title: Juvenile myelomonocytic leukemia in India: cure remains a distant dream!
abstract: There is paucity of outcome data regarding juvenile myelomonocytic leukemia from India. We report a series of eight children. Three had monosomy 7 and one had complex cytogenetics. One with Down's syndrome recovered spontaneously. Three refused therapy of whom only one is alive with disease. One died post chemotherapy. Three underwent allogeneic stem cell transplant after protracted delay with funds arranged from various governmental and non-governmental organizations. Of these two died (relapse-1 and intracranial bleed-1) and one is alive and disease free. In India, it's a milestone to reach transplant due to high cost and cure still remains a distant dream.
authors.affiliation: Pediatric Hematology Oncology & BMT Unit, Department of Pediatrics, Institute of Child Health, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Ramzan
authors.affiliation: Pediatric Hematology Oncology & BMT Unit, Department of Pediatrics, Institute of Child Health, Sir Ganga Ram Hospital, New Delhi, India ; Pediatric Hematology Oncology & Bone Marrow Transplant Unit, Fortis Memorial Research Institute, Gurgaon, 122002 Haryana India.
authors.forename: Satya Prakash
authors.initials: SP
authors.lastname: Yadav
authors.affiliation: Pediatric Hematology Oncology & BMT Unit, Department of Pediatrics, Institute of Child Health, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Nivedita
authors.initials: N
authors.lastname: Dhingra
authors.affiliation: Pediatric Hematology Oncology & BMT Unit, Department of Pediatrics, Institute of Child Health, Sir Ganga Ram Hospital, New Delhi, India.
authors.forename: Anupam
authors.initials: A
authors.lastname: Sachdeva
keywords: HSCT; Hydroxyurea; JMML