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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
|
pubmed:dateCreated |
1997-4-29
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pubmed:abstractText |
In chronic myeloid leukaemia (CML), treatment with interferon alpha IFN-alpha results in loss of the Ph' chromosome in a significant proportion of patients. Most cytogenetic responses occur early at a median of 9 months after initiation of treatment and failure to detect a cytogenetic response within a predetermined period may be a reason for IFN-alpha withdrawal. We report a patient in whom IFN-alpha dosage was initially severely limited by bone marrow suppression but in whom continuing treatment led to a first cytogenetic response only after 53 months. Increasing Ph' negativity over a further 2 years was associated with improving haematological tolerance which permitted IFN-alpha dose escalation and complete cytogenetic remission was achieved at 7 years after diagnosis. This remission has been sustained and has thus followed the most delayed cytogenetic response to IFN-alpha so far reported.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Apr
|
pubmed:issn |
0887-6924
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
11
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
614-6
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:9096705-Antineoplastic Agents,
pubmed-meshheading:9096705-Humans,
pubmed-meshheading:9096705-Interferon-alpha,
pubmed-meshheading:9096705-Leukemia, Myelogenous, Chronic, BCR-ABL Positive,
pubmed-meshheading:9096705-Male,
pubmed-meshheading:9096705-Middle Aged,
pubmed-meshheading:9096705-Philadelphia Chromosome,
pubmed-meshheading:9096705-Remission Induction,
pubmed-meshheading:9096705-Time Factors
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pubmed:year |
1997
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pubmed:articleTitle |
An extremely delayed cytogenetic response to interferon-alpha in a patient with chronic myeloid leukaemia.
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pubmed:affiliation |
Northwick Park Hospital, Harrow, Middlesex, UK.
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pubmed:publicationType |
Journal Article,
Case Reports
|