Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2003-11-19
pubmed:abstractText
The purpose of this study was to evaluate the presence of micrometastatic cells in the apheresis products from patients with breast cancer, and also to determine if repeated infusion of contaminated products had any clinical impact. A total of 94 patients with high-risk breast cancer were enrolled in a prospective single center study to evaluate the use of dose-intensified chemotherapy (doxorubicine 75 mg/m(2) and cyclophosphamide 3000 or 6000 mg/m(2) for four cycles) with repeated (x 2) stem cell reinfusion. All women were monitored for the presence of metastatic cells in aphereses, collected after first course of intensive chemotherapy, and following additional mobilization with rhG-CSF. Epithelial cells were screened with monoclonal antibodies directed to cytokeratin. Eight of the 94 patients had detectable tumor cells in one or several aphereses collected after intensive chemotherapy; this was unrelated to other tumor characteristics, including size, histology, Scarff Bloom and Richardson (SBR) grading (presence or absence of hormone receptors). Hemato-poietic reconstitution was similar in the cells from these eight patients, and in the total patient population. Three of these eight patients relapsed. This study has confirmed that contamination of apheresis products remains a rare event, which does not seem to affect clinical evolution, even when reinfused into the patient.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0268-3369
pubmed:author
pubmed:issnType
Print
pubmed:volume
32
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1059-64
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:14625576-Adult, pubmed-meshheading:14625576-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:14625576-Blood Component Removal, pubmed-meshheading:14625576-Breast Neoplasms, pubmed-meshheading:14625576-Cell Count, pubmed-meshheading:14625576-Cyclophosphamide, pubmed-meshheading:14625576-Dose-Response Relationship, Drug, pubmed-meshheading:14625576-Doxorubicin, pubmed-meshheading:14625576-Female, pubmed-meshheading:14625576-Hematopoietic Stem Cell Mobilization, pubmed-meshheading:14625576-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:14625576-Humans, pubmed-meshheading:14625576-Middle Aged, pubmed-meshheading:14625576-Neoplasm Metastasis, pubmed-meshheading:14625576-Neoplastic Cells, Circulating, pubmed-meshheading:14625576-Prospective Studies, pubmed-meshheading:14625576-Survival Analysis, pubmed-meshheading:14625576-Treatment Outcome
pubmed:year
2003
pubmed:articleTitle
Occult tumor cell contamination in patients with stage II/III breast cancer receiving sequential high-dose chemotherapy.
pubmed:affiliation
Department of Medicine, Institut Paoli-Calmettes, Marseille, France. viretf@marseille.fnclcc.fr
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't