists, and laboratory medicine scientists convened to develop recommendations for the diagnosis and management of AML in children, adolescents, and young adults (hereafter termed pediatric AML) that are discussed in this special report.
Review Article|
October 17, 2025
Diagnosis and Management of AML in Pediatric Patients: Consensus Recommendations from an International Expert Panel Free
C. Michel Zwaan,
C. Michel Zwaan
Princess Máxima Center, Utrecht, Netherlands
Search for other works by this author on:
Sarah K Tasian,
Children's Hospital of Philadelphia & University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, United States
* Corresponding Author; email: tasians@chop.edu
Search for other works by this author on:
Richard Aplenc,
Richard Aplenc
The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
Search for other works by this author on:
Lisa Eidenschink Brodersen,
Lisa Eidenschink Brodersen
Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States
Search for other works by this author on:
Barbara Buldini,
Barbara Buldini
Pediatric Hematology, Oncology and Stem Cell Transplant Division, Maternal and Child Health Department, University of Padova, Padova, Italy
Search for other works by this author on:
Barbara De Moerloose,
Barbara De Moerloose
Ghent University Hospital, Ghent, Belgium
Search for other works by this author on:
Michael N Dworzak,
Michael N Dworzak
Children's Cancer Research Institute and St. Anna Children's Hospital, Vienna, Austria
Search for other works by this author on:
Linda Fogelstrand,
Linda Fogelstrand
Sahlgrenska University Hospital and Institute of Biomedicine, University of Gothenburg, Gothenburg, Sweden
Search for other works by this author on:
Brenda ES Gibson,
Brenda ES Gibson
Royal Hospital for Children, Glasgow, United Kingdom
Search for other works by this author on:
Bianca F Goemans,
Bianca F Goemans
Princess Máxima center for pediatric oncology, Utrecht, Netherlands
Search for other works by this author on:
Henrik Hasle,
Henrik Hasle
Aarhus University Hospital, Aarhus, Denmark
Search for other works by this author on:
Betsy A Hirsch,
Betsy A Hirsch
University of Minnesota, Minneapolis, Minnesota, United States
Search for other works by this author on:
Gertjan JL Kaspers,
Gertjan JL Kaspers
Princess Máxima Center for Pediatric Oncology, Utrecht, Netherlands
Search for other works by this author on:
Jan-Henning Klusmann,
Jan-Henning Klusmann
Goethe University Frankfurt, Frankfurt, Germany
Search for other works by this author on:
Matthew A Kutny,
Matthew A Kutny
University of Alabama at Birmingham, Birmingham, Alabama, United States
Search for other works by this author on:
Thomas Lehrnbecher,
Thomas Lehrnbecher
University of Frankfurt, Frankfurt, Germany
Search for other works by this author on:
Franco Locatelli,
Franco Locatelli
Ospedale Bambino Gesù, Rome, Italy
Search for other works by this author on:
Shoeil Meshinchi,
Shoeil Meshinchi
Fred Hutchinson Cancer Research Center, seattle, Washington, United States
Search for other works by this author on:
Arnaud Petit,
Arnaud Petit
Hopital Armand Trousseau, APHP.Sorbonne Université, Paris, France
Search for other works by this author on:
Martina Pigazzi,
Martina Pigazzi
University of Padova, Padova, Italy
Search for other works by this author on:
Anne Tierens,
Anne Tierens
University Health Network, Toronto, Canada
Search for other works by this author on:
E Anders Kolb,
E Anders Kolb
Nemours/Alfred I duPont Hospital for Children, Wilmington, Delaware, United States
Search for other works by this author on:
Dirk Reinhardt,
Dirk Reinhardt
AML-BFM Study Group, Essen, Germany
Search for other works by this author on:
Daisuke Tomizawa,
Daisuke Tomizawa
National Center for Child Health and Development, Tokyo, Japan
Search for other works by this author on:
Todd M Cooper
Todd M Cooper
Seattle Children's, Seattle, Washington, United States
Search for other works by this author on:
Blood blood.2024027904.
Article history
Submitted:
March 31, 2025
Revision Received:
September 16, 2025
Accepted:
September 22, 2025
Citation
C. Michel Zwaan, Sarah K Tasian, Richard Aplenc, Lisa Eidenschink Brodersen, Barbara Buldini, Barbara De Moerloose, Michael N Dworzak, Linda Fogelstrand, Brenda ES Gibson, Bianca F Goemans, Henrik Hasle, Betsy A Hirsch, Gertjan JL Kaspers, Jan-Henning Klusmann, Matthew A Kutny, Thomas Lehrnbecher, Franco Locatelli, Shoeil Meshinchi, Arnaud Petit, Martina Pigazzi, Anne Tierens, E Anders Kolb, Dirk Reinhardt, Daisuke Tomizawa, Todd M Cooper; Diagnosis and Management of AML in Pediatric Patients: Consensus Recommendations from an International Expert Panel. Blood 2025; blood.2024027904. doi: https://doi.org/10.1182/blood.2024027904
Download citation file: