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Chemotherapy Compared with Autologous or Allogeneic Bone Marrow Transplantation in the Management of Acute Myeloid Leukemia in First Remission
Ist Teil von
The New England journal of medicine, 1998-12, Vol.339 (23), p.1649-1656
Ort / Verlag
Boston, MA: Massachusetts Medical Society
Erscheinungsjahr
1998
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
The rate of complete remission for adults with acute myeloid leukemia is approximately 65 percent overall and decreases with increasing age and the presence of unfavorable cytogenetic abnormalities.
1
,
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With postremission therapy, disease-free survival at five years ranges from 10 to 15 percent with low-dose maintenance therapy
2
,
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to 25 to 35 percent with intensive courses of chemotherapy, usually incorporating high-dose cytarabine.
4
–
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In young patients, further escalation of postremission therapy is feasible, provided autologous or allogeneic hematopoietic stem cells can be transplanted to repopulate the ablated bone marrow. Despite the complications of graft-versus-host disease, a number of studies suggest . . .