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成人急性白血病的化学免疫疗法。

Chemoimmunotherapy of adult acute leukemia.

作者信息

McCredie K B, Bodey G P, Freireich E J, Hester J P, Rodriguez V, Keating M J

出版信息

Cancer. 1981 Mar 15;47(6):1256-61. doi: 10.1002/1097-0142(19810315)47:6<1256::aid-cncr2820470605>3.0.co;2-9.

DOI:10.1002/1097-0142(19810315)47:6<1256::aid-cncr2820470605>3.0.co;2-9
PMID:6939477
Abstract

Sixty-two adult patients with acute myeloid leukemia were treated with a chemotherapy program of Adriamycin, Cytosine Arabinoside (Ara-C), vincristine, and prednisone (Ad-OAP). Immunotherapy with BCG by scarification was administered before and/or during remission induction therapy. Maintenance chemoimmunotherapy consisted of Ara-C, vincristine, prednisone, and BCG. Patients still in remission after 12 months received late intensification chemotherapy for three courses before discontinuing chemotherapy. Forty-four (71%) patients achieved a complete remission (CR). The CR rate for patients less than 50 years of age ws 84% (32/38). Age was strongly predictive for response and survival. An additional 14 patients with acute lymphoid leukemia were treated with the same program; ten patients responded, all have relapsed and died. Nine patients with AML remain alive 4 1/2-6+ years from diagnosis.

摘要

62例成年急性髓细胞白血病患者接受了阿霉素、阿糖胞苷(Ara-C)、长春新碱和泼尼松(Ad-OAP)的化疗方案治疗。在缓解诱导治疗前和/或期间,通过划痕法给予卡介苗免疫治疗。维持化学免疫治疗包括阿糖胞苷、长春新碱、泼尼松和卡介苗。12个月后仍处于缓解期的患者在停止化疗前接受了三个疗程的晚期强化化疗。44例(71%)患者达到完全缓解(CR)。年龄小于50岁患者的CR率为84%(32/38)。年龄是反应和生存的强烈预测因素。另外14例急性淋巴细胞白血病患者接受了相同方案治疗;10例患者有反应,但均复发并死亡。9例急性髓细胞白血病患者自诊断起存活4.5至6年以上。

相似文献

1
Chemoimmunotherapy of adult acute leukemia.成人急性白血病的化学免疫疗法。
Cancer. 1981 Mar 15;47(6):1256-61. doi: 10.1002/1097-0142(19810315)47:6<1256::aid-cncr2820470605>3.0.co;2-9.
2
Prolonged remissions in adults with acute leukemia following late intensification chemotherapy and immunotherapy.成人急性白血病在晚期强化化疗和免疫治疗后实现长期缓解。
Cancer. 1981 Apr 15;47(8):1937-45. doi: 10.1002/1097-0142(19810415)47:8<1937::aid-cncr2820470804>3.0.co;2-g.
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[Treatment of 100 acute myeloid leukemias (author's transl)].100例急性髓细胞白血病的治疗(作者译)
Sem Hop. 1979;55(13-14):633-8.
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Chemoimmunotherapy with Corynebacterium parvum in acute myelocytic leukemia.微小棒状杆菌化疗免疫疗法治疗急性髓细胞白血病
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Treatment of acute myelogenous leukemia: influence of three induction regimens and maintenance with chemotherapy or BCG immunotherapy.急性髓性白血病的治疗:三种诱导方案以及化疗或卡介苗免疫疗法维持治疗的影响
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Chemotherapy and immunotherapy for acute myelogenous leukemia.急性髓性白血病的化疗与免疫疗法。
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High rate of long-term survival in adult acute leukemia following ten-day chemotherapy (OAP) induction. Maintenance with chemotherapy or chemotherapy plus BCG vaccine.成人急性白血病经十天化疗(OAP)诱导后的长期高生存率。采用化疗或化疗加卡介苗疫苗进行维持治疗。
Arch Intern Med. 1985 Jun;145(6):1006-12.
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Remission maintenance for acute nonlymphocytic leukemia: cytosine arabinoside plus 6-thioguanine versus a sequence of drug regimens.急性非淋巴细胞白血病的缓解期维持治疗:阿糖胞苷加6-硫鸟嘌呤与一系列化疗方案的比较
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Intensification therapy for acute nonlymphoblastic leukemia in adults.成人急性非淋巴细胞白血病的强化治疗
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引用本文的文献

1
Short-term treatment for acute myelogenous leukaemia.急性髓细胞白血病的短期治疗。
Br Med J (Clin Res Ed). 1982 Apr 24;284(6324):1221-4. doi: 10.1136/bmj.284.6324.1221.
2
Subcutaneous infusion of cytosine arabinoside. A practical alternative to intravenous infusion.皮下注射阿糖胞苷。静脉输注的一种实用替代方法。
Cancer Chemother Pharmacol. 1983;10(2):112-4. doi: 10.1007/BF00446221.
3
Immunotherapy in the treatment of acute myelogenous leukemia (AML): rationale, results and future prospects.免疫疗法治疗急性髓性白血病(AML):理论依据、结果及未来前景
Klin Wochenschr. 1983 Oct 3;61(19):947-54. doi: 10.1007/BF01550267.