Autologous bone marrow rescue in the treatment of advanced tumors of childhood.

Abstract:

:High-dose multiagent chemotherapy followed by autologous marrow rescue was used in the treatment of 13 patients with Stage III or IV childhood tumors. Encouraging results are being obtained in abdominal lymphoma (1/3 complete remissions (CR); rhabdomyosarcoma (2/4 CR); and retinoblastoma (1/2 CR). In neuroblastoma, the results are disappointing, with only one of four patients in CR; this patient developed a lymphoma associated with Epstein-Barr virus infection. Marrow reconstitution was obtained in 11 patients, with recovery of neutrophils to greater than 0.5 x 10(9)/liter between six and 30 days and platelet recovery to greater than 50 x 10(9)/liter between seven and 38 days. Investigations on the numbers of cells or committed granulocyte precursors ()CFU-c's) infused and parameters of hematologic recovery show poor correlation and suggest that a more accurate and reliable assay for the predictability of cryopreserved marrow to reconstitute marrow function within a reasonable time is necessary. Nonhematologic toxicities of high-dose multiagent chemotherapy are the principal dose-limiting factors.

journal_name

Cancer

journal_title

Cancer

authors

Ekert H,Ellis WM,Waters KD,Tauro GP

doi

10.1002/1097-0142(19820201)49:3<603::aid-cncr28204

subject

Has Abstract

pub_date

1982-02-01 00:00:00

pages

603-9

issue

3

eissn

0008-543X

issn

1097-0142

journal_volume

49

pub_type

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