Hodgkin's disease in children. Results of therapy in a mixed group of 178 clinical and pathologically staged patients over 13 years
| Autor: | Bernard Asselain, F. Teillet, Chantal Bayle-Weisgerber, Michèle Gout, Odile Schweisguth, Noëlle Lemercier |
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| Rok vydání: | 1984 |
| Předmět: |
Male
Cancer Research Vincristine medicine.medical_specialty Adolescent medicine.medical_treatment Disease Procarbazine Random Allocation chemistry.chemical_compound Recurrence Prednisone Antineoplastic Combined Chemotherapy Protocols Humans Medicine Mechlorethamine Child Survival rate Neoplasm Staging Retrospective Studies Laparotomy Chemotherapy business.industry Infant Prognosis Combined Modality Therapy Hodgkin Disease Nitrogen mustard Surgery Radiation therapy Oncology chemistry Child Preschool Splenectomy Female business medicine.drug |
| Zdroj: | Cancer. 54:215-222 |
| ISSN: | 1097-0142 0008-543X |
| Popis: | One hundred seventy-eight previously untreated children with biopsy-proven Hodgkin's disease of clinical Stages I and II were treated and followed between 1965 and 1978. Staging laparotomy was performed in 30 patients. Ninety-four percent of the patients obtained a complete remission; 24 patients have died. The actuarial survival rate for all patients was 90% at 5 years, and 81% at 10 years. The disease-free survival rate was 69% at 5 years, and 65% at 10 years. When nitrogen mustard, vincristine, procarbazine, and prednisone (MOPP) chemotherapy was added to either extended field or involved field irradiation, the relapse rate was significantly decreased as compared with the protocols without MOPP and prophylactic para-aortic irradiation. The authors believe that surgical staging may not be necessary as splenic involvement may be treated in some patients by MOPP chemotherapy alone or in association with splenic para-aortic radiotherapy. However, the side effects of MOPP need further study by other chemotherapy programs. |
| Databáze: | OpenAIRE |
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