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复发急性白血病的异基因骨髓移植

Allogeneic marrow transplantation for acute leukemia in relapse.

作者信息

Badger C, Buckner C D, Thomas E D, Clift R A, Sanders J E, Stewart P S, Storb R, Sullivan K M, Shulman H, Flournoy N

出版信息

Leuk Res. 1982;6(3):383-7. doi: 10.1016/0145-2126(82)90101-1.

DOI:10.1016/0145-2126(82)90101-1
PMID:6750250
Abstract

The results of allogeneic marrow transplantation in 75 patients with acute lymphoblastic leukemia and 63 patients with acute non-lymphoblastic leukemia in relapse are reviewed. The effects of various chemotherapeutic regimens added to the basic regimen of cyclophosphamide (Cy) 60 mg/kg given on each of two successive days followed by 1000 rad of total body irradiation (TBI) were evaluated. The regimens tested were dimethylbusulphan (DMB), 1,3-bis(2-chlorethyl)-1-nitrosourea (BCNU) and daunorubicin. Seventeen of 138 patients are alive between three and nine and a half years from transplantation. The addition of other chemotherapeutic agents to th basic Cy and TBI regimen did not decrease relapse frequency or prolong survival.

摘要

回顾了75例急性淋巴细胞白血病患者和63例复发的急性非淋巴细胞白血病患者进行同种异体骨髓移植的结果。评估了在连续两天每天给予60mg/kg环磷酰胺(Cy)的基础方案后,再进行1000拉德全身照射(TBI)的基础上,添加各种化疗方案的效果。所测试的方案为二甲磺酸丁酯(DMB)、1,3-双(2-氯乙基)-1-亚硝基脲(BCNU)和柔红霉素。138例患者中有17例在移植后3至9年半存活。在基础的Cy和TBI方案中添加其他化疗药物并没有降低复发频率或延长生存期。

相似文献

1
Allogeneic marrow transplantation for acute leukemia in relapse.复发急性白血病的异基因骨髓移植
Leuk Res. 1982;6(3):383-7. doi: 10.1016/0145-2126(82)90101-1.
2
Allogeneic marrow transplantation using fractionated total body irradiation in patients with acute lymphoblastic leukemia in relapse.对复发的急性淋巴细胞白血病患者采用分次全身照射进行异基因骨髓移植。
Leuk Res. 1982;6(3):401-7. doi: 10.1016/0145-2126(82)90104-7.
3
A comparison of busulphan versus total body irradiation combined with cyclophosphamide as conditioning for autograft or allograft bone marrow transplantation in patients with acute leukaemia. Acute Leukaemia Working Party of the European Group for Blood and Marrow Transplantation (EBMT).白消安与全身照射联合环磷酰胺作为急性白血病患者自体或异基因骨髓移植预处理方案的比较。欧洲血液和骨髓移植组(EBMT)急性白血病工作组
Br J Haematol. 1996 Jun;93(3):637-45. doi: 10.1046/j.1365-2141.1996.d01-1681.x.
4
Hyperfractionated total body irradiation for bone marrow transplantation. Results in seventy leukemia patients with allogeneic transplants.
Int J Radiat Oncol Biol Phys. 1983 Nov;9(11):1607-11. doi: 10.1016/0360-3016(83)90412-1.
5
One hundred patients with acute leukemia treated by chemotherapy, total body irradiation, and allogeneic marrow transplantation.100例急性白血病患者接受了化疗、全身照射和异基因骨髓移植治疗。
Blood. 1977 Apr;49(4):511-33.
6
Cyclophosphamide, cytosine arabinoside and TBI as a conditioning regimen for allogeneic bone marrow transplantation in patients with leukemia.环磷酰胺、阿糖胞苷和全身照射作为白血病患者异基因骨髓移植的预处理方案。
Bone Marrow Transplant. 1999 Jun;23(11):1095-100. doi: 10.1038/sj.bmt.1701786.
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High-dose cytarabine and total body irradiation with or without cyclophosphamide as a preparative regimen for marrow transplantation for acute leukemia.大剂量阿糖胞苷及全身照射联合或不联合环磷酰胺作为急性白血病骨髓移植的预处理方案。
J Clin Oncol. 1988 Apr;6(4):576-82. doi: 10.1200/JCO.1988.6.4.576.
8
Allogeneic bone marrow transplantation for children with acute leukemia: cytoreduction with fractionated total body irradiation, high-dose etoposide and cyclophosphamide.儿童急性白血病的异基因骨髓移植:采用分次全身照射、大剂量依托泊苷和环磷酰胺进行细胞减灭。
Bone Marrow Transplant. 2000 Mar;25(5):489-94. doi: 10.1038/sj.bmt.1702181.
9
Fractionated total body irradiation and high dose cyclophosphamide: a preparative regimen for bone marrow transplantation for patients with hematologic malignancies in first complete remission.分次全身照射和高剂量环磷酰胺:初治完全缓解的血液系统恶性肿瘤患者骨髓移植的预处理方案
Blut. 1988 Jul;57(1):7-13. doi: 10.1007/BF00320628.
10
Allogeneic marrow transplantation for acute lymphoblastic leukemia in remission using fractionated total body irradiation.
Leuk Res. 1982;6(3):409-12. doi: 10.1016/0145-2126(82)90105-9.

引用本文的文献

1
Bone marrow transplantation for acute leukemia in second or subsequent remission.急性白血病第二次或后续缓解期的骨髓移植。
Klin Wochenschr. 1984 Nov 15;62(22):1081-5. doi: 10.1007/BF01711377.
2
A review of the current status and techniques of allogeneic bone marrow transplantation for treatment of leukaemia.异基因骨髓移植治疗白血病的现状与技术综述。
J Clin Pathol. 1983 Nov;36(11):1207-14. doi: 10.1136/jcp.36.11.1207.
3
[Bone marrow transplantation in acute leukemia, chronic myeloid leukemia, severe aplastic anemia and stage IV neuroblastoma. Effect of antiviral prevention with anti-CMV-hyperimmunoglobulin and acyclovir].
[急性白血病、慢性粒细胞白血病、重型再生障碍性贫血和IV期神经母细胞瘤的骨髓移植。抗巨细胞病毒高免疫球蛋白和阿昔洛韦抗病毒预防的效果]
Klin Wochenschr. 1986 May 15;64(10):453-66. doi: 10.1007/BF01713171.