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
Cancerjournal_title
Cancerauthors
Blacklock HA,Matthews JR,Buchanan JG,Ockelford PA,Hill RSdoi
10.1002/1097-0142(19811101)48:9<1931::aid-cncr2820subject
Has Abstractpub_date
1981-11-01 00:00:00pages
1931-5issue
9eissn
0008-543Xissn
1097-0142journal_volume
48pub_type
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