Abstract:
:We evaluated possible prognostic factors just before salvage therapy with vincristine, doxorubicin, and dexamethasone (VAD) for 36 patients with refractory multiple myeloma. The median duration from diagnosis to the first VAD salvage was 14 months (range 2-76 months). Among parameters that have been shown to be associated with poor survival, a high serum lactate dehydrogenase (LDH) level was the sole significant predictor of survival. The median survival of patients with high LDH levels was 4 months, whereas that of patients with low LDH levels was 20 months. A multivariate analysis identified high LDH and high age as independent prognostic factors. More aggressive therapies might be indicated for high-LDH patients with refractory myeloma.
journal_name
Am J Hematoljournal_title
American journal of hematologyauthors
Suguro M,Kanda Y,Yamamoto R,Chizuka A,Hamaki T,Matsuyama T,Takezako N,Miwa A,Togawa Adoi
10.1002/1096-8652(200010)65:2<132::aid-ajh7>3.0.cokeywords:
subject
Has Abstractpub_date
2000-10-01 00:00:00pages
132-5issue
2eissn
0361-8609issn
1096-8652pii
10.1002/1096-8652(200010)65:2<132::AID-AJH7>3.0.COjournal_volume
65pub_type
杂志文章abstract::Little is known about the frequency and significance of clinically unapparent or occult hemorrhage in ITP. Therefore, we prospectively explored the sites and frequency of occult bleeding in children with severe ITP at diagnosis or upon symptomatic relapse in a prospective, single-institution cohort study of patients ≤...
journal_title:American journal of hematology
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journal_title:American journal of hematology
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journal_title:American journal of hematology
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pub_type: 临床试验,杂志文章,多中心研究
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