Haematocon 2018 Kochi

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All the samples were run in Sysmex XN 1000 and the FCS data (WNR and WDF channel) were exported and analyzed. Results: On microscopy, among the ...
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INDEX Abstracts Selected for JC Patel Award Abstracts Selected for Oral Presentation

3 11 - 40

Day-1: Laboratory Category •

Acute Leukemia

12



Red Cell Disorders and Haemophilia

18



Bone Marrow Failure Syndromes and Infections

27



Stem Cell Transplant and Others

34

Day-2: Clinical Category

41 - 73



Acute Leukemia

42



Stem Cell Transplant

49



Lymphoma and Myeloma

57



Others

64

Abstracts Selected for Poster Presentation

75 - 226

Day 1 – Benign Haematology •

Disorders of Red Blood Cells

76



Bone Marrow Failure Syndromes

118



Disorders of Haemostasis

125



Disorders of White Blood Cells

156



Lab Haematology

162



Transfusion Medicine

183



Stem Cell Transplant

194



Others

207

Day 2– Malignant Haematology

227 - 395



Acute Lymphoblastic Leukemia

228



Acute Myeloid Leukemia Including Acute Promyelocytic Leukemia

250



Chronic Leukemia (Myeloid and Lymphoid)

290



Myeloproliferative Neoplasms

323



Lymphoma

333



Multiple Myeloma

360



Stem Cell Transplant

378



Others

387

ABSTRACTS SELECTED FOR JC PATEL AWARD

www.haematocon.in

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ABSTRACT:

1

Image Analyzing Drying Patterns of Blood and Plasma Droplets for the Rapid Detection of Thalassaemia Carriers 1

2

1*

Manikuntala Mukhopadhyay , Rudra Ray , Maitreyee Bhattacharyya , Sunando Das Gupta

2*

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ABSTRACT: 2 A Next Generation Sequencing Based Approach to Elucidate the Clinical and Genetic Spectrum of Uncommon Congenital Anemias  

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ABSTRACT: 3 Expression of Programmed cell Death Ligand1 (PDL1) and Programmed cell Death1 (PD1) in Patients with Diffuse Large B cell Lymphoma (DLBCL): An Indian Study Mukesh Chawla*1, Sujan K Dhar2, Biswajeeta Saha3, Malini Venkata4, Manjula Das5, Manjunatha Nayak3, Sharat Damodar1, Shobha Badiger6, Sunil Bhat6, Bharath Ram1, Shilpa Prabhu1, Karuna Kumar1, Hamza Dalal1, Nataraj K S1 1Department of Haematology, Narayana Health City, 2Sankhya Sciences, 3Biocon-BMS Research Centre, Syngene International Ltd, 4Bristol Myers Squibb, 5Tumor Immunology Group, Mazumdar Shaw Centre for Translational Research, MSMF, 6Department of Paediatric Hemato-oncology, Narayana Health City, Bangalore, India

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ABSTRACT: 4

Utility of Single Tube 10-Color Flow Cytometry Screening Panel in the Diagnosis of Myelodysplastic Syndrome 5LFKD&KDXKDQ +33DWL$QLWD&KRSUD0DQRUDQMDQ0DKDSDWUD 

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ABSTRACT: 5

A study to compare Haematopoietic Progenitor Cell (HPC) determined on the 6\VPH[;1ZLWKÀRZF\WRPHWULF&'FRXQWLQSHULSKHUDOEORRGDQGLQWKH harvested peripheral blood stem cell graft from autologous and allogenic donors. 6KUXWL0LVKUD-R\-0DPPHQ%LMX*HRUJH6XNHVK&K1DLU8GD\.XONDUQL 1LWW\0DWWKHZVDQG5DP\D9

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9

ABSTRACT: 6

'RQRUO\PSKRF\WHLQIXVLRQLQFKLOGUHQHI¿FDF\LQSUHYHQWLQJJUDIWUHMHFWLRQDQG relapse - experience from a tertiary referral centre in southern India 9HQNDWHVZDUDQ960HHQD66KLYDQL3.HVDYDQ051LNLOD5DP\D8/DNVKPDQDQ95HYDWKL5 'HSDUWPHQWRI3HGLDWULF+HPDWRORJ\2QFRORJ\DQG%ORRGDQG0DUURZ7UDQVSODQWDWLRQ $SROOR&DQFHU,QVWLWXWHV7H\QDPSHW&KHQQDL7DPLOQDGX,QGLD

Background: 'RQRUO\PSKRF\WHLQIXVLRQ '/, LVDIRUPRIFHOOXODULPPXQRWKHUDS\,QPDOLJQDQFLHVLWPD\EHHᚎHF WLYHLQSUHYHQWLQJDUHODSVHGXHWRJUDIWYHUVXVOHXNDHPLDHᚎHFWDQGLQEHQLJQKHPDWRORJLFDOFRQGLWLRQVLWKHOSVSUH YHQWWKHSURJUHVVLRQRILPSHQGLQJJUDIWUHMHFWLRQ7KHUHLVVFDQWGDWDIRUWKHXVHRI'/,LQFKLOGUHQDQGZHGHVFULEH WKHLQGLFDWLRQVDQGFRVWHᚎHFWLYHPHWKRGVRIGHOLYHULQJFDUHDWRXUFHQWUH Patients and methods: :HFRQGXFWHGDUHWURVSHFWLYHDQDO\VLVRIWKHFKLOGUHQZKRXQGHUZHQWKHPDWRSHLWLFVWHP FHOOWUDQVSODQWDWLRQDQGUHFHLYHGGRQRUO\PSKRF\WHLQIXVLRQHLWKHUDVDSDUWRISUHHPSWLYHWKHUDS\LQOHXNDHPLDRU IRUPL[HGFKLPHULVPLQEHQLJQGLVRUGHUVDW$SROOR&DQFHU,QVWLWXWHVIURPWKH\HDU-DQXDU\WR0D\7KH ᚏUVWVWHSZDVZLWKGUDZDORILPPXQRVXSSUHVVLRQDQG'/,ZDVFRPPHQFHGGD\VODWHULIWKHUHZDVQRHYLGHQFHRI JUDIWYHUVXVKRVWGLVHDVH7KHGHVLUHGYROXPHRIIUHVKSHULSKHUDOEORRGIURPWKHGRQRUZDVLQIXVHGEDVHGRQWKH &'FRXQW'RQRUO\PSKRF\WHLQIXVLRQZDVJLYHQLQDJUDGHGUHJLPHQZLWKWKHFHOOGRVHRI[ &'FHOOVNJ [ F'FHOOVNJ[ &'FHOOVNJGHSHQGLQJRQWKHJUDIWNLQHWLFVDQGWKHFOLQLFDOVWDWXVRIWKHFKLOGUHQ7KH GRVHZDVRQHORJORZHULQFKLOGUHQXQGHUJRLQJKDSORLGHQWLFDO+6&7VWDUWLQJDW[ NJ Results: $WRWDORIFKLOGUHQXQGHUZHQW+6&7GXULQJWKHVWXG\SHULRGDQG'/,ZDVSHUIRUPHGLQᚏIW\VHYHQFKLO GUHQ7KHPDOHIHPDOHUDWLRZDVDQGZHUHIRUEHQLJQKDHPDWRORJLFDOFRQGLWLRQVLQFOXGLQJWKDODVVDHPLD PDMRUVLFNOHFHOODQDHPLDDQGSULPDU\LPPXQHGHᚏ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onclusion: 'RQRUO\PSKRF\WHLQIXVLRQLVDQHᚎHFWLYHWRROLQFKLOGUHQDQGKHOSVSUHYHQWJUDIWUHMHFWLRQLQEHQLJQ FRQGLWLRQVDQGUHODSVHRIOHXNHPLDLQKLJKULVNFDVHV,WLVDVDIHSURFHGXUHIRUWKHGRQRUDVWKHJUDGHGUHJLPHQ UHTXLUHGYHU\VPDOODPRXQWVRISHULSKHUDOEORRGIURPPOWRPO&DUHIXOIROORZXSRIJUDIWNLQHWLFVDQGFOLQLFDO YLJLODQFHIRUJUDGHJUDIWYHUVXVKRVWGLVHDVHPDNHVLWDQHDVLO\DSSOLFDEOHWRROHYHQLQUHVRXUFHFRQVWUDLQHGVHW WLQJVDQGLQKDSORLGHQWLFDO+6&7

Keywords: 'RQRUO\PSKRF\WHLQIXVLRQJUDIWNLQHWLFVPL[HGFKLPHULVPSUHHPSWLYHWKHUDS\*9+'

10

www.haematocon.in

ABSTRACTS SELECTED FOR ORAL PRESENTATION DAY-1: LABORATORY CATEGORY

www.haematocon.in

11

Acute Leukemia HAEMATOCON2018-387

IMMUNOPHENOTYPIC ASSESSMENT OF MINIMAL RESIDUAL DISEASE IN YOUNGER ACUTE MYELOID LEUKEMIA PATIENTS IS HIGHLY PREDICTIVE OF OUTCOME &KLQPD\HH1.DNLUGH 6LWDUDP*KRJDOH0DQMX6HQJDU+DVPXNK-DLQ%KDXVDKHE%DJDO 3UDVKDQW7HPEKDUH3*6XEUDPDQLDQ6XPHHW*XMUDO1DYLQ.KDWWU\1LNKLO3DWNDU +HPDWRSDWKRORJ\/DE$&75(&7DWD0HPRULDO+RVSLWDO1DYL0XPEDL$GXOW+HPDWR2QFRORJ\7DWD0HPRULDO +RVSLWDO0XPEDL,QGLD



