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[Treatment of childhood acute lymphoblastic leukemia in a community hospital of the state of Veracruz].

OBJECTIVE
To describe the results of treatment of 36 consecutive children with acute lymphoblastic leukemia attending a second level community hospital in the Mexican State of Veracruz.


CHARACTERISTICS OF THE CHILDREN
They were from families with very poor resources seen free of charge. Most (75%) were high risk cases. The most common high risk factors were an age outside the range of 2 to 9 years (53%), a WBC count above 50 thousand/microL (36%) and an L-2 lymphocyte morphology (39%).


RESULTS OF TREATMENT
Disease-free survival was 64% at 36 months whereas event-free survival was 47% at 36 months which are low in comparison with the data in the literature.


CONCLUSIONS
We believe we were able to obtain good results in the treatment of our leukemic cases which was not only a mostly high risk group but also had to contend with poor nutritional, cultural and socioeconomic conditions and with disease-related factors present in their communities.