Vassal G, Leverger G, Schaison G, Castaigne S
Nouv Rev Fr Hematol (1978). 1986;28(3):141-6.
This presentation reports on patients with 13 B - acute lymphoblastic leukemia (ALL), treated with intensive chemotherapy. To date 5 patients are alive, in complete remission (greater than 24 months), 4 of them had CNS disease at diagnosis; 7 patients relapsed, 2 to 4 months after complete remission, 6 of them having CNS relapse, isolated or with bone marrow involvement. The improvement in prognosis of B-ALL results from intensive chemotherapy, but the prognosis remains poor because of early relapses, especially CNS relapses (survival rate is less than 50%). The authors propose new therapeutic approaches.
本报告介绍了13例接受强化化疗的B型急性淋巴细胞白血病(ALL)患者的情况。迄今为止,5例患者存活,处于完全缓解状态(超过24个月),其中4例在诊断时有中枢神经系统疾病;7例患者复发,在完全缓解后2至4个月复发,其中6例有中枢神经系统复发,为孤立性或伴有骨髓受累。B型ALL预后的改善源于强化化疗,但由于早期复发,尤其是中枢神经系统复发(生存率低于50%),预后仍然很差。作者提出了新的治疗方法。