We studied the prognostic value of the enzymes acid alpha-naphthyl acetate esterase (ANAE) and acid phosphatase (AP) in 89 children with acute lymphoblastic leukemia (ALL). Follow-up data were available for 61 out of cases of non T- non B-ALL, which were treated in different hospitals according to the same protocols. Sex, age, initial white blood cell count (WBC) and number of high risk patients (WBC above 25 × 10 9/1 were comparable between enzyme-positive and -negative cases. The probabilities of complete continuous remission (CCR) were virtually identical in the AP + and AP − group. For the ANAE + group the probability of CCR was lower than for the ANAE - group, but this difference was not statistically significant (0.10 > p > 0.05). Within the common-ALL group ( n = 32), no difference was found in probability of CCR between the AP + and AP − group but ANAE + cases had a significantly lower probability of CCR than ANAE − cases. This study is a contribution to the view that the cytochemical profile of ALL cells may have prognostic value.
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