Naparstek E, Zajicek G, Or R, Rachmilewitz E A, Elias M, Polliack A
Acta Haematol. 1985;73(1):11-5. doi: 10.1159/000206265.
78 previously untreated patients (aged 16-82 years) with acute nonlymphoblastic leukemia received intensive chemotherapy for induction of remission. In 64 patients, the combination used consisted of daunomycin and cytosine arabinoside with or without 6-thioguanine. The overall remission rate was 59 and 87% for those who received what was considered as adequate therapy. Patients who achieved remission received maintenance and, in part, late intensification. The median duration of remission was 9 months. The median survival of the patients who attained remission was 24 months, compared to 15 months for the entire patient group and 3 months for patients who failed to achieve remission. Age had no effect on the rate and duration of the remission obtained but the median survival was significantly longer in patients below the age of 50 years.
78例既往未接受过治疗的急性非淋巴细胞白血病患者(年龄16 - 82岁)接受了强化化疗以诱导缓解。64例患者使用的联合化疗方案为柔红霉素和阿糖胞苷,加或不加6 - 硫鸟嘌呤。接受充分治疗的患者总体缓解率分别为59%和87%。达到缓解的患者接受维持治疗,部分患者还接受了后期强化治疗。缓解期的中位持续时间为9个月。达到缓解的患者中位生存期为24个月,而整个患者组的中位生存期为15个月,未达到缓解的患者为3个月。年龄对缓解率和缓解持续时间没有影响,但50岁以下患者的中位生存期明显更长。