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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
|
pubmed:dateCreated |
1989-3-2
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pubmed:abstractText |
Thirteen patients with primary lymphoma of the central nervous system (CNS) were treated with high-dose intravenous methotrexate (MTX), 3.5 gm/sq m, followed by calcium leucovorin rescue, at 3-week intervals, for three cycles. Eleven patients subsequently received radiation therapy to the whole brain, 30 to 44 Gy. Before radiation therapy, eight patients responded completely and four partially; there was one non-responder. The median Karnofsky score before high-dose MTX therapy was 60 and increased to 90 after treatment. Five of the eight complete responders reached a Karnofsky rating of 100. The three longest responders (one of whom received MTX only) were without recurrence of their disease at 29+, 32, and 32+ months posttherapy. The median response period is 9+ months. The median survival time from the date of the first MTX treatment is 9+ months, and the three longest survival times are 29+, 32+, and 54+ months. All patients received corticosteroids in either unchanging or diminishing dosages during therapy. It is concluded that primary CNS lymphoma is sensitive to high-dose MTX, which provides a safe and easily administered adjuvant to radiation therapy for this neoplasm.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0022-3085
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
70
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
190-4
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2913217-Adult,
pubmed-meshheading:2913217-Aged,
pubmed-meshheading:2913217-Brain Neoplasms,
pubmed-meshheading:2913217-Combined Modality Therapy,
pubmed-meshheading:2913217-Female,
pubmed-meshheading:2913217-Humans,
pubmed-meshheading:2913217-Lymphoma,
pubmed-meshheading:2913217-Male,
pubmed-meshheading:2913217-Methotrexate,
pubmed-meshheading:2913217-Middle Aged,
pubmed-meshheading:2913217-Neoplasm Recurrence, Local
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pubmed:year |
1989
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pubmed:articleTitle |
High-dose methotrexate for non-AIDS primary central nervous system lymphoma. Report of 13 cases.
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pubmed:affiliation |
Department of Neurology, Massachusetts General Hospital, Boston.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|