Aims & Objectives:*RDORIFKHPRWKHUDS\LQDFXWHP\HORLGOHXNHPLD $0/ LVWRDFKLHYHPRUSKRORJLFDOUHPLVVLRQ +RZHYHUQRWDOOSDWLHQWVDFKLHYHORQJWHUPUHPLVVLRQDQGVXEVHWRISDWLHQWVಬUHODSVH'HWHFWLRQRIPLQLPDOUHVLGXDO GLVHDVH 05'  IROORZLQJ FKHPRWKHUDS\ LV KLJKO\ SUHGLFWLYH RI RXWFRPH DQG DOORZV WUHDWPHQW PRGLᚏFDWLRQV LI UHTXLUHG+HUHZHGHVFULEHDVVHVVPHQWRILPPXQRSKHQRW\SLF05'XVLQJDFRPELQDWLRQRIGLᚎHUHQFHIURPQRUPDO DQGOHXNHPLDDVVRFLDWHGLPPXQRSKHQRW\SH /$,3 DSSURDFKLQSDWLHQWVRIDGXOW$0/ Patients/Materials & Methods: :H DFFUXHG  SDWLHQWV RI DGXOW $0/ RWKHU WKDQ ZLWK W   RYHU PRQWK VW-XO\VW'HFHPEHU DIWHUREWDLQLQJLQIRUPHGFRQVHQWSDWLHQWVZHUHSURFHVVHGXVLQJWXEH FRORXUDVVD\DQGSDWLHQWVZHUHSURFHVVHGXVLQJWXEHFRORXUDVVD\,GHQWLFDOSDQHOZDVXVHGDWEDVHOLQH SRVWLQGXFWLRQ 3, DQGSRVWFRQVROLGDWLRQ 3& WLPHSRLQWVHYHQWVZHUHDFTXLUHGSHUWXEHZLWKWKHWXEH DVVD\DQGPLOOLRQHYHQWVSHUWXEHREWDLQHGSHUWXEHZLWKWKHWXEHDVVD\$QDO\VLVZDVGRQHXVLQJ.DOX]D E\DFRPELQDWLRQRIGLᚎHUHQFHIURPQRUPDODSSURDFKWKDWIRFXVHGRQWKHGHYHORSPHQWRIP\HORLGSURJHQLWRUV WRPDWXUHFHOOVDQG/$,3DSSURDFKHV&\WRJHQHWLFVWXGLHVE\FRQYHQWLRQDONDU\RW\SLQJDQG),6+ZDVGRQHDVSHU 1&&1  UHFRPPHQGDWLRQV3DWLHQWVZHUHFODVVLᚏHGLQWRIDYRXUDEOHLQWHUPHGLDWHDQGSRRUF\WRJHQHWLFULVN 7KHSUHVHQFHRI)/7,7'130DQG&(%3$PXWDWLRQVZDVGHWHFWHGE\IUDJPHQWOHQJWKDQDO\VLVEDVHGDVVD\ 5HVXOWVZHUHDQDO\VHGIRULPSDFWRQ2YHUDOOVXUYLYDO 26 DQG5HODSVHIUHHVXUYLYDO 5)6 XVLQJORJUDQNWHVW Results: 7KHPHGLDQDJHRIHQWLUHFRKRUWZDV\HDUV%DVHGRQF\WRJHQHWLFVDQGSDWLHQWV ZHUH FODVVLᚏ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ದ @IROORZHGE\SRRUF\WRJHQHWLFULVN> S  +5&, WR @ Discussion & Conclusion: 2XU GDWD GHPRQVWUDWHV WKDW 05' E\ ᚐRZ F\WRPHWU\ DW HQG RI LQGXFWLRQ DV ZHOO DV FRQVROLGDWLRQ DUH LPSRUWDQW SURJQRVWLF IDFWRUV WRJHWKHU ZLWK NQRZQ IDFWRUV VXFK DV KLJKULVN F\WRJHQHWLFV $0/ 05'LVDYHU\XVHIXOJXLGHIRUSRVWUHPLVVLRQVWUDWHJLHVLQ$0/DQGVKRXOGEHLQFRUSRUDWHGLQWRURXWLQHWUHDWPHQW DOJRULWKPV Disclosure of Interest:1RQH'HFODUHG Keywords: $FXWH0\HORLG/HXNHPLD,PPXQRSKHQRW\SLQJ0LQLPDO5HVLGXDO'LVHDVH

12

www.haematocon.in

HAEMATOCON2018-299

INCIDENCE AND PROGNOSTIC IMPLICATION OF TP53 DELETION IN DE NOVO ADULT ACUTE MYELOID LEUKEMIA +HPDQL-DLQ 'KDQOD[PL6KHWW\0DQMX6HQJDU+DVPXNK-DLQ%KDXVDKHE%DJDO1DYLQ.KDWWU\ $YLQDVK%RQGD6DFKLQ3XQDWDU$QDQW*RNDUQ1LNKLO3DWNDU &DQFHU&\WRJHQHWLF'HSDUWPHQW$GYDQFHG&HQWUHIRU7UHDWPHQW5HVHDUFKDQG(GXFDWLRQLQ&DQFHU $&75(&  7DWD0HPRULDO&HQWUH1DYL080%$,0HGLFDO2QFRORJ\7DWD0HPRULDO+RVSLWDO0XPEDL0HGLFDO2QFRORJ\ $GYDQFHG&HQWUHIRU7UHDWPHQW5HVHDUFKDQG(GXFDWLRQLQ&DQFHU $&75(& 7DWD0HPRULDO&HQWUH0HGLFDO 2QFRORJ\7DWD0HPRULDO+RVSLWDO+HPDWRSDWKRORJ\'HSDUWPHQW$GYDQFHG&HQWUHIRU7UHDWPHQW5HVHDUFKDQG (GXFDWLRQLQ&DQFHU $&75(& 7DWD0HPRULDO&HQWUH1DYL080%$,,QGLD



Aims & Objectives: 73LVDWXPRXUVXSSUHVVRUJHQHSUHVHQWRQFKURPRVRPHSDQGLWVORVVLVDVVRFLDWHG ZLWKGLVHDVHSURJUHVVLRQDQGGLVPDORXWFRPH2XUDLPZDVWRGHWHUPLQHWKHIUHTXHQF\RI73GHOHWLRQLQ$0/ UHVSRQVHWRWUHDWPHQWDQGLWVFRUUHODWLRQZLWKRWKHUJHQHWLFFKDQJHV Patients/Materials & Methods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ᚏFDQWO\ DVVRFLDWHG ZLWK KLJK ULVN F\WRJHQHWLF DEHUUDWLRQVPRQRVRP\GHO T  3 PRQRVRP\GHO T  3 FRH[LVWHQWGHO T DQGGHO T  3 DQGWULVRP\ 3 73GHOHWLRQSRVLWLYHSDWLHQWVZHUHQHJDWLYHIRUW  DQGLQY  1RVWDWLVWLFDO GLᚎHUHQFHVZHUHIRXQGIRU130)/7,7'DQG&(%3$PXWDWLRQV73GHOHWLRQSRVLWLYHSDWLHQWVKDGFRPSOH[ NDU\RW\SHV Discussion & Conclusion:,QRXUVWXG\73GHOHWLRQLQFLGHQFHZDVORZHUDVFRPSDUHGWROLWHUDWXUHZDVIRXQGLQ \RXQJDGXOWVKDYLQJORZ:%&FRXQWVZDVDVVRFLDWHGZLWKKLJKULVNF\WRJHQHWLFPDUNHUVKDGFRPSOH[NDU\RW\SHV DQGSRRURUQRUHVSRQVHWRVWDQGDUGFKHPRWKHUDS\73GHOHWLRQVKRXOGEHDQDO\]HGDORQJZLWKRWKHUF\WRJHQHWLF PDUNHUVWRULVNVWUDWLI\SDWLHQWVDQGSODQDSSURSULDWHWKHUDS\IRUEHWWHUPDQDJHPHQWRIWKHSDWLHQW Disclosure of Interest: 1RQH'HFODUHG Keywords: DFXWHP\HORLGOHXNHPLD73GHOHWLRQSURJQRVLV

www.haematocon.in

13

HAEMATOCON2018-360

ULTRADEEP NEXT GENERATION SEQUENCING (NGS) BASED MEASURABLE RESIDUAL DISEASE (MRD) ASSESSMENT IN NPM1 MUTATED ACUTE MYELOID LEUKEMIA (AML) IS THE MOST IMPORTANT PREDICTOR OF OUTCOME 3UDVDQQD%KDQVKH 1LNKLO3DWNDU5RKDQ.RGJXOH+DVPXNK-DLQ%KDXVDKHE%DJDO0DQMX 6DQJDU1DYLQ.KDWWU\3DSDJXGL6XEUDPDQLDQ6XPHHW*XMUDO6LWDUDP*KRJKDOH 

