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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5B
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pubmed:dateCreated |
1996-3-1
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pubmed:abstractText |
The role of intensive pre- and postoperative chemotherapy in unresectable nonmetastatic neuroblastoma is still controversial. A preoperative regimen that included deferoxamine, cyclophosphamide, etoposide, carboplatin and thiotepa (D-CECaT) was evaluated in 10 children over one year of age at diagnosis, and this was followed by surgery and postoperative chemotherapy. After four courses of D-CECaT, the response rate was 9/10 with 3 complete responses, 6 partial responses and 1 minor response. Severe but transitory myelosuppression was the major toxic effect. Complete remission by combined D-CECaT chemotherapy and surgery was obtained in 9/10 patients, while 1 case achieved complete remission only with postoperative chemotherapy. All children are disease-free with a median follow-up of 30.5 months (range: 1+ to 50+). This intensive treatment was effective in both standard- and high-risk unresectable NB. However, whether a less intensive approach and fewer courses can also give similar results in standard-risk cases warrants further study.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Carboplatin,
http://linkedlifedata.com/resource/pubmed/chemical/Cyclophosphamide,
http://linkedlifedata.com/resource/pubmed/chemical/Deferoxamine,
http://linkedlifedata.com/resource/pubmed/chemical/Etoposide,
http://linkedlifedata.com/resource/pubmed/chemical/Thiotepa
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pubmed:status |
MEDLINE
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pubmed:issn |
0250-7005
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
2347-50
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pubmed:dateRevised |
2006-4-24
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pubmed:meshHeading |
pubmed-meshheading:8572650-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:8572650-Carboplatin,
pubmed-meshheading:8572650-Child,
pubmed-meshheading:8572650-Child, Preschool,
pubmed-meshheading:8572650-Combined Modality Therapy,
pubmed-meshheading:8572650-Cyclophosphamide,
pubmed-meshheading:8572650-Deferoxamine,
pubmed-meshheading:8572650-Etoposide,
pubmed-meshheading:8572650-Humans,
pubmed-meshheading:8572650-Infant,
pubmed-meshheading:8572650-Neuroblastoma,
pubmed-meshheading:8572650-Thiotepa
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pubmed:articleTitle |
D-CECaT as preoperative chemotherapy for unresectable neuroblastoma in children over one year of age.
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pubmed:affiliation |
Division of Oncology, Ospedale Bambino Gesù, Rome, Italy.
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pubmed:publicationType |
Journal Article
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