Linked Life Data

14576060

Source:http://linkedlifedata.com/resource/pubmed/id/14576060

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2004-2-3
pubmed:abstractText
The survival of patients with aggressive non-Hodgkin lymphoma (NHL) is increasing, but the incidence of secondary cancer and late toxicity is poorly defined for those treated with cyclophosphamide-hydroxydaunomycin/doxorubicin-Oncovin-prednisone (CHOP)-like chemotherapy. From February 1984 to January 1998, 2837 patients with aggressive NHL received the control-arm chemotherapy adriamycin-cyclophosphamide-vindesine-bleomycin-prednisone (ACVBP) in 3 consecutive Groupe d'Etude des Lymphomes de l'Adulte (GELA) studies. With a median follow-up time of 74 months, the 5-year overall and event-free survival rates were 60% and 52%. Two hundred two occurrences of nonneoplastic late toxicity were reported, resulting in a 5.35% cumulative probability of incidence at 7 years. Eighty-one second tumors developed, for which the 7-year cumulative incidence rate was 2.75%; 64 were solid tumors, and 17 were hematologic malignancies. In multivariate analysis, age was the only risk factor for the second development of cancer. Epidemiologic analysis allowed a comparison of this NHL group with the general population. Considering all tumors, no excess of second cancer was observed. In the male population, however, there was an excess of lung cancer (standardized incidence ratio [SIR], 2.45; P <.001) and myelodysplastic syndrome/acute myelocytic leukemia (MDS/AML) (SIR, 5.65; P =.006), and in the female population there was an excess of MDS/AML (SIR, 19.9; P <.001). With a long follow-up, the ACVBP regimen was highly effective for the treatment of aggressive NHL. Increases occurred in secondary MDS/AML and in lung cancer among men.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0006-4971
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
103
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1222-8
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:14576060-Adolescent, pubmed-meshheading:14576060-Adult, pubmed-meshheading:14576060-Aged, pubmed-meshheading:14576060-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:14576060-Bleomycin, pubmed-meshheading:14576060-Child, pubmed-meshheading:14576060-Cohort Studies, pubmed-meshheading:14576060-Cyclophosphamide, pubmed-meshheading:14576060-Doxorubicin, pubmed-meshheading:14576060-Female, pubmed-meshheading:14576060-Humans, pubmed-meshheading:14576060-Incidence, pubmed-meshheading:14576060-Lymphoma, Non-Hodgkin, pubmed-meshheading:14576060-Male, pubmed-meshheading:14576060-Middle Aged, pubmed-meshheading:14576060-Neoplasms, Second Primary, pubmed-meshheading:14576060-Prednisone, pubmed-meshheading:14576060-Pregnancy, pubmed-meshheading:14576060-Pregnancy Complications, Neoplastic, pubmed-meshheading:14576060-Retrospective Studies, pubmed-meshheading:14576060-Risk Factors, pubmed-meshheading:14576060-Vindesine
pubmed:year
2004
pubmed:articleTitle
Second cancers and late toxicities after treatment of aggressive non-Hodgkin lymphoma with the ACVBP regimen: a GELA cohort study on 2837 patients.
pubmed:affiliation
Hematology Department, Centre Hospitalier Notre Dame et reine Fabiola, Grand-Rue 3, 6000 Charleroi, Belgium, e-mail: andre.marc@chndrf.be
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't