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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
|
pubmed:dateCreated |
1997-5-13
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pubmed:abstractText |
CURRENT SITUATION: Since the introduction of melphalan, little progress has be obtained in the treatment of multiple myeloma. Complete remission is rarely achieved with classical single-drug or combined chemotherapy protocols: median survival remains low at 2 to 3 years. A NEW APPROACH: High-dose melphalan therapy with hemopoietic stem cell support it a new approach providing promising results. There is a dose effect and 70 to 80% of naive patients, at the cost of severe prolonged aplasia, respond to high-dose melphalan. HEMATOPOIETIC SUPPORT: Allogeneic or autologous bone marrow or blood stem cell grafts are used. Peripheral blood autographs can be used in most patients; contamination with tumoural cells is generally lower. The period of aplasia after chemotherapy and hematopoietic autograft is relatively short. MAIN INDICATIONS: For most authors, high-dose melphalan should be reserved for younger patients with active myeloma: complete remission is achieved in 20 to 30% of cases although relapse still occurs. Other techniques under study (several sequences of high-dose sessions, reduction of graft contamination) should help improve results.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Apr
|
pubmed:issn |
0755-4982
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
5
|
pubmed:volume |
26
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
521-4
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9137386-Antineoplastic Agents, Alkylating,
pubmed-meshheading:9137386-Bone Marrow Transplantation,
pubmed-meshheading:9137386-Combined Modality Therapy,
pubmed-meshheading:9137386-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:9137386-Humans,
pubmed-meshheading:9137386-Melphalan,
pubmed-meshheading:9137386-Multiple Myeloma
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pubmed:year |
1997
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pubmed:articleTitle |
[Treatment of myeloma: role of intensive treatments].
|
pubmed:affiliation |
Service d'Immuno-Hématologie, Hôpital Saint-Louis, Paris.
|
pubmed:publicationType |
Journal Article,
English Abstract,
Review
|