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儿童急性淋巴细胞白血病的治疗。1971 - 1975年78例患者的治疗结果(作者译)

[Therapy of childhood acute lymphoblastic leukemia. Treatment results 1971-75 in 78 patients (author's transl)].

作者信息

Winkler K, Gaedicke G, Grosch-Wörner I, Marsmann G, Lndbeck G

出版信息

Klin Padiatr. 1977 Jan;189(8):74-88.

PMID:264991
Abstract

From December 1971 until July 1973 44 children with ALL have been treated according to branch A of the randomised DAL study series of June 3rd 1972 (1/71), which is a slight modification of study VII of Memphis. Afterwards until July 1975 34 patients received a somewhat intensified initial therapy (11/73). The results of 1/71 with a 3-year-remission rate of 39% and an expected 5-year-remission rate of 32% are comparable to those of study VII. The results of 11/73 with an expected 3-year-remission rate of 54% seems clearly superior and unterline the importance of an intensive initial therapy, like it is introduced now in a still more aggressive manner in our running protocol III/75. Therapy mortality was found to be about 5% and seemed to be dependant on the staff's experience. Cytosin-arabinoside orally proved effective as a prophylactic measure during incubation as well as a therapeutic agent in manifest varicalla/zoster infections.

摘要

从1971年12月至1973年7月,44名急性淋巴细胞白血病患儿按照1972年6月3日随机DAL研究系列(1/71)的A组方案接受治疗,该方案是对孟菲斯研究VII的轻微修改。此后至1975年7月,34名患者接受了强度稍高的初始治疗(11/73)。1/71方案的3年缓解率为39%,预期5年缓解率为32%,与研究VII的结果相当。11/73方案预期的3年缓解率为54%,似乎明显更优,突出了强化初始治疗的重要性,就像我们现行的III/75方案中以更积极的方式采用的那样。治疗死亡率约为5%,似乎取决于工作人员的经验。口服阿糖胞苷在潜伏期作为预防措施以及在明显的水痘/带状疱疹感染中作为治疗药物均被证明有效。

相似文献

1
[Therapy of childhood acute lymphoblastic leukemia. Treatment results 1971-75 in 78 patients (author's transl)].儿童急性淋巴细胞白血病的治疗。1971 - 1975年78例患者的治疗结果(作者译)
Klin Padiatr. 1977 Jan;189(8):74-88.
2
[Results of Memphis-study VII ("Pinkel-Therapy") in 659 children with acute lymphoblastic leukemia. Cooperative therapeutic study of the German working group on childhood leukemia with participation of 42 hospitals].[孟菲斯研究VII(“平克尔疗法”)对659例急性淋巴细胞白血病患儿的治疗结果。德国儿童白血病工作组联合42家医院开展的治疗性合作研究]
Klin Padiatr. 1978 Jan;190(1):57-64.
3
[Therapy-related central nervous system complications in acute lymphoblastic leukemia and non-Hodgkin's lymphoma of childhood (author's transl)].
Klin Padiatr. 1980 Jul;192(4):358-64. doi: 10.1055/s-2008-1035608.
4
[ALL therapy study 1971-1974 of the German working group for leukemia research and therapy in childhood: prognostic significance of initial features and different therapeutic modalities (author's transl)].
Klin Padiatr. 1979 Mar;191(2):114-26.
5
[Cytosine arabinoside in the treatment of varicella in lymphoblastic leukemia or lymphosarcoma (author's transl)].阿糖胞苷治疗淋巴细胞性白血病或淋巴肉瘤中的水痘(作者译)
An Esp Pediatr. 1976 Jun;9(4 Suppl):55-60.
6
[Treatment of acute lymphocytic leukemia in children with combination chemotherapy and irradiation of the central nervous system].
Bilt Hematol Transfuz. 1976;4(1-2):63-9.
7
[The west-berlin therapy study of acute lymphoblastic leukemia in childhood--report after 6 years (author's transl)].[西柏林儿童急性淋巴细胞白血病治疗研究——6年后的报告(作者译)]
Klin Padiatr. 1977 Jan;189(8):89-102.
8
Treatment of adult acute lymphoblastic leukemia with cytosine arabinoside, vincristine, and prednisone.用阿糖胞苷、长春新碱和泼尼松治疗成人急性淋巴细胞白血病。
Cancer Treat Rep. 1978 Sep;62(9):1389-91.
9
[Preliminary analysis of intensive treatment of acute lymphoblastic leukemia in children].
Acta Haematol Pol. 1978 Jan-Mar;9(1):1-7.
10
[Eosinophilia in acute lymphoblastic leukemia and lymphosarcoma: indicator of immune responses? (author's transl)].急性淋巴细胞白血病和淋巴肉瘤中的嗜酸性粒细胞增多:免疫反应的指标?(作者译)
Klin Padiatr. 1974 Nov;186(6):492-9.

引用本文的文献

1
Calcified cerebral necrosis following ALL therapy.急性淋巴细胞白血病治疗后的脑钙化性坏死
J Cancer Res Clin Oncol. 1981;102(1):81-91. doi: 10.1007/BF00410537.
2
[Monitoring of remission quality in acute leukemia of childhood by repeated determinations of B-cell-allo-antigen on lymphoblasts (author's transl)].通过反复测定淋巴母细胞上的B细胞同种异体抗原来监测儿童急性白血病的缓解质量(作者译)
Klin Wochenschr. 1979 May 3;57(9):467-73. doi: 10.1007/BF01477500.