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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
1992-11-3
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pubmed:abstractText |
In a high-dose schedule for disseminated neuroblastoma, eight courses of chemotherapy were administered every 10 days, regardless of myelosuppression, to eradicate tumour cells rapidly and reduce emergence of drug-resistant clones. Relatively non-myelotoxic vincristine and cisplatin were alternated with high-dose cisplatin-etoposide and cyclophosphamide-etoposide. Of 12 evaluable patients, there were 1 complete (CR), 3 very good partial (VGPR), 5 partial (PR) and 3 mixed responses (MR) 100 days after starting treatment. 6 out of 9 achieved a bone marrow CR at 40 days. 9 of 11 primary tumours were completely resected, after which 4 patients had CR, 3 VGPR (bone scan alone being abnormal), 4 PR and 1 mixed response (MR). Myelotoxicity was the major adverse effect. The only death was due to fungal infection. Clinically important renal dysfunction occurred in 3 patients. 4 had convulsions and 4 temporary hypertension. This schedule produced a rapid response and its toxicity, though serious, was manageable. Further evaluation is warranted.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0959-8049
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
28A
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1654-9
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pubmed:dateRevised |
2006-4-24
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pubmed:meshHeading |
pubmed-meshheading:1389481-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:1389481-Child,
pubmed-meshheading:1389481-Child, Preschool,
pubmed-meshheading:1389481-Cisplatin,
pubmed-meshheading:1389481-Cyclophosphamide,
pubmed-meshheading:1389481-Drug Administration Schedule,
pubmed-meshheading:1389481-Etoposide,
pubmed-meshheading:1389481-Glomerular Filtration Rate,
pubmed-meshheading:1389481-Humans,
pubmed-meshheading:1389481-Neuroblastoma,
pubmed-meshheading:1389481-Neutrophils,
pubmed-meshheading:1389481-Platelet Count,
pubmed-meshheading:1389481-Vincristine
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pubmed:year |
1992
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pubmed:articleTitle |
High-dose rapid schedule chemotherapy for disseminated neuroblastoma.
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pubmed:affiliation |
Department of Child Health, University of Newcastle upon Tyne, U.K.
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pubmed:publicationType |
Journal Article
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