+HPDWRSDWKRORJ\$GXOW+HPDWRORJ\3DWKRORJ\7DWD0HPRULDO&HQWUH1HZ0XPEDL,QGLD

Aims & Objectives:6HULDOPRQLWRULQJRI130PXWDWLRQVIURPWKHEORRGRUERQHPDUURZXVLQJPXWDWLRQVSHFLᚏF DVVD\VGXULQJFKHPRWKHUDS\RI$0/ZLWKPXWDWHG130 130PXW$0/ KDVEHHQVKRZQWREHKLJKO\SUHGLFWLYH RI UHODSVH '1$ EDVHG 1*6 LV D SURPLVLQJ VFDODEOH VROXWLRQ WKDW KDV WKH SRWHQWLDO WR GHWHFW 05' LQ $0/ :H GHPRQVWUDWHWKDWXOWUDGHHS1*6EDVHG05' 1*605' LVLQGHSHQGHQWO\SUHGLFWLYHRIRXWFRPHIRU130PXW$0/ Patients/Materials & Methods: :H DQDO\VHG WKH FOLQLFDO VLJQLᚏFDQFH RI PRQLWRULQJ 05' XVLQJ XOWUDGHHS 1*6 1*605' DQGᚐRZF\WRPHWU\ )&005' LQVDPSOHVREWDLQHGIURPSDWLHQWVRI130PXW$0/DWWKHHQG RILQGXFWLRQ 3, DQGFRQVROLGDWLRQ 3& ([RQRI130JHQH ZKHUH!RIDOO130PXWDWLRQVRFFXU ZDV 3&5DPSOLᚏHGXVLQJDGDSWRUOLQNHGSULPHUVDQG'1$DVDWHPSODWH6DPSOHVZHUHGHHSVHTXHQFHGRQ,OOXPLQD 0L6HT ,OOXPLQD XVLQJYSDLUHGHQGFKHPLVWU\7KHOLEUDU\ZDVVHTXHQFHGDWPRUHWKDQ[FRYHUDJH WRKDYHDVHQVLWLYLW\RI)RU)&005'PLQLPXPRIPLOOLRQHYHQWVZHUHDFTXLUHGSHUWXEHRQD1DYLRV ᚐRZF\WRPHWHU,GHQWLFDOSDQHOZDVXVHGDW05'WLPHSRLQWVDVZHOODVRQWKHGLDJQRVWLFVDPSOH$QDO\VLVRI)&0 05'ZDVGRQHXVLQJ.DOX]DE\DGLᚎHUHQFHIURPQRUPDODSSURDFK%DVHGRQUHFHLYHURSHUDWLQJFKDUDFWHULVWLF 52& DQG&,@ DQGZDVVLJQLᚏ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isclosure of Interest:1RQH'HFODUHG Keywords: 0HDVXUDEOHUHVLGXDOGLVHDVH 05' 1H[WJHQHUDWLRQVHTXHQFLQJ130PXWDWHG$0/

14

www.haematocon.in

HAEMATOCON2018-374

NUP98-NSD1 GENE REARRANGEMENT IN ACUTE MYELOID LEUKEMIA (AML)REPORT OF TWO CASES DETECTED BY TARGETED RNA SEQUENCING 6KUXWL5*KDL *RXWKDP5DYDO5RKDQ.RGJXOH3UDVDQQD%KDQVKH6KUXWL&KRXGKDU\6ZDSQDOL -RVKL3UDVKDQW7HPEKDUH6XPHHW*XMUDO3DSDJXGL6XEUDPDQLDQ1LNKLO3DWNDU 

+HPDWRSDWKRORJ\7$7$0HPRULDO+RVSLWDO0XPEDL,QGLD

Aims & Objectives: 7KH18316'LVDF\WRJHQHWLFDOO\FU\SWLFWUDQVORFDWLRQRIWHQDVVRFLDWHGZLWKWKH)/7,7' PXWDWHG$0/LQWKH\RXQJZLWKSRRUSURJQRVLV&\WRJHQHWLFWHFKQLTXHVVXFKDV),6+KDYHOLPLWDWLRQVLQLGHQWLᚏFDWLRQ RIFU\SWLFJHQHIXVLRQVDVLWLVDQXQUHOLDEOHDVVD\LQLGHQWLI\LQJIXVLQJJHQHDVZHOODVWKHLUH[DFWJHQHVHTXHQFHV +HUHZHGHVFULEHWZRFDVHVRI$0/ZLWKUDUH18316'IXVLRQGHWHFWHGXVLQJLQH[SHQVLYHODERUDWRU\GHYHORSHG WDUJHWHG51$VHTXHQFLQJIRUWKHGHWHFWLRQRIXQNQRZQIXVLRQVZKHUHRQHSDUWQHULVNQRZQ Patients/Materials & Methods: $V D SDUW RI $0/ ZRUNXS ODERUDWRU\ GHYHORSHG DVVD\ ZDV SHUIRUPHG RQ ERWK VDPSOHVWKDWGHWHFWIXVLRQVXVLQJWDUJHWHG51$VHTXHQFLQJDVZHOODVVRPDWLFPXWDWLRQVRQJHQRPLF'1$'RXEOH VWUDQGHGF'1$ZDVV\QWKHVL]HGDQGWKHQIUDJPHQWHG$WDLOHGDQGOLJDWHGXVLQJKDOIIXQFWLRQDOVHTXHQFLQJPRWLIV $JHQHP\HORLGSDQHOZDVGHVLJQHGVRDVWRGHWHFWDQ\SUHVXPHGSDUWQHURIDIXVLRQJHQHZKHUHRQHRIWKH SDUWQHUVLVNQRZQ$QDO\VLVRI)$674ᚏOHVRIIXVLRQDVVD\ZDVGRQHXVLQJ67$5)XVLRQ)XVLRQ&DWFKHUDQG)XVLRQ ,QVSHFWRU 7DUJHWHG '1$ VHTXHQFLQJ ZDV DOVR GRQH LQ WKHVH FDVHV WR GHWHFW PXWDWLRQV LQ  JHQHV FRPPRQO\ LPSOLFDWHGLQSDWKRJHQHVLVRIP\HORLGPDOLJQDQFLHV Results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iscussion & Conclusion: $VSHFLᚏ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isclosure of Interest:1RQH'HFODUHG Keywords:$0/1*618316'

www.haematocon.in

15

HAEMATOCON2018-372

A LABORATORY DEVELOPED TARGETED RNA SEQUENCING ASSAY FOR IDENTIFICATION OF FUSION GENES IN BCR-ABL1 LIKE PRECURSOR B LINEAGE ACUTE LYMPHOBLASTIC LEUKEMIA (BCR-ABL1 LIKE BCPALL) $QDP)6KDLNK *RXWKDP5DYDO5RKDQ.RGJXOH6KUXWL&KRXGKDU\6ZDSQDOL-RVKL3UDVDQQD %KDQVKH3UDVKDQW7HPEKDUH3DSDJXGL6XEUDPDQLDQ6XPHHW*XMUDO1LNKLO3DWNDU 

+HPDWRSDWKRORJ\7DWD0HPRULDO+RVSLWDO0XPEDL,QGLD

Aims & Objectives: %&5$%/ OLNH %&3$// LV D ELRORJLFDOO\ KHWHURJHQHRXV GLVRUGHU FKDUDFWHULVHG E\ KLJK SUHYDOHQFHRI ! RIJHQHIXVLRQVDQGSRWHQWLDOWKHUDSHXWLFUHOHYDQFH&RQYHQWLRQDOWHFKQLTXHVVXFKDV),6+ DUHQRWVXLWDEOHDVGLDJQRVWLFVWUDWHJLHVDVWKH\FDQQHLWKHUFRQVLVWHQWO\LGHQWLI\ERWKSDUWQHUVLQYROYHGLQDJHQH IXVLRQQRUFDQWKH\LGHQWLI\WKHH[DFWJHQHVHTXHQFHVIRUPRQLWRULQJSXUSRVHV+HUHZHGHVFULEHDQRYHOORZFRVW ODERUDWRU\GHYHORSHG51$VHTXHQFLQJDVVD\IRULGHQWLᚏFDWLRQRIXQNQRZQNLQDVHIXVLRQVLQ%&5$%/OLNH%&3$// Patients/Materials & Methods:'RXEOHVWUDQGHGF'1$ZDVV\QWKHVL]HGDQGWKHQIUDJPHQWHG$WDLOHGDQGOLJDWHG XVLQJKDOIIXQFWLRQDOVHTXHQFLQJPRWLIV:HGHVLJQHGWKHSDQHO (%)(325)*)5,.=)127&+183 35)&@DQG GRZQUHJXODWLRQRI$UDFPHWDEROLVPJHQHVOLNH'&.>)&@33$5*>)&@ Discussion & Conclusion: 2XUUHVXOWVVXJJHVWWKDWVLPLODUJHQHH[SUHVVLRQVLJQDWXUHWRWKDWREVHUYHGLQSULPDU\ $0/FHOOVSOD\VUROHHYHQLQWKHDFTXLUHG$UD&UHVLVWDQFH+RZHYHUWKHPHFKDQLVWLFUROHRIWKHVHDGGLWLRQDOWDUJHWV LQPHGLDWLQJ$UD&UHVLVWDQFHQHHGWREHYDOLGDWHGLQWKLVPRGHO Keywords: $FXWH0\HORLG/HXNHPLDDFTXLUHGUHVLVWDQFH

36

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HAEMATOCON2018-421

GRAFT VERSUS HOST DISEASE MANIFESTATION : IMPACT OF IMMUNOMODULATORY FACTORS - HLA-G EXPRESSION, TH1/TH2 CYTOKINES AND TREG CELL FREQUENCY 8PD.DQJD 0DQLVK0RXU\D7XOLND6HWK.DXVWDY&KRZGKXU\'LSHQGUD.0LWUD3RRQDP&RVKLF 0DQRUDQMDQ0DKSDWUD 7UDQVSODQW,PPXQRORJ\DQG,PXQRJHQHWLFV+HPDWRORJ\7UDQVIXVLRQ0HGLFLQH$OO,QGLD,QVWLWXWHRI0HGLFDO 6FLHQFHV1HZ'HOKL,QGLD



