Comparative study of two mechlorethamine, vincristine, procarbazine, and prednisone derived chemotherapeutic protocols for the management of pediatric Hodgkin lymphoma (HL): single-center 5-year experience
Autor: | Mohamed Sarhan, Mohamed Sedki, Ashraf Fouda, Youssef Al-Tonbary, Rasha El-Ashry, Emad Salama |
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Rok vydání: | 2010 |
Předmět: |
musculoskeletal diseases
Toxic hepatitis Male Cancer Research medicine.medical_specialty Anthracycline Adolescent medicine.medical_treatment Single Center Procarbazine Prednisone Internal medicine Antineoplastic Combined Chemotherapy Protocols medicine Humans Mechlorethamine Child Cyclophosphamide Survival analysis Chemotherapy business.industry Liver cell Cytarabine Infant Hematology Hodgkin Disease Survival Analysis Surgery Methotrexate Oncology Vincristine Child Preschool Egypt Female medicine.symptom business medicine.drug Follow-Up Studies |
Zdroj: | Leukemialymphoma. 51(4) |
ISSN: | 1029-2403 |
Popis: | We aimed for the comparison of two protocols (OAP and COMP) as chemotherapy treatment in children with Hodgkin lymphoma (HL). A total of 119 children newly diagnosed with HD were divided to receive either the anthracycline-based OAP protocol or the alkylating-agent-based COMP protocol. Sixty patients received the OAP protocol and 59 patients received the COMP protocol. Complete response was achieved for 81.4% of patients treated with the COMP protocol versus 53.3% for those who received the OAP treatment. Toxic hepatitis or liver cell failure was recorded in 5% of patients treated with the COMP protocol. Complications were more frequent in those treated with the OAP protocol, as 6.8% developed heart failure and 20% showed toxic hepatitis or liver cell failure. The relapse rate was almost equal in both treatment arms. Patients treated with the COMP protocol achieved a better response and less toxicity but with similar survival to those given the OAP protocol. |
Databáze: | OpenAIRE |
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