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Third joint meeting of Rumanian and Hungarian pediatric hematologists/oncologists. 罗马尼亚和匈牙利儿科血液学家/肿瘤学家第三次联合会议。
Pub Date : 2002-05-01 DOI: 10.1002/MPO.1347
C. Kiss
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引用次数: 0
Brief report: biliary emesis as the presenting sign in a neonate with Wilms tumor. 简要报告:胆道呕吐为新生儿肾母细胞瘤的表现。
Pub Date : 2002-05-01 DOI: 10.1002/MPO.1352
G. Parigi, M. Magni, F. Cassani, G. Puletti, R. Bragheri
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引用次数: 1
Topical topics: pitfalls of "long-distance pharmacokinetics." Shipment of biologic samples to reference laboratories. 专题:“长距离药代动力学”的陷阱。运送生物样本到参考实验室。
Pub Date : 2002-04-22 DOI: 10.1002/MPO.1348
S. Kellie, D. Uges, P. Koopmans, B. Frost, S. D. de Graaf
Topical topics: pitfalls of "Long-Distance pharmacokinetics." Shipment of biologic samples to reference laboratories
专题:“长距离药代动力学”的陷阱。运送生物样本到参考实验室
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引用次数: 2
Hemangioendothelioma: successful therapy with interferon-alpha: a study in Association with the Italian Pediatric Haematology/Oncology Society (AIEOP). 血管内皮瘤:干扰素- α成功治疗:意大利儿科血液学/肿瘤学学会(AIEOP)联合研究
Pub Date : 2002-02-01 DOI: 10.1002/MPO.1284.ABS
G. Deb, A. Donfrancesco, I. Ilari, L. de Sio, G. Milano, C. Ghitti, G. Fontana, A. Sandri, L. Helson
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引用次数: 22
Refusal, non-compliance, and abandonment of treatment in children and adolescents with cancer 儿童和青少年癌症患者的拒绝、不遵守和放弃治疗
Pub Date : 2002-02-01 DOI: 10.1002/MPO.1283.ABS
J. Spinetta, G. Masera, T. Eden, D. Oppenheim, A. G. Martins, J. V. Dongen-Melman, M. Siegler, C. Eiser, M. W. Arush, H. Kosmidis, M. Jankovic
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引用次数: 23
Re: Commentary by G.J. D'Angio to the article by S. Biasotti et al.†Biasotti S, Garaventa A, Villavecchia GP, et al. False-negative metaiodobenzylguanide scintigraphy at diagnosis of neuroblastoma. Med Pediatr Oncol 2000;35:153–155. 回复:G.J. D'Angio对S. Biasotti et al.文章的评论& Biasotti S, Garaventa A, Villavecchia GP, et al.。假阴性的甲氧苄胍显像诊断神经母细胞瘤。中华儿科杂志,2000;35:153-155。
Pub Date : 2002-02-01 DOI: 10.1002/MPO.1301.ABS
J. Pritchard
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引用次数: 6
Efficacy of ifosfamide and doxorubicin given as a phase II "window" in children with newly diagnosed metastatic rhabdomyosarcoma: a report from the Intergroup Rhabdomyosarcoma Study Group. 异环磷酰胺和阿霉素作为II期“窗口”治疗新诊断的转移性横纹肌肉瘤儿童的疗效:来自组间横纹肌肉瘤研究组的一份报告
Pub Date : 2001-11-01 DOI: 10.1002/MPO.1227
E. Sandler, E. Lyden, F. Ruymann, H. Maurer, M. Wharam, D. Parham, M. Link, W. Crist
BACKGROUNDThe cure rate for children/adolescents with localized rhabdomyosarcoma (RMS) has tripled over the past 25 years, but patients with metastatic disease at presentation have not benefited similarly, and urgently need new therapy. We evaluated a new drug pair, ifosfamide + doxorubicin, for such patients.PROCEDUREWe estimated the complete and partial response rates (i.e., CR and PR) of 152 previously untreated children/adolescents with metastatic RMS entered on the IRS-IV pilot from July 1988 to October 1991 who received an "up-front window" of ifosfamide (1.8 gm/m(2)/day for 5 days) and doxorubicin (30 mg/m(2)/day for 2 days) given every 3 weeks for 12 weeks. This was followed by combination chemotherapy with vincristine, actinomycin D, and cyclophosphamide (VAC), given every 3 weeks for an additional 36 weeks.RESULTSOf 115 patients evaluable for early response at 12 weeks, 28 (20%) had CR and 66 (43%) had PR. The ultimate CR rate was 52%. Overall, about one-third of patients survived. Prognostic factor analysis revealed that patients < 10 years old (P < 0.001), those with embryonal tumors (P = 0.002), or a GU primary site (P = 0.010), and those who lacked nodal disease (P = 0.041), and those who lacked bone or bone marrow metastasis (P < 0.001) fared better than did others.CONCLUSIONSThe 63% CR + PR rate achieved at 12 weeks and overall 5-year FFS seen with this drug pair is similar to that achieved with previously evaluated drug combinations. We conclude that ifosfamide/doxorubicin is highly active in advanced RMS, and should be considered for inclusion in frontline therapy for children with intermediate or high-risk RMS.
