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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1990-5-29
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pubmed:abstractText |
Eleven patients with Hodgkin's disease were treated with high-dose chemotherapy followed by autologous bone marrow transplantation (ABMT). Four patients were resistant to initial therapy and 7 patients had relapsed but were progressing under second or third line therapy. The median time from initial diagnosis to transplantation was 44 months (range, 16 to 82). In 9 patients pre-ABMT consisted on high-dose CVB cyclophosphamide, etoposide and carmustine) chemotherapy, one patient was treated with BACT protocol (carmustine, cytosine arabinoside, cyclophosphamide and thioguanine) and other patient was treated with high-dose of busulfan and melphalan. In 8 patients complete remission (CR) was achieved, in one the remission was partial, one failed to respond and one case was not evaluable due to early death. Among CR patients, 2 died from late toxicity, and the other 6 remain in CR off therapy, one of them more than 33 months after ABMT. High-dose therapy produce severe myelosuppression in all patients. There were 3 treatment related death: one early death due to hemorrhagic myocarditis, one veno-occlusive disease of the liver and one due to cytomegalovirus sepsis. The high complete response rate in these heavily pretreated patients suggests that there may be an indication for high-dose therapy and ABMT in earlier resistant Hodgkin's disease. Moreover under such conditions, treatment related morbidity would be expected to be lower.
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pubmed:language |
spa
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0025-7753
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
10
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pubmed:volume |
94
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
321-4
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2329865-Adolescent,
pubmed-meshheading:2329865-Adult,
pubmed-meshheading:2329865-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:2329865-Bone Marrow Transplantation,
pubmed-meshheading:2329865-Combined Modality Therapy,
pubmed-meshheading:2329865-Drug Resistance,
pubmed-meshheading:2329865-Female,
pubmed-meshheading:2329865-Hodgkin Disease,
pubmed-meshheading:2329865-Humans,
pubmed-meshheading:2329865-Male,
pubmed-meshheading:2329865-Remission Induction
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pubmed:year |
1990
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pubmed:articleTitle |
[Treatment of resistant or relapsing Hodgkin's disease with high doses of chemotherapy followed by autologous bone marrow transplant].
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pubmed:affiliation |
Grup de Transplantament de Medulla Ossia, Hospital de la Santa Creu i Sant Pau, Barcelona.
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pubmed:publicationType |
Journal Article,
English Abstract
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