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低剂量美法仑可使高危骨髓增生异常综合征或继发性急性髓系白血病老年患者产生良好反应。

Low-dose melphalan induces favourable responses in elderly patients with high-risk myelodysplastic syndromes or secondary acute myeloid leukaemia.

作者信息

Denzlinger C, Bowen D, Benz D, Gelly K, Brugger W, Kanz L

机构信息

Department II, Medical Clinic, University of Tübingen, Germany.

出版信息

Br J Haematol. 2000 Jan;108(1):93-5. doi: 10.1046/j.1365-2141.2000.01825.x.

DOI:10.1046/j.1365-2141.2000.01825.x
PMID:10651730
Abstract

We treated 21 elderly patients with high-risk myelodysplasia (n = 14) or secondary acute myeloid leukaemia (n = 7) with 2 mg of melphalan orally once a day until a complete peripheral response was obtained or until there was evidence of treatment failure. We observed seven (30%) complete and two (10%) partial peripheral responses occurring within 4-16 weeks and lasting for 12 + to 55 weeks. In relapse, retreatment was successful in most of the patients. Responses were associated with the absence of complex cytogenetic abnormalities and with a normal or reduced bone marrow cellularity.

摘要

我们对21例高危骨髓增生异常综合征患者(n = 14)或继发性急性髓系白血病患者(n = 7)进行治疗,口服美法仑2毫克,每日一次,直至获得完全外周反应或出现治疗失败的证据。我们观察到在4 - 16周内出现了7例(30%)完全外周反应和2例(10%)部分外周反应,持续时间为12 +至55周。复发时,大多数患者再次治疗成功。反应与无复杂细胞遗传学异常以及正常或降低的骨髓细胞密度有关。

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