Factor

Unfavorable

Favorable

Age

<2 or >10 years

3 - 5 years

Sex

Male

Female

Race

Black

Caucasian

Organomegaly

Present

Absent

Mediastinal mass

Present

Absent

CVS involvement

Present

Absent

Leukocyte count

B-ALL > 30,000 mm3 T-ALL > 100,000 mm3

Low

Hemoglobin concentration

>10 g/dl

<10 g/dl

Cell type

Non Lymphoid

Lymphoid

Cell lineage

Pre B cell + T-ALL (children)

Early Pre B cell

Karyotype

Translocation

Hyperdiploidy

Response to treatment

Slow > 1 week to clear blasts from blood

Rapid < 1 week to clear blasts from blood

Time to remission

>4 weeks

<4 weeks

Minimal residual disease

Positive at 3 - 6 months

Negative at 1 month (children) or 3 months (adults