Kobrinsky N L, Robison L L, Nesbit M E
Pediatr Clin North Am. 1980 May;27(2):345-60. doi: 10.1016/s0031-3955(16)33855-x.
The discovery of cytosine arabinoside, and then the anthrocycline antibiotics, 6-thioguanine, vincristine, cyclophosphamide, and other drugs, has added to the armamentarium of known effective agents. The use of combination chemotherapy, the recognition of the need during induction for virtual marrow aplasia to obtain a remission, and recognition of the predilection of the disease for the central nervous system requiring prophylaxis constitute major advances. The impediment to long-term survival is the lack of effective maintenance therapy.
阿糖胞苷以及随后的蒽环类抗生素、6-硫鸟嘌呤、长春新碱、环磷酰胺和其他药物的发现,增加了已知有效药物的种类。联合化疗的应用、认识到诱导期需要近乎骨髓再生障碍以获得缓解,以及认识到该疾病易侵犯中枢神经系统需要进行预防,这些都是重大进展。长期生存的障碍是缺乏有效的维持治疗。