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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1997-12-23
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pubmed:abstractText |
High-dose chemotherapy is increasingly utilized for the treatment of metastatic and high-risk breast cancer. Autologous Blood and Marrow Transplant Registry data reveal that a single high-dose cycle of chemotherapy with stem cell support can produce high complete response rates, with 10% to 20% of patients disease-free at 5 years. For patients with locally advanced disease, pooled results estimate 63% without relapse at 3 years for stage II and III disease and 42% for inflammatory breast cancer. New strategies to improve on these results include the incorporation of newly identified active drugs into established regimens and the use of multiple high-dose cycles. Multicycle chemotherapy produces complete response rates ranging from 35% to 93% depending on the regimen. Additional strategies include the use of monoclonal antibodies, immunotherapy, and gene therapy for post-transplant consolidation. The strongest predictor of long-term disease-free survival in virtually all studies is a complete response prior to or following high-dose chemotherapy. Randomized studies are now in the process of being completed in Europe and the United States with reporting scheduled over the next several years.
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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 |
Nov
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pubmed:issn |
1065-6251
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
4
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
381-9
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:9358993-Breast Neoplasms,
pubmed-meshheading:9358993-Cost-Benefit Analysis,
pubmed-meshheading:9358993-Dose-Response Relationship, Drug,
pubmed-meshheading:9358993-Female,
pubmed-meshheading:9358993-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:9358993-Humans,
pubmed-meshheading:9358993-Quality of Life,
pubmed-meshheading:9358993-Randomized Controlled Trials as Topic,
pubmed-meshheading:9358993-Transplantation, Autologous,
pubmed-meshheading:9358993-Treatment Outcome
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pubmed:year |
1997
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pubmed:articleTitle |
High-dose chemotherapy with autologous stem cell support for breast cancer.
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pubmed:affiliation |
Blood and Bone Marrow Transplant Unit, Division of Medical Oncology, NY, NY 10032, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Review
|