Childhood Cancer · NCLEX Exam

Which factor is considered a poor prognostic indicator in childhood ALL?

  1. Age between 1–9 years at diagnosis
  2. White blood cell count < 50,000 at diagnosis
  3. Presence of central nervous system (CNS) involvement at diagnosis
  4. Rapid early response to induction therapy
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Correct answer: Presence of central nervous system (CNS) involvement at diagnosis

CNS involvement at diagnosis of childhood ALL is associated with higher risk of relapse and poorer prognosis.

Difficulty: Medium Question 12 of 18

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