Abstract |
High-dose therapy with peripheral blood stem cell transplantation (HDT/PBSCT) was performed as one aspect of front-line therapy in patients with poor-risk aggressive non-Hodgkin's lymphoma (high-intermediate/high risk) according to the age-adjusted international prognostic index (aaIPI). Twenty-nine patients were enrolled in this study between November 1994 and March 1999. CHOP + etoposide (CHOP-E) was used as an initial chemotherapy and as a chemotherapy agent for the purpose of cell harvesting. Peripheral blood stem cells were harvested from 17 patients, and HDT with CEC ( carboplatin, etoposide, cyclophosphamide)/PBSCT was performed in 11 patients. Eighteen patients dropped out, including five for whom CHOP-E therapy was ineffective and 5 who did not give consent for cell harvesting or HDT/PBSCT. CHOP-E therapy produced complete remission (CR) in 15 out of 26 patients (58%) after discounting the 3 who were ineligible among the 29 who were initially enrolled. The median observation period after PBSCT in the 11 patients who underwent HDT/PBSCT was 25 months (3 to 50 months), and the 3-year disease-free survival rate was 73%. No serious complications associated with the transplantation were observed. We were able to confirm the feasibility and safety of HDT/PBSCT as one form of front-line therapy for aggressive non-Hodgkin's lymphoma in patients under 60 years of age.
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Authors | H Kitajima, K Nasu, M Tsudo, M Fujimoto, K Hayashi, H Ohno, Y Konaka, T Katsurada, N Arima, S Doi, T Moriguchi, S Fukuhara |
Journal | [Rinsho ketsueki] The Japanese journal of clinical hematology
(Rinsho Ketsueki)
Vol. 42
Issue 3
Pg. 191-8
(Mar 2001)
ISSN: 0485-1439 [Print] Japan |
PMID | 11345781
(Publication Type: English Abstract, Journal Article)
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Chemical References |
- Vincristine
- Etoposide
- Doxorubicin
- Cyclophosphamide
- Prednisolone
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Topics |
- Adolescent
- Adult
- Antineoplastic Combined Chemotherapy Protocols
(administration & dosage, therapeutic use)
- Cyclophosphamide
(administration & dosage)
- Doxorubicin
(administration & dosage)
- Etoposide
(administration & dosage)
- Feasibility Studies
- Female
- Hematopoietic Stem Cell Transplantation
- Humans
- Lymphoma, Non-Hodgkin
(drug therapy, therapy)
- Male
- Middle Aged
- Prednisolone
(administration & dosage)
- Remission Induction
- Treatment Outcome
- Vincristine
(administration & dosage)
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