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新型 L-门冬酰胺酶强化诱导治疗联合脐血移植治疗费城染色体阴性急性淋巴细胞白血病的青少年和青年患者:单中心十年报告。

Successful Treatment of Adolescents and Young Adults with Philadelphia-Negative Acute Lymphoblastic Leukemia by Novel L-Asparaginase-Intensified Induction Therapy and Cord Blood Transplantation: A Single-Center Decade Report.

机构信息

Department of Hematology, Tokyo Metropolitan Tama Medical Center , Tokyo, Japan .

出版信息

J Adolesc Young Adult Oncol. 2018 Jun;7(3):389-394. doi: 10.1089/jayao.2017.0120. Epub 2018 Feb 6.

DOI:10.1089/jayao.2017.0120
PMID:29406798
Abstract

A novel induction therapy, including intensive L-asparaginase, was designed in 2007 for patients aged <45 years with Philadelphia-negative acute lymphoblastic leukemia (ALL). We analyzed seven de novo cases and one case of recurrence who received this treatment. The median age was 21 years (range: 16-35 years). Four patients had T-ALL and the others had B-ALL. All the patients achieved complete remission and proceeded to cord blood transplantation. In the median 72-month follow-up, there were no cases of observed mortality or recurrence. Our results indicate scope for further development of both induction therapy and postremission therapy.

摘要

2007 年,为年龄<45 岁的费城染色体阴性急性淋巴细胞白血病(ALL)患者设计了一种新的诱导治疗方案,包括强化 L-门冬酰胺酶。我们分析了 7 例初发患者和 1 例复发患者接受该治疗的情况。中位年龄为 21 岁(范围:16-35 岁)。4 例为 T-ALL,其余为 B-ALL。所有患者均达到完全缓解,并进行了脐带血移植。在中位 72 个月的随访中,无观察到的死亡或复发病例。我们的结果表明,诱导治疗和缓解后治疗均有进一步发展的空间。

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