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High-dose chemotherapy and autologous stem cell rescue in patients with high-risk stage 3 neuroblastoma : 10-year experience at a single center / Jung Min Suh ; Keon Hee Yoo ; Ki Woong Sung ; Ju Youn Kim ; Eun Joo Cho ; Hong Hoe Koo ; Suk Koo Lee ; Jhingook Kim ; Do Hoon Lim ; Yeon Lim Suh ; Dae Won Kim 1
[요약] 1
Introduction 1
Materials and methods 2
Patients 2
Treatment of patients 2
PBSC collection 3
HDCT and ASCR 3
Local radiotherapy 3
Post-HDCT treatment 3
Response criteria 3
Statistics 3
Results 3
Patient characteristics 3
Treatment prior to HDCT/ASCR 4
Feasibility of PBSC collection 4
HDCT/ASCR 4
Feasibility of post-HDCT/ASCR therapy 5
Survival of patients 5
Discussion 6
ACKNOWLEDGMENTS 7
REFERENCES 7
High-dose chemotherapy and autologous stem cell rescue (HDCT/ASCR) was
applied to improve the prognosis of patients with high-risk stage 3 neuroblastoma.
From January 1997 to December 2006, 28 patients were newly diagnosed as stage
3 neuroblastoma. Nine of 11 patients with N-myc amplification and 5 of 17 patients
without N-myc amplification (poor response in 2 patients, persistent residual tumor
in 2 and relapse in 1) underwent single or tandem HDCT/ASCR. Patients without
high-risk features received conventional treatment modalities only. While 8 of 9
patients underwent single HDCT/ASCR and the remaining one patient underwent
tandem HDCT/ASCR during the early study period, all 5 patients underwent tandem
HDCT/ASCR during the late period. Toxicities associated with HDCT/ASCR
were tolerable and there was no treatment-related mortality. While the tumor relapsed
in two of eight patients in single HDCT/ASCR group, all six patients in tandem HDCT/
ASCR group remained relapse free. The 5-yr event-free survival (EFS) from diagnosis,
in patients with N-myc amplification, was 71.6?4.0%. In addition, 12 of 14
patients who underwent HDCT/ASCR remained event free resulting in an 85.1?
9.7% 5-yr EFS after the first HDCT/ASCR. The present study demonstrates that
HDCT/ASCR may improve the survival of patients with high-risk stage 3 neuroblastoma.*표시는 필수 입력사항입니다.
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도서위치안내: 정기간행물실(524호) / 서가번호: 국내17
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