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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1988-11-7
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pubmed:abstractText |
Twenty-six patients with recurrent leukemia following allogeneic marrow transplantation received a second marrow transplant between 1.5 and 78 months (median 26) after the initial transplant. Preparative regimens for second transplant included multi-agent chemotherapy with total body irradiation, 2.0-10.0 Gy (five patients), dimethylbusulfan alone (one patient), and dimethylbusulfan or busulfan plus cyclophosphamide (20 patients). One patient died before engraftment of infection and 18 died after engraftment from veno-occlusive disease (4), infection (2), idiopathic pneumonia (3), cytomegalovirus pneumonia (3), leukemia (5) and encephalopathy (1). Seven patients (27%) survive 12-38 months (median 26); five (19%) are disease-free and two have recurrent leukemia. Two of the five disease-free survivors have chronic graft-versus-host disease. All of the surviving patients received dimethylbusulfan or busulfan plus cyclophosphamide and six of the seven surviving patients were among 11 patients transplanted more than 2 years after the first transplant whereas only one was among the 15 transplanted in less than 2 years. Those who have second marrow transplants one or more years after their initial transplant are more likely to benefit, while those who are less than 1 year from initial transplant appear to benefit the least.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
3
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
11-9
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:3048466-Adolescent,
pubmed-meshheading:3048466-Adult,
pubmed-meshheading:3048466-Bone Marrow Transplantation,
pubmed-meshheading:3048466-Child,
pubmed-meshheading:3048466-Child, Preschool,
pubmed-meshheading:3048466-Female,
pubmed-meshheading:3048466-Graft Survival,
pubmed-meshheading:3048466-Graft vs Host Disease,
pubmed-meshheading:3048466-Hepatic Veno-Occlusive Disease,
pubmed-meshheading:3048466-Humans,
pubmed-meshheading:3048466-Infant,
pubmed-meshheading:3048466-Leukemia,
pubmed-meshheading:3048466-Male,
pubmed-meshheading:3048466-Middle Aged,
pubmed-meshheading:3048466-Recurrence,
pubmed-meshheading:3048466-Reoperation,
pubmed-meshheading:3048466-Transplantation, Homologous
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pubmed:year |
1988
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pubmed:articleTitle |
Second marrow transplants in patients with leukemia who relapse after allogeneic marrow transplantation.
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pubmed:affiliation |
Fred Hutchinson Cancer Research Center, Seattle, WA 98104.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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