Locoregional intrasplenic chemotherapy for hypersplenism in myelofibrosis

Autor: L, Camba, L, Aldrighetti, F, Ciceri, M, Bernardi, S, Marktel, E, Angeli, M, Giacomelli
Přispěvatelé: Camba, L, Aldrighetti, L, Ciceri, Fabio, Bernardi, M, Marktel, S, Angeli, E, Giacomelli, M.
Rok vydání: 2001
Předmět:
Popis: A 79-year-old patient with post-polycythaemic myelofibrosis presented with severe hypersplenism. After splenic artery catheterization, cytosine arabinoside was given intrasplenically from November 1999 to March 2000 for 5 d/month at 10 mg/m(2) and increased each month by 10 mg/m(2). It was then administered by continuous infusion until June 2000, starting at 20 mg/m(2)/d and tapering by 5 mg/m(2) every 2 weeks to a final daily dose of 5 mg/m(2)/d. The drug was then stopped. The spleen had decreased to one third of the initial volume. Clinical conditions and haematological indices improved substantially. Intrasplenic therapy could be a new therapeutic tool for hypersplenism in chronic idiopathic and post-myeloproliferative myelofibrosis.
Databáze: OpenAIRE