Novel Challenges and Advances in Pediatric Hematology and Hematologic Malignancies

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Mechanisms of Diseases".

Deadline for manuscript submissions: 25 April 2025 | Viewed by 692

Special Issue Editor


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Guest Editor
Department of Pediatric Oncology and Hematology, University Children’s Hospital, Jagiellonian University Medical College, 31-008 Krakow, Poland
Interests: leukemia; lymphoma; neuroblastoma; hepatoblastoma; nephroblastoma; pediatric hematology; immunotherapyerapy

Special Issue Information

Dear Colleagues,

Recent advancements have significantly improved diagnostics and therapies in pediatric hematology and hematologic malignancies. Immunotherapies, hematopoietic stem cell transplantation in nonmalignant and malignant hematological disorders, the introduction of long half-life coagulation products for patients with hemophilia, and many others have significantly changed the picture of pediatric hematology. However, there is a continuous need for further development in many fields of patient care to improve the prognosis and quality of life for children with hematologic disorders and malignancies.

The Special Issue aims to highlight the latest advances in the clinical, genetic, and therapeutic aspects of children with hematologic disorders or malignancies to provide better information to further improve diagnosis and treatment.

We cordially welcome original research and review submissions covering, but not limited to, the following topics:

  • Advances in the diagnosis and therapies of red blood disorders;
  • Modern therapies in hemophilia;
  • New insights into the diagnosis, prognosis, and therapies of children with thrombocytopenia;
  • Recent advances in therapeutic approaches to lymphoid and myeloid neoplasms, including immunotherapies;
  • Advances in supportive care measure developments for hematologic patients.

Dr. Katarzyna Pawińska-Wa̧sikowska
Guest Editor

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Keywords

  • pediatric hematology
  • hematology malignancies
  • therapies
  • diagnosis
  • immunotherapies
  • supportive care

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Published Papers (1 paper)

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Research

12 pages, 1417 KiB  
Article
Use of Granulocyte Transfusions in the Management of Severe Infections Among Children with Neutropenia
by Gabriela Mielecka-Jarmocik, Katarzyna Szymbor, Walentyna Balwierz, Szymon Skoczeń, Marta Leń, Kinga Kania and Katarzyna Pawińska-Wąsikowska
J. Pers. Med. 2024, 14(11), 1107; https://doi.org/10.3390/jpm14111107 - 15 Nov 2024
Viewed by 432
Abstract
Background/Objectives: Infections remain the leading cause of mortality among neutropenic patients with haematologic malignancies, making effective infection management crucial. Achieving a sufficient neutrophil count is essential for the elimination of pathogens. Granulocyte concentrate (GC) can be a treatment option for neutropenic patients with [...] Read more.
Background/Objectives: Infections remain the leading cause of mortality among neutropenic patients with haematologic malignancies, making effective infection management crucial. Achieving a sufficient neutrophil count is essential for the elimination of pathogens. Granulocyte concentrate (GC) can be a treatment option for neutropenic patients with severe infections. This study aimed to evaluate the efficacy, safety, and impact on survival of GC transfusions in neutropenic children with severe infections treated over the past 13 years in a single centre. Methods: The retrospective study analysed clinical data from 60 children (median age 9.5 years) who received GC transfusions at our centre. Granulocytes were collected by apheresis from donors stimulated with granulocyte colony-stimulating factor. The majority of the patients (70%) were diagnosed with acute leukaemia. The main indications for GC were severe pneumonia (45%) and bacterial sepsis (38.33%). Results: The patients received 1 to 29 GC transfusions for 1 to 70 days, with a median time of administration of 3 days. Neutrophil counts increased to >1000/µL within a median of 5 days. GCs were well tolerated by most patients. One patient presented symptoms of anaphylaxis, the other acute lung injury related to transfusions, and alloimmunisation was reported in one patient. Of the patients analysed, 78.33% survived the infection that justified GC administration. We did not observe significant differences in survival depending on the aetiology of the infection. Conclusions: Based on our research, GC appears to be a beneficiary for neutropenic children with severe infections and reduces infection mortality rates. However, further well-designed randomised trials are needed to define its role in this setting. Full article
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