背景:儿童/青少年局部横纹肌肉瘤(RMS)的治愈率在过去25年中增加了两倍,但出现转移性疾病的患者并没有同样的获益,迫切需要新的治疗方法。我们对这类患者评估了一种新的药物组合,异环磷酰胺+阿霉素。我们估计了从1988年7月至1991年10月进入IRS-IV试验的152例先前未接受治疗的转移性RMS儿童/青少年的完全缓解率和部分缓解率(即CR和PR),这些患者接受了异环磷酰胺(1.8 gm/m(2)/天,持续5天)和阿霉素(30 mg/m(2)/天,持续2天)的“前期窗口”治疗,每3周给予一次,持续12周。随后是长春新碱、放线菌素D和环磷酰胺(VAC)联合化疗,每3周给予一次,再持续36周。结果在115例12周可评估早期反应的患者中,28例(20%)有CR, 66例(43%)有PR。最终CR率为52%。总的来说,大约三分之一的患者存活了下来。预后因素分析显示,年龄< 10岁(P < 0.001)、胚胎性肿瘤(P = 0.002)或GU原发部位(P = 0.010)、无淋巴结疾病(P = 0.041)、无骨或骨髓转移(P < 0.001)的患者预后优于其他患者。结论该药物组合在12周和总体5年FFS中达到63%的CR + PR率与先前评估的药物组合相似。我们得出结论,异环磷酰胺/阿霉素在晚期RMS中具有高度活性,应考虑将其纳入中度或高危RMS患儿的一线治疗。
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引用次数: 73
Allogeneic bone marrow transplantation in first remission rescues children with Philadelphia chromosome-positive acute lymphoblastic leukemia: Tokyo Children's Cancer Study Group (TCCSG) studies L89-12 and L92-13. 异基因骨髓移植在首次缓解中拯救费城染色体阳性急性淋巴细胞白血病儿童:东京儿童癌症研究小组(TCCSG)研究L89-12和L92-13。
Pub Date : 2001-11-01 DOI: 10.1002/MPO.1225
T. Mori, A. Manabe, M. Tsuchida, R. Hanada, H. Yabe, A. Ohara, T. Saito, S. Nakazawa
BACKGROUNDThe prognosis of Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph(+) ALL) is generally poor and reports from large studies are scarce. We evaluated the efficacy of allogeneic bone marrow transplantation (allo-BMT) for children with this type of leukemia.PROCEDUREThe chemotherapy regimens consisted of an induction phase and very intensive consolidation followed by a reinduction phase and late intensification treatment. The selection of treatment modalities such as chemotherapy, allo-BMT, or autologous transplantation was made by each institute. The principal endpoint was the outcome of children with Ph(+) ALL according to the treatment options.RESULTSThirty-two patients (4.3%) were diagnosed as Ph(+) ALL out of the 741 cases of ALL consecutively enrolled in two protocols of the Tokyo Children's Cancer Study Group (TCCSG) from 1989 to 1994. Thirty patients (93.8%) were induced into complete remission (CR). Of these 30 patients, eight children electively received allo-BMT in the first CR. Six of these patients are in continuous remission at a median follow-up of 58 (range 48-105) months after the diagnosis. One patient died following recurrence and another patient died of graft vs. host disease. Three patients treated with autologous BMT or peripheral blood stem cell transplantation in the first CR experienced a subsequent relapse. In the remaining 19 patients, 13 patients were treated with very high-risk chemotherapy alone and all relapsed within 28 months. One patient was excluded from the analysis because he was treated with standard-risk chemotherapy until relapse. The other five patients were also excluded from the analysis because Philadelphia chromosome was not detected until they relapsed. None of the relapsed patients survived in spite of treatment including allo-BMT. In multivariate analysis, only allo-BMT remained as an independent factor for good prognosis.CONCLUSIONSThe only way to cure children with Ph(+) ALL was allo-BMT in this study and its outcome seemed promising.