Aims & Objectives: +/$* LV D QRQFODVVLFDO +/$FODVV , PROHFXOH ZLWK NQRZQ LPPXQRPRGXODWRU\ SURSHUWLHV 7KHಬ875LPSDFWV+/$*H[SUHVVLRQDVPL51$VLQWHUDFWZLWKSRO\PRUSKLFVLWHVLQWKLVUHJLRQDQGFRQWUROSRVW WUDQVFULSWLRQDO UHJXODWLRQ +/$* LQWHUDFWV ZLWK UHFHSWRUV ,/7 ,/7 DQG .,5'/ RQ &' &' DQG 1. FHOOV 7KHKLJK+/$*H[SUHVVLQJ'&FHOOVVXEVHWLQGXFHDGDSWLYH,/SURGXFLQJ7UFHOOGLᚎHUHQWLDWLRQYLDWKH,/ GHSHQGHQW +/$*,/7 SDWKZD\ DQG PHGLDWH D WROHURJHQLF PLFURHQYLURQPHQW 3UHVHQW VWXG\ ZDV SODQQHG WR HYDOXDWH+/$*H[SUHVVLRQLWVFRUUHODWLRQZLWKSRVW+6&77UHJFHOOIUHTXHQF\DQGF\WRNLQHPLOHXWRXQGHUWVQDGWKH SRVVLEOHLPSDFWRQDOORLPPXQHUHVSRQVHDQGWUDQVSODQWRXWFRPH Patients/Materials & Methods: $SODVWLF $QHPLD DQG OHXNDHPLD SDWLHQWV XQGHUJRLQJ +HPDWRSRLHWLF 6WHP &HOO 7UDQVSODQWDWLRQ +6&7 ZHUHHQUROOHGIRUWKLVVWXG\3RO\PRUSKLVPLQ+/$*ಬ875^H[RQES,1'(/VDQG 613V PL51$LQWHUDFWLRQVLWHV `ZDVLQYHVWLJDWHG7UHJFHOOIUHTXHQF\OHYHOVRIV+/$*7K ,/,/71)˞ ,)1˨ DQG7KF\WRNLQHV /,/ ZHUHHYDOXDWHGLQ+6&7UHFLSLHQWVDWSUHDQGSRVWWUDQVSODQWWLPHSRLQWV GD\VDW*Y+' KHDOWK\FRQWUROVZHUHHQUROOHGWRHYDOXDWHSRSXODWLRQVSHFLᚏFFRUUHODWLRQEHWZHHQ 875KDSORW\SHVDQGV+/$*OHYHOV Results: $PRQJFRQWUROVESLQVLQVJHQRW\SHFRUUHODWHGZLWKKLJKHUV+/$*OHYHOV,QFLGHQFHRI*Y+'ZDVORZHU LQUHFLSLHQWVZLWKESLQVLQVJHQRW\SHFRPSDUHGWRWKRVHZLWKESGHOGHOJHQRW\SH+LJKHULQFLGHQFHRI*Y+' ZDVREVHUYHGDPRQJUHFLSLHQWVZLWKಬ875613JHQRW\SHV&&DQG&&6HYHQ875KDSORW\SHVZHUH REVHUYHGLQ1RUWK,QGLDQV*Y+'PDQLIHVWDWLRQZDVKLJKHULQUHFLSLHQWVFDUU\LQJORZV+/$*SURGXFLQJ875DQG 875 KDSORW\SHV 7UHJ FHOO IUHTXHQF\ OLQHDUO\ FRUUHODWHG ZLWK V+/$* OHYHOV 7KH 7UHJ FHOO IUHTXHQF\ OHYHOV RI V+/$**DQG7KF\WRNLQHVZHUHVLJQLᚏFDQWO\ORZHUDWWKHWLPHRI*Y+'ZKHUHDVOHYHOVRI7KF\WRNLQHVZHUH KLJKHU7UHJIUHTXHQF\DQGV+/$*OHYHOVLPSURYHGSRVW*Y+'WUHDWPHQW Discussion & Conclusion: +/$*ಬ875SRO\PRUSKLVPLPSDFWVV+/$*OHYHOVWKDWFUHDWHDQLPPXQRVXSSUHVVLYH PLFURHQYLURQPHQW PRGXODWH 7UHJ FHOO IUHTXHQF\ DQG 7K7K F\WRNLQH EDODQFH ZKLFK FRUUHODWHV ZLWK *Y+' PDQLIHVWDWLRQWKDWLQᚐXHQFHVWUDQVSODQWRXWFRPH+/$*FRXOGEHSURSRVHGDVDSRVVLEOHELRPDUNHUIRUSUHGLFWLQJ *Y+' Keywords: *Y+'+/$*7K7KF\WRNLQHV

www.haematocon.in

37

HAEMATOCON2018-332

CYTOGENETIC PROFILE OF PLASMA CELL NEOPLASM (PCN) PATIENTS USING FISH ANALYSIS OF CD138 POSITIVELY SELECTED PLASMA CELLS: TMC EXPERIENCE 7DQYL*XSWD 6XPDQWD3DWHO1HHUDM$URUD'HHSDN0LVKUD-HHYDQ.XPDU6DXUDEK%KDYH9LYHN 5DGKDNULVKQDQ5HHQD1DLU0DPPHQ&KDQG\0D\XU3DULKDU 

&\WRJHQHWLFV+HPDWRORJ\&OLQLFDO+HPDWRORJ\7DWD0HGLFDO&HQWHU.RONDWD.RONDWD,QGLD

Aims & Objectives: 3UHWUHDWPHQWF\WRJHQHWLFULVNVWUDWLᚏFDWLRQLVDQLQWHJUDOSDUWRIPRGHUQWUHDWPHQWSURWRFROV LQ  3ODVPD FHOO QHRSODVPV 3&1  7KH F\WRJHQHWLF ULVN VWUDWLᚏFDWLRQ LQ 3&1 LQFOXGHV ,J+ JHQH UHDUUDQJHPHQWV WULVRPLHV GHOHWLRQ RI VKRUW DUP RI FKURPRVRPH  DQG  DQG DPSOLᚏFDWLRQ RI ORQJ DUP RI FKURPRVRPH  :H SUHVHQWWKHF\WRJHQHWLFSURᚏOHRIDOOQHZO\GLDJQRVHG3&1SDWLHQWV Patients/Materials & Methods: 3&1SDWLHQWVZHUHGLDJQRVHGDW7DWD0HGLFDO&HQWHU.RONDWDIURP)HEUXDU\  -XO\  ,QWHUSKDVH ),6+ ZDV SHUIRUPHG RQ SRVLWLYHO\ VHOHFWHG &' SODVPD FHOOV (DV\6HSറ 67(0&(//റ7HFKQRORJLHV  7KH PLQLPXP SDQHO IRU ),6+ DQDO\VLV LQFOXGHG 73 GHOHWLRQ SUREH =\WRYLVLRQ *HUPDQ\  DQG ,J+ EUHDN DSDUW SUREH =\WRYLVLRQ  LQFOXGLQJ W  W   DQG W   GXDO FRORU GXDO IXVLRQ SUREHV9\VLV  $GGLWLRQDOO\ ),6+ DQDO\VLVIRUK\SHUGLSORLG\ JDLQVRIDQG DQGFKURPRVRPHUHODWHGDEQRUPDOLWLHV SGHOHWLRQTDPSOLᚏFDWLRQ SUREHV 0HWDV\VWHPV*HUPDQ\ ZHUHVWXGLHGLQDVXEVHWRISDWLHQWV Results:RISDWLHQWV PHGLDQDJH\HDUVUDQJH VKRZHGFKURPRVRPDODEQRUPDOLWLHVZLWK KDYLQJ WZR RU PRUH DEHUUDWLRQV 7KH PHGLDQ SHUFHQWDJH RI SODVPD FHOOV ZDV  ZLWK D UDQJH RI  IRU DOO DEQRUPDOLWLHV ,J+JHQHUHDUUDQJHPHQWVZHUHVHHQLQ  RISDWLHQWVZLWKW  EHHQWKHPRVWIUHTXHQW   IROORZHGE\W    :HGLGQRWREVHUYHW  LQDQ\RIRXUSDWLHQWV1R,J+SDUWQHUFRXOGEH LGHQWLᚏHG LQ  ,J+ UHDUUDQJHG SDWLHQWV S ZDV REVHUYHG LQ    RI FDVHV +\SHUGLSORLG\ ZDV HYLGHQWLQ  FDVHV&KURPRVRPHUHODWHGDEQRUPDOLWLHVZHUHGHWHFWHGLQFDVHV  ZLWK SUHVHQFHRISGHOHWLRQDQGTJDLQLQDQGSDWLHQWVUHVSHFWLYHO\  FDVHVZHUHFODVVLᚏHG DVKLJKULVNKDUERULQJHLWKHUSDQGRUSGHOHWLRQ  SDWLHQWVIHOOXQGHULQWHUPHGLDWHULVNZKLOHUHVW ZHUHVWDQGDUGULVN 3DWLHQWVFDUU\LQJSRUFKURPRVRPHDEQRUPDOLWLHVVKRZHGKLJKHUWXPRUEXUGHQLQWHUPVRISHUFHQWDJHRI SODVPDFHOOVLQERQHPDUURZ Discussion & Conclusion: 7KH F\WRJHQHWLF DEQRUPDOLWLHV LQ WKH SUHVHQW VWXG\   GLVSOD\HG FRPDSDUDEOH LQFLGHQFH DV UHSRUWHG LQ SUHYLRXV VWXGLHV  :H UHSRUW KLJKHU LQFLGHQFH RI K\SHUGLSORLG\   YV   S  YV   DQG FKURPRVRPH  DEHUUDWLRQV  YV   DQG ORZHU RFFXUHQFH RI ,J+ UHDUUDQJHPHQWV YV LQRXUSDWLHQWVFRPSDUHGWRRWKHU,QGLDQVWXGLHV Disclosure of Interest:1RQH'HFODUHG Keywords:&\WRJHQHWLFV),6+3ODVPDFHOOQHRSODVP

38

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HAEMATOCON2018-525

BCR-ABL KINASE DOMAIN MUTATION ANALYSIS BY NEXT GENERATION SEQUENCING DETECTED ADDITIONAL MUTATIONS IN CHRONIC MYELOID LEUKEMIA PATIENTS WITH SUBOPTIMAL RESPONSE TO IMATINIB (VWKHU6DWK\D%DPD%HQMDPLQ%KDUDWKL056HQWKDPL]KVHOYL$$E\$EUDKDP%LMX*HRUJH $ORN6ULYDVWDYD9LNUDP0DWKHZV3RRQNX]KDOL%DODVXEUDPDQLDQ 

