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L773:0902 4441 OR L773:1600 0609
 

Sökning: L773:0902 4441 OR L773:1600 0609 > Primary treatment w...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003951naa a2200481 4500
001oai:lup.lub.lu.se:421da20f-2432-4c5e-8adf-1b2408ed00c4
003SwePub
008160401s2003 | |||||||||||000 ||eng|
024a https://lup.lub.lu.se/record/3056972 URI
024a https://doi.org/10.1034/j.1600-0609.2003.00093.x2 DOI
040 a (SwePub)lu
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Andersen, NS4 aut
2451 0a Primary treatment with autologous stem cell transplantation in mantle cell lymphoma: outcome related to remission pretransplant
264 c 2003-07-22
264 1b Wiley,c 2003
520 a Objective: The aim of the first Nordic mantle cell lymphoma (MCL) protocol was to study the clinical significance of an augmented CHOP induction chemotherapy followed by high-dose chemotherapy and autologous stem cell transplantation (ASCT) and to examine the prognostic significance of stem cell contamination rates in newly diagnosed patients with MCL. Patients and methods: Forty-one newly diagnosed patients below 66 yr were enrolled and given three series of an augmented CHOP regimen. Responders underwent stem cell mobilization with a fourth course of CHOP, stem cell harvest and ASCT. Stem cell purging was optional in the protocol and followed the routine of each participating centre. The number of tumour cells in the reinfused autografts was estimated by flow cytometry or quantitative PCR. Results: Induction therapy led to complete remission (CR) in 11 of 41 patients (27%), partial remission (PR) in 20 of 41 patients (49%) and no response in nine patients (22%), whereas one patient was not evaluable. Twenty-seven of the 31 responders underwent ASCT and 24 achieved or maintained a CR. The overall and failure-free 4-yr survival on intention-to-treat basis were 51% and 15%, respectively. Among the transplanted patients, a significantly increased failure-free (P < 0.03) and overall survival (P = 0.03) was noted among patients transplanted in CR compared with PR, respectively. By contrast, reinfusion of highly variable numbers of tumour cells with the autografts (range 0.71-80 x 10(6) tumour cells), did not affect outcome. Conclusion: In MCL, an important strategy to improve the outcome will be to intensify the induction chemotherapy.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Hematologi0 (SwePub)302022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Hematology0 (SwePub)302022 hsv//eng
653 a outcome
653 a purging
653 a mantle cell lymphoma
653 a autologous stem cell transplantation
653 a response
700a Pedersen, L4 aut
700a Elonen, E4 aut
700a Johnson, A4 aut
700a Kolstad, A4 aut
700a Franssila, K4 aut
700a Langholm, R4 aut
700a Ralfkiaer, E4 aut
700a Åkerman, Månsu Lund University,Lunds universitet,Tumörmikromiljö,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Tumor microenvironment,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine4 aut0 (Swepub:lu)pat-mak
700a Eriksson, Mu Lund University,Lunds universitet,Tumörmikromiljö,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Tumor microenvironment,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital4 aut0 (Swepub:lu)onk-mer
700a Kuittinen, O4 aut
700a Geisler, CH4 aut
710a Tumörmikromiljöb Sektion I4 org
773t European Journal of Haematologyd : Wileyg 71:2, s. 73-80q 71:2<73-80x 1600-0609x 0902-4441
856u http://dx.doi.org/10.1034/j.1600-0609.2003.00093.xy FULLTEXT
8564 8u https://lup.lub.lu.se/record/305697
8564 8u https://doi.org/10.1034/j.1600-0609.2003.00093.x

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