Abstract:
:Twenty-three adult patients (ages greater than 15 years) and 75 children with acute lymphoblastic leukemia were treated with similar intensive, sequential cytotoxic protocols (L-2). The adult patients have lower remission rate (78%) than the children (98%). The duration of remission and the length of survival are also shorter in adults. The incidence of central nervous system (CNS) relapse in adults (27.7%) is higher than in children (7.1%) suggesting that prolonged prophylactic intrathecal methotrexate as given to the children is more effective than the schedule used for adults where intrathecal methotrexate was given only in the first 2 months of therapy. The low incidence of CNS involvement in children on the L-2 protocol compares favorably with other series reported using a combination of cranial irradiation and intrathecal methotrexate. In both adults and children there seemed to be a higher incidence of CNS involvement in patients with initial white blood cell counts greater than 25,000 cells/mm3.
journal_name
Cancerjournal_title
Cancerauthors
Gee TS,Haghbin M,Dowling MD,Cunningham I,Middleman MP,Clarkson BDdoi
10.1002/1097-0142(197603)37:3<1256::aid-cncr282037subject
Has Abstractpub_date
1976-03-01 00:00:00pages
1256-64issue
3eissn
0008-543Xissn
1097-0142journal_volume
37pub_type
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