TY - JOUR T1 - Acute Lymphoblastic Leukaemia: A Case Report of Long Term Disease Free Survival in Jos, Nigeria. TT - JF - ibbjorg JO - ibbjorg VL - 6 IS - 3 UR - http://ibbj.org/article-1-245-en.html Y1 - 2020 SP - 0 EP - 0 KW - Acute lymphoblastic leukaemia KW - Cytotoxic chemotherapy KW - Long term Disease free survival KW - Jos. N2 - Acute Lymphoblastic Leukaemia (ALL) a malignant proliferation of immature lymphoid cells is a biologically heterogeneous disorder with variable outcomes in adults. We presents a case of a 52 year old woman who presented with fever, anaemia and peripheral lymphadenopathy of four weeks duration, for which she was managed for disseminated tuberculosis. Complete blood count and a bone marrow aspiration constituted part of her initial investigations. Complete blood count and examination of bone marrow aspiration cytology films were in keeping with acute lymphoblastic leukaemia (ALL-L3). Patient had supportive treatment and managed with Cyclophosphamide, Vincristine (Oncovin), Cytosine Arabinoside and Prednisolone (COAP Regimen), achieved complete clinical and haematologic remission, and has remained disease free after consolidation and maintenance therapy. No evidence of haematologic or clinical relapse at five years and currently in her ninth year post diagnosis and treatment. With high index of suspicion, timely investigation and referral, satisfactory outcomes are achievable in managing some patients with acute lymphoblastic leukaemia. M3 ER -