RT Book, Section A1 Lichtman, Marshall A. A1 Kaushansky, Kenneth A1 Prchal, Josef T. A1 Levi, Marcel M. A1 Burns, Linda J. A1 Armitage, James O. SR Print(0) ID 1133364718 T1 The Acute Lymphocytic Leukemias T2 Williams Manual of Hematology, 9e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9781259642470 LK hemonc.mhmedical.com/content.aspx?aid=1133364718 RD 2024/09/18 AB Acute lymphocytic (synonym: lymphoblastic) leukemia (ALL) is a neoplastic disease of immature lymphocytes or lymphocyte progenitor cells of either the B- or T-cell lineage.The immune phenotype of the leukemia cells reflects the cell lineage and differentiation stage of the transformed clone.At diagnosis, the leukemia cells typically have replaced normal cells in the marrow and have disseminated to various extramedullary sites, accounting for many of the clinical manifestations.Both immunologic and genetic subgroups have therapeutic implications.Survival for patients with ALL has improved with nearly 90% of children and 40% of adults achieving long-term disease-free survival, although patients older than 60 years of age still have a poor prognosis.