'HSDUWPHQW2I+DHPDWRORJ\&KULVWLDQ0HGLFDO&ROOHJH9HOORUH,QGLD

Background and Aim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ethods: 3HULSKHUDO EORRG VDPSOHV IURP &0/ SDWLHQWV Q   ZKR GLG QRW DFKLHYH 0DMRU PROHFXODU UHVSRQVH 005 DWPRQWKVಬSRVWLPDWLQLEWKHUDS\ ,PDWLQLEVXERSWLPDOUHVSRQGHUV EXWZHUHQHJDWLYHIRU%&5$%/.' PXWDWLRQDQDO\VLVE\66ZHUHWHVWHGXVLQJ1*6 6RYHULQLHWDO :HDOVRLQFOXGHGWKUHHSDWLHQWVZLWKGHWHFWDEOH PXWDWLRQVE\66IRUDQDO\VLVE\1*6 Results:2YHUDOOSDWLHQWVZHUHIRXQGWRKDUERUPXWDWLRQVLQWKH%&5$%/.'E\1*61*6DOVRGHWHFWHG PXWDWLRQV WKDW KDV EHHQ SUHYLRXVO\ LGHQWLᚏHG E\ 66 IUDPHVKLIW GHOHWLRQ FBGHO  LQVHUWLRQ .LQV4 FBLQV&$* DQG7,, DV)9  S @DQGEDVHOLQH8$PJ GO>S @SDWLHQWVRQDOORSXULQROGHYHORSHGODE7/6FRPSDUHGWRSDWLHQWVRQIHEX[RVWDW>S @7KH2GGV UDWLRIRU7/6LQSDWLHQWVUHFHLYLQJIHEX[RVWDWZDVOHVVHUDVFRPSDUHGWRWKRVHUHFHLYLQJDOORSXULQRO>25 @ $GYHUVH HYHQWV ZHUH QRWHG LQ  Q  PRVW FRPPRQ JDVWURLQWHVWLQDO LQ DOORSXULQRO JURXSLQ FRQWUDVW WR  Q  PRVW FRPPRQ WUDQVDPLQLWLV  LQ WKH IHEX[RVWDW JURXS>S @&XWDQHRXV UHDFWLRQV Q  ZHUH REVHUYHGRQO\LQDOORSXULQROJURXS ,PDJH

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43

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44

www.haematocon.in

HAEMATOCON2018-549

MANAGEMENT OF RELAPSE IN ACUTE PROMYELOCYTIC LEUKEMIA TREATED WITH UPFRONT ARSENIC TRIOXIDE BASED REGIMENS )RX]LD1D $QX.RUXOD9LEKRU6KDUPD7KHQPR]KL0DQL-H\DVHHODQ/DNVKPDQDQ$ORN 6ULYDVWDYD$E\$EUDKDP3RRQNX]KDOL%DODVXEUDPDQLDQ%LMX*HRUJH9LNUDP0DWKHZV 

&OLQLFDO+DHPDWRORJ\%LRVWDWLVWLFV&KULVWLDQ0HGLFDO&ROOHJH9HOORUH9HOORUH,QGLD

Aims & Objectives: 7KH VWDQGDUG RI FDUH IRU SDWLHQWV ZLWK DFXWH SURP\HORF\WLFOHXNHPLD $3/  UHODSVLQJ DIWHU IURQWOLQHWUHDWPHQWZLWKDUVHQLFWULR[LGH $72 EDVHGUHJLPHQVUHPDLQVWREHGHᚏQHG:HSUHVHQWRXUH[SHULHQFH RQPDQDJHPHQWRIUHODSVHLQ$3/SDWLHQWVWUHDWHGZLWKIURQWOLQH$72EDVHGWKHUDS\ Patients/Materials & Methods:'DWDRQDOOFRQVHFXWLYHSDWLHQWVZLWKUHODSVHG$3/GLDJQRVHGDQGWUHDWHGLQWKH 'HSDWPHQWRI+DHPDWRORJ\&KULVWLDQ0HGLFDO&ROOHJH9HOORUHIURP-DQXDU\ದ'HFHPEHUZHUHLQFOXGHG LQWKLVUHWURVSHFWLYHDQDO\VLV Results: 2XWRIWKHWRWDO$3/SDWLHQWVGLDJQRVHGGXULQJWKHVWXG\SHULRG  KDGUHODSVH2XWRIWKHVH   UHFHLYHGXSIURQW$72EDVHGWKHUDS\UHIXVHGWUHDWPHQWWKHUHPDLQLQJ  ZHUHLQFOXGHGLQ WKHDQDO\VLV0HGLDQDJHRISDWLHQWVZDV\HDUV UDQJH   ZHUHPDOHV0HGLDQWLPHWRUHODSVHIURP LQLWLDOGLDJQRVLVZDVPRQWKV UDQJH $OOSDWLHQWVUHFHLYHG$72EDVHGWKHUDS\DVUHLQGXFWLRQ  DFKLHYHGPROHFXODUUHPLVVLRQSRVWUHLQGXFWLRQZKLOH  GLHGGXULQJUHLQGXFWLRQDQGRQHGLVFRQWLQXHG WUHDWPHQW  RSWHGIRUDXWRORJRXV6&7LQPROHFXODU UHPLVVLRQZKLOH  FRQWLQXHGRQPDLQ WHQDQFHWKHUDS\DORQH0HGLDQWLPHWRDXWRORJRXV6&7IURPUHODSVHZDVPRQWKV UDQJH 7KHUHZHUHQR WUHDWPHQWUHODWHGGHDWKVIROORZLQJDXWRORJRXV6&7$WDPHGLDQIROORZXSRIPRQWKV UDQJH WKH\HDU26 DQG()6RIWKHZKROHFRKRUW Q  ZDVsDQGs7KH\HDUHVWLPDWHRI26DQG()6RIWKRVH ZKRUHFHLYHGDXWRORJRXV6&7YVWKRVHZKRZHUHRQFKHPRWKHUDS\ZHUHsYVs 3  DQG sYVs 3  UHVSHFWLYHO\,QXQDGMXVWHGDQDO\VLVWKRVHZKRUHFHLYHGFKHPRWKHUDS\ DVSRVWUHODSVHFRQVROLGDWLRQKDG &,ದ WLPHVULVNRIUHODSVHDVFRPSDUHGWRWKRVHZKRUHFHLYHG DXWRORJRXV6&7 3  ,QWKHDGMXVWHGDQDO\VLVWKRVHZKRUHFHLYHGFKHPRWKHUDS\ZHUHQRWHGWRKDYHQHDUO\ WLPHV &,ದ ULVNRIUHODSVHDVFRPSDUHGWRWKRVHZKRUHFHLYHGDXWRORJRXV6&7 3  DIWHUDGMXV WLQJIRUDJHWRWDO:%&DWUHODSVHDQGGXUDWLRQRI&5 ,PDJH

www.haematocon.in

45

'LVFXVVLRQ &RQFOXVLRQ5HPLVVLRQLQGXFWLRQZLWK$72EDVHGUHJLPHQVIROORZHGE\DQDXWRORJRXV6&7LQSDWLHQWV ZLWKUHODSVHG$3/ZKRZHUHWUHDWHGZLWKIURQWOLQH$72EDVHGUHJLPHQVLVDVVRFLDWHGZLWKH[FHOOHQWORQJWHUPVXUYL YDODQGVKRXOGEHFRQVLGHUHGWKHVWDQGDUGRIFDUHHYHQLQWKLVVHWWLQJ Disclosure of Interest:1RQH'HFODUHG KeywordsDFXWHSURPH\ORF\WLFOHXNHPLD $3/ $UVHQLFWULR[LGH $72 $OOWUDQVUHWLQRLFDFLG $75$

46

www.haematocon.in

HAEMATOCON2018-431

AML INDUCTION MORTALITY AND OUTCOMES: 10 YEAR EXPERIENCE FROM A TERTIARY CANCER CENTRE IN INDIA +HPDQWK.XPDU 1LNLWD0HKUD3UDVDQWK*DQHVDQ9HQNDWUDPDQ5DGKDNULVKQDQ0DQLNDQGDQ 'KDQXVKNRGL7ULYDGL6*DQHVDQ.ULVKQDNXPDU.DQQDQ3.-D\DFKDQGUDQ.UXSD6KDQNDU 7HQDOL6DJDU 0HGLFDO2QFRORJ\&DQFHU,QVWLWXWH&KHQQDL&KHQQDL0HGLFDO2QFRORJ\-DZDKDUODO,QVWLWXWHRI3RVWJUDGXDWH 0HGLFDO(GXFDWLRQDQG5HVHDUFK -,30(5 3XGXFKHUU\,QGLD 

