Table 1

Clinical features and common complications of AYA patients with ALL

FeaturesComplications
Treatment toxicity Steroid-induced hyperglycemia, avascular necrosis 
Asparginase-induced fatigue, weakness, pancreatitis, thrombosis 
Liver dysfunction 
Cytogenetic abnormalities Increased prevalence of high-risk features 
    Ph+ ALL (BCR-ABL1
    iAMP21 
    MLL rearrangements 
Decreased prevalence of lower-risk features 
     High hyperdiploidy and/or trisomies of chromosomes 4 and 10 
     ETV6-RUNX1 
Social Poor medical compliance 
 Underinsured 
 Low enrollment in clinical trials 
FeaturesComplications
Treatment toxicity Steroid-induced hyperglycemia, avascular necrosis 
Asparginase-induced fatigue, weakness, pancreatitis, thrombosis 
Liver dysfunction 
Cytogenetic abnormalities Increased prevalence of high-risk features 
    Ph+ ALL (BCR-ABL1
    iAMP21 
    MLL rearrangements 
Decreased prevalence of lower-risk features 
     High hyperdiploidy and/or trisomies of chromosomes 4 and 10 
     ETV6-RUNX1 
Social Poor medical compliance 
 Underinsured 
 Low enrollment in clinical trials 

AYA indicates adolescent and young adult; and ALL, acute lymphoblastic leukemia.

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