Improved survival from acute lymphoblastic leukemia in adolescents and adults.

Abstract:

:Nineteen adult patients with acute lymphoblastic leukemia were treated with combination chemotherapy to induce remission in the period from 1971 to 1979. Those patients achieving remission received intensive post-remission therapy with central nervous system (CNS) prophylaxis, followed by two-drug maintenance therapy, and reinduction courses of chemotherapy every six months. Remissions were achieved in 17 of the 19 patients (89%). Twelve patients (63%) are alive, 11 currently in complete remission. Two patients who experienced relapses in recent months have successfully undergone transplantation with allogeneic marrow from sex-matched, HLA-compatible sibling donors. The median survival and median duration rates of first remissions have not yet been reached, but to date are 36+ months and 29+ months, respectively with a predicted five-year survival rate of 61%. These results not only are significantly better than those achieved in the years 1968 to 1971 in our institution, but also are superior to others reported in the world medical literature. The combination of optimal treatment protocols with allogeneic marrow transplantation for patients with poor prognoses is expected to improve the survival of adult patients even further in the next decade.

journal_name

Cancer

journal_title

Cancer

authors

Blacklock HA,Matthews JR,Buchanan JG,Ockelford PA,Hill RS

doi

10.1002/1097-0142(19811101)48:9<1931::aid-cncr2820

subject

Has Abstract

pub_date

1981-11-01 00:00:00

pages

1931-5

issue

9

eissn

0008-543X

issn

1097-0142

journal_volume

48

pub_type

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