Aims & Objectives: 7KHWUHDWPHQWRIDFXWHP\HORLGOHXNDHPLD $0/ ZLWKLQWHQVLYHLQGXFWLRQUHPDLQVDFKDOOHQJH (DUO\LQGXFWLRQUHODWHGGHDWKVSDUWLFXODUO\GXHWRLQIHFWLRXVFRPSOLFDWLRQVDUHDPDMRUSUREOHP,QWKLVVWXG\ZHDV VHVVLQGXFWLRQPRUWDOLW\LQDGXOW$0/SDWLHQWVZKRUHFHLYHGLQWHQVLYHLQGXFWLRQWKHUDS\LQDWHUWLDU\FDQFHUFHQWUHLQ ,QGLDRYHUD\HDUSHULRG  Patients/Materials & Methods: 1HZO\GLDJQRVHGDGXOW$0/ !\HDUVQRQ0 WUHDWHGDW&DQFHU,QVWLWXWH&KHQ QDLZKRUHFHLYHGLQWHQVLYHLQGXFWLRQWKHUDS\ZHUHLQFOXGHGLQWKHVWXG\,QWHQVLYHWKHUDS\ZDVGHᚏQHGDVXVHRIDQ\ DQWKUDF\FOLQHZLWKF\WDUDELQH RWKHUV :HDVVHVVHGEDVHOLQHGHPRJUDSKLFVDQGNH\FOLQLFDORXWFRPHVLQFOX GLQJLQGXFWLRQPRUWDOLW\HYHQWIUHHVXUYLYDODQGRYHUDOOVXUYLYDO,QGXFWLRQPRUWDOLW\ZDVGHᚏQHGDVGHDWKVRFFXUULQJ ZLWKLQGD\VRILQLWLDWLQJWUHDWPHQWIRU$0/RUVWDUWRIQGLQGXFWLRQ Results: %HWZHHQ -DQXDU\  DQG 'HFHPEHU   SDWLHQWV ZLWK $0/ ZHUH HYDOXDWHG DQG DFFHSWHG IRU WUHDWPHQW([FOXGLQJSDWLHQWVZKRZHUHXQᚏWIRULQWHQVLYHLQGXFWLRQSDWLHQWVUHFHLYHGWUHDWPHQWDQGZHUH LQFOXGHGLQWKHDQDO\VLV 0HGLDQDJHZDV\HDUVDQG  ZHUHPDOHSDWLHQWV  SDWLHQWVUHFHLYHGWKHVWDQGDUG LQGXFWLRQ   RIWKHFDVHVKDGLQIHFWLRQDWWKHWLPHRISUHVHQWDWLRQ  KDGDQHSLVRGHRIIHEULOHQHXWURSH QLDZLWK  UHTXLULQJPDQDJHPHQWLQ,QWHQVLYH&DUH8QLW ,&8 )RFXVRILQIHFWLRQFRXOGEHLGHQWLᚏHGLQ   RIWKHSDWLHQWVZLWK  KDYLQJDSRVLWLYHFXOWXUH 7KHRYHUDOOLQFLGHQFHRILQGXFWLRQPRUWDOLW\ZDV Q  2IWKHGHDWKV Q  ZHUHGXHWRLQIHFWLRXV FRPSOLFDWLRQV0HGLDQWLPHWRGHDWKIURPVWDUWRILQGXFWLRQZDVGD\V7KHLQFLGHQFHRIIXQJDOSQHXPRQLDVLJQLᚏ FDQWO\UHGXFHGVLQFHZKHQWKHDQWLIXQJDOSURSK\OD[LVZDVVZLWFKHGIURPᚐXFRQD]ROHWRYRULFRQD]ROH S   2YHUWKHODVW\HDUV  WKHUHKDVEHHQDVLJQLᚏFDQWULVHLQWKHLQFLGHQFHRIPXOWLGUXJUHVLVWDQFHJUDP QHJDWLYH VHSWLFDHPLD DQG PRUWDOLW\ 0'5 FDUEDSHQHP UHVLVWDQW HQWHUREDFWHULDFHD VHQVLWLYH RQO\ WR FROLVWLQ DQG WLJHF\FOLQH 7KHSURSRUWLRQRIGHDWKVDWWULEXWDEOHWR0'5VHSVLVLV 7KHPHGLDQGXUDWLRQRIIROORZXSZDVPRQWKV7KHPHGLDQHYHQWIUHHVXUYLYDOZDVPRQWKV &,  DQGWKHPHGLDQRYHUDOOVXUYLYDOZDVPRQWKV &, \HDURYHUDOOVXUYLYDOZDV ,PDJH

www.haematocon.in

47

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48

www.haematocon.in

Stem Cell Transplant HAEMATOCON2018-382

NORMAL GROWTH AND DEVELOPMENT POST HAEMATOPOIETIC STEM CELL TRANSPLANTATION FOR THALASSEMIA MAJOR USING TREOSULFAN BASED CONDITIONING REGIMEN – SINGLE CENTRE LONG TERM STUDY .HVDYDQ05 6KLYDQL3DWHO0HHQD6LYDVDQNDUDQ9HQNDWHVZDUDQ961LNLOD55DP\D8SSXOXUL 5HYDWKL5DM 

3DHGLDWULF+HPDWRRQFRORJ\$SROOR6SHFLDOLW\+RVSLWDO&KHQQDL,QGLD

Aims & Objectives: 7UHRVXOIDQEDVHGFRQGLWLRQLQJUHJLPHQKDVOLWWOHHᚎHFWRQORQJWHUPJURZWKLQ\RXQJFKLOGUHQ DQGKDVEHHQSUHGLFWHGWRSUHVHUYHIHUWLOLW\7KHDLPRIWKLVVWXG\LVWRGHWHUPLQHODWHHᚎHFWVRIWUHRVXOIDQEDVHG FRQGLWLRQLQJLQFKLOGUHQZLWKWKDODVVHPLDPDMRU Patients/Materials & Methods::HSHUIRUPHGDUHWURVSHFWLYHDQDO\VLVRIFKLOGUHQZKRXQGHUZHQW+6&7IRUWKDODV VHPLDPDMRUIURPWRLQDWHUWLDU\FHQWUH$OOFKLOGUHQUHFHLYHGDXQLIRUPSURWRFRORIWUHRVXOIDQJPP IRUGD\V LQIDQWVJPP ZLWKWKLRWHSDPJNJᚐXGDUDELQHPJPIRUGD\VZLWKDGGLWLRQDO$7*LQDIHZ FKLOGUHQ&KLOGUHQZHUHDQDO\VHGVXEVHTXHQWO\IRUWKHLUJURZWKSDUDPHWHUVDQGSXEHUWDOVWDWXVRQIROORZXS Results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iscussion & Conclusion2XUVWXG\FOHDUO\GHPRQVWUDWHVWKHVXSHULRURXWFRPHRIFKLOGUHQWUHDWHGZLWKWUHRVXOIDQ EDVHG FRQGLWLRQLQJ UHJLPHQ IRUWKDODVVHPLD PDMRU ZLWK QRUPDO JURZWK SDWWHUQ DQG KDV KDG QR HᚎHFW RQ SXEHUWDO GHYHORSPHQW$OOJLUOVDWWDLQHGPHQDUFKHZLWKRXWWKHQHHGIRUDQ\VXSSOHPHQWDWLRQ,QYLHZRIWKHVHEHQHᚏWVZH UHFRPPHQGWKHXVHRIWUHRVXOIDQEDVHGFRQGLWLRQLQJIRUFKLOGUHQZLWKWKDODVVHPLDPDMRU Disclosure of Interest:1RQH'HFODUHG Keywords:JURZWKWKDODVVHPLDPDMRUWUHRVXOIDQ

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49

HAEMATOCON2018-342

CLINICAL PROFILE AND OUTCOMES POST ALLOGENIC HEMATOPOIETIC STEM CELL TRANSPLANTATION IN THALASSEMIA PATIENTS: A SINGLE CENTRE EXPERIENCE -\RWVQD.DSRRU 3UL\DQND6RQL1LKDULND%KDWLD1DUHQGUD$JUDZDO5D\D]$KPHG3DOODYL0HKWD 6KLQWR)UDQFLV7KHNNXGDQ$PEDU*DUJ'LQHVK%KXUDQL 'HSDUWPHQWRI+HPDWR2QFRORJ\DQG%RQH0DUURZ7UDQVSODQWDWLRQ8QLW5DMLY*DQGKL&DQFHU,QVWLWXWH$QG5H VHDUFK&HQWUH'HOKL,QGLD



Aims & Objectives: :HDLPWRUHSRUWRXUWKDODVVHPLDSDWLHQWVಬFOLQLFDOSURᚏOH RXWFRPHVSRVW$OOR6&7 3DWLHQWV0DWHULDOV 0HWKRGV0HGLFDOUHFRUGVRIWKDODVVHPLDSDWLHQWVZKRUHFHLYHGDOOR6&7DWRXUFHQWUHEHWZHHQ VW-DQXDU\ VW0DUFKZHUHUHYLHZHG7KHIROORZXSZDVWDNHQWLOOWK$XJXVW Results: $ WRWDO RI  WKDODVVHPLD SDWLHQWV PDOHV   PHGLDQ DJHG    \HDUV UHFHLYHG DOOR6&7 7KUHH       SDWLHQWVKDG/XFDUHOOLFODVV,,,,,,UHVSHFWLYHO\ZLWK SDWLHQWVIDOOLQJLQFODVV ,,,$ ,,,%UHVSHFWLYHO\ 7KLUW\ᚏYH SDWLHQWVUHFHLYHGDOOR6&7XVLQJ06' 08'JUDIW*UDIWVRXUFHZDV%0 3%6&LQ SDWLHQWV UHVSHFWLYHO\ (QJUDIWPHQWZDVREVHUYHGLQSDWLHQWV  DW  GD\VZKLOHSDWLHQWVKDGHDUO\GHDWKV        SDWLHQWVGHYHORSHGIHEULOHQHXWURSHQLDPXFRVLWLV 92'UHVSHFWLYHO\SRVWDOOR6&77UDQVLHQW &09YLUHPLDGHYHORSHGLQ  SDWLHQWV$FXWH*9+'JUDGH,,,9 FKURQLF*9+'GHYHORSHGLQ     SDWLHQWVUHVSHFWLYHO\$WGD\SDWLHQWV  KDGIXOOGRQRUFKLPHULVP ุGRQRUFKLPHULVP  ZKLOHSDWLHQWVKDGPL[HGFKLPHULVP  !GRQRUFKLPHULVP   $OOSDWLHQWVZLWKPL[HGFKLPHULVPSUR JUHVVHGWRJUDIWUHMHFWLRQ 0DMRUHYHQWVZHUHJUDIWUHMHFWLRQ Q   150 Q  $WPHGLDQIROORZXSRIPRQWKV\HDU26  ()6 LV s s )RXU\HDU 26 IRU SDWLHQWV ZLWK FODVV ,,,%  RWKHU WKDQ ,,,% ZDV s  sUHVSHFWLYHO\ 1RVLJQLᚏFDQWGLᚎHUHQFHLQWKH26 ()6ZDVIRXQGRQWKHEDVLVRIOXFDUHOOLFODVVW\SHRIGRQRU 06'YV08'   JUDIWVRXUFH %0YV3%6& XVHG 

