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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1996-10-15
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pubmed:abstractText |
Treatment of stage IA non-Hodgkin's lymphoma (NHL) of Waldeyer's ring remains controversial, probably because of the small number of patients and the scarcity of controlled studies. Between 1981 and 1991, 316 patients with stage I NHL of Waldeyer's ring were randomised for treatment with radiotherapy alone (extended fields), 101 patients; combined chemotherapy with a regimen of CHOP (cyclophosphamide, vincristine, doxorubicin, and prednisone) or CHOP-like (epirubicin instead of doxorubicin), 106 patients; and combined therapy (radiotherapy followed by the same combination chemotherapy), 109 patients. Median follow-up was 6.8 years. Complete response was achieved in 93, 87 and 97%, respectively. Relapses were least frequent in patients treated with combination therapy. The 5-year rate for failure-free survival was 48% for radiation therapy, 45% for the patients who were treated with chemotherapy, which was statistically significantly less than the 83% for patients treated with combined therapy (P < 0.001). Overall survival was also better in the combined therapy arm: 90%, statistically different to 58% for the patients treated with chemotherapy alone and 56% for patients treated with radiation therapy (P < 0.001). Toxicity was mild and late side-effects were not observed in any patients. From these results combined therapy should be considered as the best therapeutic approach in patients with localised NHL of Waldeyer's ring.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
D
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0964-1955
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
32B
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
19-23
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8729614-Adult,
pubmed-meshheading:8729614-Aged,
pubmed-meshheading:8729614-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:8729614-Combined Modality Therapy,
pubmed-meshheading:8729614-Cyclophosphamide,
pubmed-meshheading:8729614-Disease-Free Survival,
pubmed-meshheading:8729614-Doxorubicin,
pubmed-meshheading:8729614-Female,
pubmed-meshheading:8729614-Humans,
pubmed-meshheading:8729614-Lymphoma, Non-Hodgkin,
pubmed-meshheading:8729614-Male,
pubmed-meshheading:8729614-Middle Aged,
pubmed-meshheading:8729614-Nasopharyngeal Neoplasms,
pubmed-meshheading:8729614-Prednisone,
pubmed-meshheading:8729614-Survival Rate,
pubmed-meshheading:8729614-Tongue Neoplasms,
pubmed-meshheading:8729614-Tonsillar Neoplasms,
pubmed-meshheading:8729614-Vincristine
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pubmed:year |
1996
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pubmed:articleTitle |
Treatment of non-Hodgkin's lymphoma of Waldeyer's ring: radiotherapy versus chemotherapy versus combined therapy.
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pubmed:affiliation |
Department of Hematology, Oncology Hospital, National Medical Center, México.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|