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,PDJH

Discussion & Conclusion: )RXU\HDU26 ()6KDVEHHQ LQRXUGLYHUVHJURXSRIWKDODVVHPLD SDWLHQWV Disclosure of Interest: 1RQH'HFODUHG Keywords: $OORJHQHLFVWHPFHOOWUDQVSODQWDWLRQ7KDODVVHPLD

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51

HAEMATOCON2018-184

T315I MUTATION STATUS POST-HEMATOPOIETIC STEM CELL TRANSPLANTATION (HSCT) IN CHRONIC MYELOID LEUKEMIA(CML) AND PHILADELPHIA POSITIVE ACUTE LYMPHOBLASTIC LEUKEMIA (PH. ALL) (SERIES OF FIVE PATIENTS AND REVEIW OF ITS LITERATURE) 9DVX%*ROL *DQDSDWKL%KDW06DPLU6KDK$GYDQL6+5HHWX-DLQ 0HGLFDO2QFRORJ\DQG6WHP&HOO7UDQVSODQWDWLRQ+HPDWRORJLVWDQG6WHPFHOOWUDQVSODQWDWLRQ-DVORN+RVSLWDO DQG5HVHDUFK&HQWUH0XPEDL,QGLD 

Aims & Objectives:7RDQDO\VHZKHWKHUSUHH[LVWLQJ7,PXWDWLRQSHUVLVWDIWHU$OORJHQLF+6&7LQSDWLHQWVRI &KURQLFP\HORLGOHXNDHPLDDQG3KLODGHOSKLDSRVLWLYH$FXWH/\PSKREODVWLFOHXNDHPLD Patients/Materials & Methods: $%/ .LQDVH PXWDWLRQ DQDO\VLV ZDV GRQH SURVSHFWLYHO\ XVLQJ 1HVWHG 3&5 DQG 6DQJHUVHTXHQFLQJ3UHDQG3RVW+6&7LQSDWLHQWVZKRKDYHGHWHFWDEOH%&5$%/WUDQVFULSWVLQ3K$//DQG&0/ SDWLHQWV Results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ᚐLFWLQJUHVXOWVRIUHWURVSHFWLYHDQDO\VHVUHVXOWHGLQ ODFNRIVWDQGDUGJXLGHOLQHVIRUXVHRISRVWWUDQVSODQWPDLQWHQDQFH7.,ಬV)XUWKHUVWXGLHVLQYROYLQJODUJHQXPEHURI SDWLHQWVDUHUHTXLUHGIRUXQGHUVWDQGLQJSRVWWUDQVSODQWF\WRJHQHWLFFORQDOHYROXWLRQDQGPXWDWLRQSDWWHUQVZKLFKZLOO KHOSLQVHOHFWLQJ3RVWWUDQVSODQW7.,3UHDQGSRVWWUDQVSODQWKLJKULVNIDFWRUVRUULVNVWUDWLᚏFDWLRQVFRUHVVKRXOGEH HYDOXDWHGIRULGHQWLI\LQJKLJKULVNSDWLHQWVZKREHQHᚏWIURPSRVWWUDQVSODQWPDLQWHQDQFH7.,ಬV Disclosure of Interest:1RQH'HFODUHG Keywords$OORJHQLFVWHPFHOOWUDQVSODQW7,0XWDWLRQ7\URVLQHNLQDVHLQKLELWRUV

52

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HAEMATOCON2018-245

TREOSULFAN BASED CONDITIONING REGIMEN – REDUCED TOXICITY WITH EXCELLENT OUTCOMES IN CHILDREN WITH PRIMARY IMMUNE DEFICIENCY 9HQNDWHVZDUDQ96 6KLYDQLSDWHO0HHQD6DQNDUDQ.HVDYDQ051LNLOD55DP\D85HYDWKL5 

3HGLDWULF+HPDWRORJ\2QFRORJ\DQG%ORRGDQG0DUURZ7UDQVSODQWDWLRQ$SROOR&DQFHU,QVWLWXWHV&KHQQDL,QGLD

Aims & Objectives: 3ULPDU\ LPPXQH GHᚏFLHQF\ KDV YDULHG SUHVHQWDWLRQ DQG +6&7 ZLWK WDLORUHG FRQGLWLRQLQJ LV QRZWKHVWDQGDUGRIFDUHZKLFKPD\UHVXOWLQPL[HGFKLPHULVPDQGJUDIWUHMHFWLRQ:HSUHVHQWRXUGDWDRQWUHRVXOIDQ EDVHGFRQGLWLRQLQJUHJLPHQ Patients/Materials & Methods::HFRQGXFWHGDUHWURVSHFWLYHVWXG\LQRXU%ORRGDQG0DUURZ7UDQVSODQWDWLRQXQLW IURPWRDQGLQFOXGHGDOO3,'FKLOGUHQZKRUHFHLYHG7UHRVXOIDQDQGWKHLUGDWDZHUHDQDO\VHG Results: 2IWKH3,'FKLOGUHQ 0) KDGUHFHLYHGWUHRVXOIDQLQFOXGLQJ+/+  6&,'  /$'   &9,'  :$6  +\SHU,J0  +\SHU,J(  060'  ,/5DGHᚏFLHQF\  DQG&*'  7KHPH GLDQDJHDWSUHVHQWDWLRQZDVRQH\HDU$OORJHQHLFUHODWHG3%6&ZDVXVHGLQERQHPDUURZLQXQUHODWHGLQ FRUGEORRGLQDQGKDSORLGHQWLFDOERQHPDUURZLQ5HJLPHQUHODWHGWR[LFLW\ZHUHUDVK  FRQMXQFWL YLWLV  PLOGPXFRVLWLV  JUDGHPXFRVLWLV  2YHURIWKHFKLOGUHQKDGPL[HGFKLPHULVPDIWHUGD\V PDQDJHGZLWKHDUO\ZLWKGUDZDORILPPXQRVXSUHVVLRQ:HQRWLFHGDFXWH*Y+'FKURQLF*Y+'LQDQGJUDIW UHMHFWLRQLQ7KHPRUWDOLW\ZDVWKHFDXVHEHLQJVHSVLVLQ$5'6LQGLVVHPLQDWHG&09DQG SURJUHVVLYH+/+LQHDFK Discussion & Conclusion: 7UHRVXOIDQEDVHGUHJLPHQLVZHOOVXLWHGIRU3,'FKLOGUHQ7KHFKLPHULVPQHHGVWREH IROORZHGXSDQGLPPXQRVXSUHVVLRQZLWKGUDZQDVLWGURSVOHVVWKDQ7KLVLVSDUWLFXODUO\UHOHYDQWLQ,QGLDZKHUH EXVXOIDQSKDUPDFRNLQHWLFVLVQRWDYDLODEOHHYHU\ZKHUHDQGLQGLYLGXDOLVHGWKHUDS\LVWKHNH\IRUVXFFHVVIXORXWFRPH Disclosure of Interest:1RQH'HFODUHG Keywords:WUHRVXOIDQUHJLPHQUHODWHGWR[LFLW\PL[HGFKLPHULVP

www.haematocon.in

53

HAEMATOCON2018-480

OUTCOMES OF ALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANTATION FOR LYMPHOMAS: A SINGLE-CENTRE EXPERIENCE 6XVKLO6HOYDUDMDQ $QX.RUXOD)RX]LD1$$E\$EUDKDP$ORN6ULYDVWDYD9LNUDP0DWKHZV%LMX *HRUJH 

'HSDUWPHQWRI&OLQLFDO+HPDWRORJ\&KULVWLDQ0HGLFDO&ROOHJH9HOORUH,QGLD

Aims & Objectives: 0XOWLSO\ UHODSVHGUHIUDFWRU\ O\PSKRPDV UHSUHVHQW D JURXS RI KHPDWRO\PSKRLG QHRSODVPV ZKLFKKDYHUHPDLQHGDFKDOOHQJHWRWUHDWGHVSLWHWKHDGYHQWRIQHZHUVDOYDJHFRPELQDWLRQFKHPRWKHUDSLHVPR QRFORQDODQWLERGLHV FHOOEDVHGWKHUDSLHV(ᚎHFWLYHQHVVRIDOORJHQHLF6WHP&HOO7UDQVSODQWDWLRQLQWKLVSRSXODWLRQ RISDWLHQWVKDVEHHQDWWULEXWHGWRJUDIWYHUVXVOHXNHPLD *9/ HᚎHFWEHFDXVHRIWKHHOLPLQDWLRQRIWXPRUFHOOVE\ DOORLPPXQHHᚎHFWRU7O\PSKRF\WHV7KLVVWXG\UHSRUWVWKHH[SHULHQFHRIRXUFHQWHURQDOORJHQHLFWUDQVSODQWIRUKLJK ULVN UHODSVHGUHIUDFWRU\O\PSKRPDV Patients/Materials & Methods: $OOSDWLHQWVZLWKKLVWRORJLFDOO\FRQᚏUPHGGLDJQRVLVRI+RGJNLQRUQRQ+RGJNLQO\P SKRPDZKRXQGHUZHQWDOORJHQHLF+6&7IURPWRZHUHUHWURVSHFWLYHO\VWXGLHG'DWDZDVFROOHFWHGIURP VWDQGDUGL]HGLQVWLWXWLRQDOLQGLYLGXDOPHGLFDOUHFRUGVWDEXODWHGDQGVXEVHTXHQWO\DQDO\VHGZLWKWKH6366VRIWZDUH YHUVLRQ Results: 7KLUW\RQHSDWLHQWVXQGHUZHQWWUDQVSODQW  KDG+RGJNLQO\PSKRPDDQGRIWKHUHPDLQLQJSDWLHQWV ZHUH%&HOODQGZHUH7&HOOO\PSKRSUROLIHUDWLYHGLVRUGHUV7KHPHGLDQDJHZDV\UV 5DQJH\UV \HDUV DQG  ZHUHPDOH7KHPDMRULW\RISDWLHQWV  KDGUHFHLYHGRUPRUHOLQHVRIFKHPRWKHUDS\$WWKH WLPHRIDOORJHQHLFWUDQVSODQWDWLRQ  SDWLHQWVZHUHLQFRPSOHWHUHPLVVLRQದ  LQ&5DQG  LQ ! &52IWKHUHPDLQLQJ  ZHUHLQSDUWLDOUHPLVVLRQDQG  KDGUHIUDFWRU\GLVHDVHDWSUHWUDQVSODQW DVVHVVPHQW  SDWLHQWVUHFHLYHGQRQP\HORDEODWLYHFRQGLWLRQLQJDQGWKHUHPDLQLQJUHFHLYHGP\HORDEODWLYH UHJLPHQV7KLVZDVIROORZHGE\VWHPFHOOWUDQVSODQWDWLRQRIZKLFK  UHFHLYHGPDWFKHGUHODWHGGRQRUJUDIWV DQG  UHFHLYHGKDSORLGHQWLFDOGRQRUJUDIWV7KHGD\WUHDWPHQWUHODWHGPRUWDOLW\UDWHZDV7KH \UHYHQWIUHHDQGRYHUDOOVXUYLYDOZDVsDQGsUHVSHFWLYHO\0HGLDQIROORZXSEHLQJPRQWKV 2Q XQLYDULDWH DQDO\VLV SUHWUDQVSODQW UHPLVVLRQ VWDWXV DQG SUHVHQFH RI FKURQLF *UDIW 9V +RVW 'LVHDVH F*Y+'  ZHUHERWKIRXQGWRKDYHVWDWLVWLFDOO\VLJQLᚏFDQWLPSDFWRQRXWFRPHV,QWKHJURXSVRISDWLHQWVLQ!&53535 DQGWKRVHZLWKUHIUDFWRU\GLVHDVHSUHWUDQVSODQWWKH()6DW\HDUVZDVssDQGs UHVSHFWLYHO\ S  3DWLHQWVZKRGHYHORSHGF*Y+'SRVWWUDQVSODQWDOVRKDGVLJQLᚏFDQWO\EHWWHUVXUYLYDO FKDUDFWHULVWLFV ()6DW\UV s9VsS  2XWFRPHGLᚎHUHQFHVDPRQJWKHSDWLHQW JURXSVZLWKYDULRXVGLVHDVHVXEW\SHV +RGJNLQYV1RQ+RGJNLQ/\PSKRPDV DQGWKRVHUHFHLYLQJP\HORDEODWLYH9V QRQP\HORDEODWLYHFRQGLWLRQLQJZHUHQRWVWDWLVWLFDOO\VLJQLᚏFDQW Discussion & Conclusion: $OORJHQHLFWUDQVSODQWVDUHDVVRFLDWHGZLWKUHDVRQDEOHGLVHDVHFRQWUROLQSDWLHQWVZLWK UHODSVHGUHIUDFWRU\O\PSKRPD+DSORLGHQWLFDOJUDIWVUHPDLQDQRSWLRQIRUSDWLHQWVLQWKLVJURXS)DFWRUVWKDWKDGD IDYRUDEOHLPSDFWRQRXWFRPHVZHUHWKHSUHWUDQVSODQWUHPLVVLRQVWDWXVDQGSUHVHQFHRIFKURQLF*Y+' Disclosure of Interest: 1RQH'HFODUHG Keywords:$OORJHQHLFVWHPFHOOWUDQVSODQWDWLRQO\PSKRSUROLIHUDWLYHGLVRUGHUV5HIUDFWRU\/\PSKRPD

54

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HAEMATOCON2018-451

A PROSPECTIVE OBSERVATIONAL STUDY OF INCIDENCE OF EARLY CYTOMEGALOVIRUS REACTIVATION AND FACTORS AFFECTING IT FOLLOWING ALLOGENEIC STEM CELL TRANSPLANTATION %KDUDWK5DP6 6XQLO%KDW1DWDUDM.66KREKD%DGLJHU9DVXQGKDUD3RVDYDQLNH.DLODVQDWK 3RRMD0DOO\D0XNHVK&KDZOD$QQDSDQGLDQ906KDUDW'DPRGDU 

'HSDUWPHQWRI+HPDWRRQFRORJ\$FDGHPLFGHSDUWPHQW1DUD\DQD+HDOWK&LW\%DQJDORUH,QGLD

 Aims & Objectives:&\WRPHJDORYLUXV &09 UHPDLQVRQHRIWKHPRVWLPSRUWDQWFRPSOLFDWLRQVDIWHUDOORJHQHLFKH PDWRSRLHWLFVWHPFHOOWUDQVSODQWDWLRQ +6&7 DVVRFLDWHGZLWKKLJKPRUELGLW\DQGPRUWDOLW\:HDLPHGWRHYDOXDWHWKH LQFLGHQFHRIHDUO\&09 ืGD\V UHDFWLYDWLRQIROORZLQJDOORJHQHLFKHPDWRSRLHWLFVWHPFHOOWUDQVSODQWDWLRQDQG VWXG\WKHIDFWRUVDVVRFLDWHGZLWKUHDFWLYDWLRQDQGWLPHWRUHDFWLYDWLRQ Patients/Materials & Methods: 1LQHW\VHYHQ FRQVHFXWLYH SDWLHQWV XQGHUJRLQJ DOORJHQHLF +6&7 ZHUH DQDO\]HG SURVSHFWLYHO\IRUF\WRPHJDORYLUXVUHDFWLYDWLRQWLOOGD\SRVWWUDQVSODQWIURP0DUFKWR$SULODW0D ]XPGDU6KDZ0HGLFDO&HQWHU1DUD\DQD+HDOWK&LW\%DQJDORUH4XDOLWDWLYH&09SRO\PHUDVHFKDLQUHDFWLRQ &09 3&5 SRVLWLYLW\RUTXDQWLWDWLYH&093&5!FRSLHVZHUHFRQVLGHUHGDVDFULWHULRQIRU&09UHDFWLYDWLRQ3UHHPS WLYH WKHUDS\ ZDV DGPLQLVWHUHG LQ SDWLHQWV ZLWK TXDQWLWDWLYH &09 3&5 ุ FRSLHV RU ุ FRSLHV LQ KLJKULVN WUDQVSODQWV Results: )LIW\WKUHH SDWLHQWV   GHYHORSHG &09 UHDFWLYDWLRQ DQG  SDWLHQWV   UHTXLUHG SUHHPSWLYH WKHUDS\2QHSDWLHQW  GHYHORSHGJDVWURLQWHVWLQDO&09GLVHDVH0HGLDQGD\RIUHDFWLYDWLRQRIF\WRPHJDORYLUXV LQWKLVVHULHVZDVGD\V 5DQJHGD\V 0XOWLYDULDWHDQDO\VLVRIIDFWRUVDᚎHFWLQJ&09UHDFWLYDWLRQ SUHHPSWLYH WKHUDS\JURXS UHYHDOHG&09LQIHFWLRQZDVVLJQLᚏFDQWO\LQFUHDVHGLQSDWLHQWVZKRZHUHUHFHLYLQJVWHURLGVุPJ SUHGQLVRQH RU HTXLYDOHQW 3   :KLOH RWKHU IDFWRUV VXFK DV P\FRSKHQRODWH 25   &,  3  DQGJUDGHDFXWHJUDIWYHUVXVKRVWGLVHDVH D*9+'  25&,WR3  ZHUH DVVRFLDWHGZLWKLQFUHDVHGRGGVWRUHDFWLYDWLRQEXWZHUHQRWVLJQLᚏFDQWVWDWLVWLFDOO\0HGLDQWLPHWRUHDFWLYDWLRQZDV VLJQLᚏFDQWO\ HDUOLHU LQ DQWLWK\PRF\WH JOREXOLQ $7*  DUP  GD\V ,45   3   FRPSDUHG WR QRQ $7*DUP GD\V,45GD\V $PRQJRWKHUIDFWRUVRQO\PDWFKHGXQUHODWHGGRQRUWUDQVSODQWDWLRQJURXS VKRZHGHDUOLHUUHDFWLYDWLRQV GD\V,45GD\V FRPSDUHGWRPDWFKHGVLEOLQJWUDQVSODQWDWLRQJURXS  GD\V,45GD\V EXWZDVQRWVWDWLVWLFDOO\VLJQLᚏFDQW 3   ,PDJH

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'LVFXVVLRQ  &RQFOXVLRQ 7KLV VWXG\ VKRZV WKDW WKH LQFLGHQFH RI &09 UHDFWLYDWLRQ EXUGHQ LV VLJQLᚏFDQW LQ WKH SRVWWUDQVSODQWDWLRQSHULRG6WHURLGVZHUHDVVRFLDWHGZLWKDVLJQLᚏFDQWO\KLJKHULQFLGHQFHRIUHDFWLYDWLRQDQG$7* ZLWKHDUOLHUUHDFWLYDWLRQV7KLVLQIRUPDWLRQLVLPSRUWDQWIRUWUDQVSODQWFHQWHUVLQGHYHORSLQJFRXQWULHVDVWKLVDGGVWR WKHHFRQRPLFEXUGHQRIVWHPFHOOWUDQVSODQW Disclosure of Interest: 1RQH'HFODUHG Keywords: $OORJHQHLFVWHPFHOOWUDQVSODQWDWLRQ&\WRPHJDORYLUXV5HDFWLYDWLRQ

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Lymphoma and Myeloma HAEMATOCON2018-198

IS PET/CT SCAN SUFFICIENT IN DETECTING BONE MARROW INFILTRATION IN LYMPHOMA? $QNLW.-LWDQL 6K\DPDOL'XWWD5DMLE'H3UDNDV.XPDU0DQGDO6KXYUD1HHO%DXO7XSKDQ.DQWL 'RODL7XVWL*DQJXO\3UDQWDU&KDNUDEDUWL 

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