背景:费城染色体阳性急性淋巴细胞白血病(Ph(+) ALL)的预后通常较差,来自大型研究的报道很少。我们评估了同种异体骨髓移植(alloo - bmt)治疗儿童这种类型白血病的疗效。化疗方案包括诱导期和非常强化的巩固,然后是再诱导期和晚期强化治疗。治疗方式的选择,如化疗、同种异体骨髓移植或自体移植由各研究所决定。根据治疗方案,主要终点是Ph(+) ALL患儿的结局。结果1989 - 1994年,在东京儿童癌症研究组(TCCSG)连续入选的741例ALL患者中,32例(4.3%)被诊断为Ph(+) ALL。30例(93.8%)患者完全缓解(CR)。在这30名患者中,有8名儿童在第一次CR中选择性地接受了alloo - bmt治疗。其中6名患者在诊断后的中位随访时间为58个月(范围48-105个月),持续缓解。1例患者死于复发,另1例患者死于移植物抗宿主病。在第一次CR中,3例接受自体骨髓移植或外周血干细胞移植治疗的患者随后复发。其余19例患者中,13例患者单独接受高危化疗,均在28个月内复发。一名患者被排除在分析之外,因为他接受了标准风险化疗直到复发。其他5名患者也被排除在分析之外,因为直到他们复发才检测到费城染色体。尽管接受了包括allo-BMT在内的治疗,但没有复发患者存活。在多变量分析中,只有allo-BMT仍然是预后良好的独立因素。结论在本研究中,治疗儿童Ph(+) ALL的唯一方法是allo-BMT,其结果似乎很有希望。
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引用次数: 24
Myeloid-positive T cell acute leukemia after treatment of infantile neuroblastoma. 骨髓阳性T细胞急性白血病治疗后的婴儿神经母细胞瘤。
Pub Date : 2001-11-01 DOI: 10.1002/MPO.1235
H. Ayukawa, Y. Umemoto, K. Kawasaki, M. Koga, S. Furukawa, Y. Ikuno
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引用次数: 5
Successful therapy of subcutaneously growing human hepatoblastoma xenografts with topotecan. 拓扑替康成功治疗皮下生长的人肝母细胞瘤异种移植物。
Pub Date : 2001-11-01 DOI: 10.1002/MPO.1228
S. Warmann, J. Fuchs, L. Wilkens, K. Gratz, D. V. von Schweinitz, H. Mildenberger
BACKGROUNDHuman hepatoblastoma is an infrequent liver tumor in children. Although many hepatoblastomas can be treated adequately with well-defined treatment regimens, problems still persist with advanced and non-resectable tumors; in these cases, an effective chemotherapy is necessary to improve the patients' prognosis. This underlines the need for alternative anti-tumor agents in the treatment of human hepatoblastoma. The aim of this study was to investigate the therapeutic effects of topotecan, a water-soluble camptothecin analog (topoisomerase-I-antagonist), in an in vivo model of three human hepatoblastomas xenografted subcutaneously into nude mice.PROCEDUREHepatoblastoma cell suspensions from three children were transplanted subcutaneously into nude mice NMRI (nu/nu). Treatment with topotecan was initiated when the tumors reached a volume between 50 and 80 mm(3). A dose of 6.6 mg/kg of topotecan were given intraperitoneally every 4 days on four occasions. The tumor volume development and alpha-fetoprotein alterations were measured and statistically analyzed. After the treatment, the tumors were investigated histologically and by immunohistochemistry.RESULTSThere was a significant reduction of tumor growth in all treated tumor xenografts vs. untreated control groups (mean relative volume 3.1 vs. 47.4; P = 0,0015-0,0079). Serum alpha-fetoprotein levels were reduced in all three cell lines, in two of them significantly (mean 44,535 kU/l vs. 228,883 kU/l; P = 0.005-0.246). Histologically, the tumor necrosis rates were higher and immunohistochemistry showed lower proliferation activities in the treated tumor xenografts vs. the control groups.CONCLUSIONThe data show that topotecan is an effective agent in the treatment of human hepatoblastoma xenografts. From these results, treatment with topotecan appears to be a promising alternative in the pre- and postoperative therapy of patients suffering from human hepatoblastoma
背景:人肝母细胞瘤是儿童中一种罕见的肝脏肿瘤。尽管许多肝母细胞瘤可以通过明确的治疗方案得到充分治疗,但对于晚期和不可切除的肿瘤,问题仍然存在;在这种情况下,需要有效的化疗来改善患者的预后。这强调了在治疗人类肝母细胞瘤中需要替代的抗肿瘤药物。本研究的目的是研究拓扑替康,一种水溶性喜树碱类似物(拓扑异构酶- 1拮抗剂),在裸鼠皮下移植的三种人肝母细胞瘤的体内模型中的治疗作用。将3名儿童的肝母细胞瘤细胞悬液皮下移植到裸鼠NMRI (nu/nu)中。当肿瘤体积达到50 - 80mm时,开始使用拓扑替康治疗(3)。拓扑替康每4天腹腔注射6.6 mg/kg,共4次。测量肿瘤体积发展和甲胎蛋白变化并进行统计学分析。治疗后对肿瘤进行组织学和免疫组化检查。结果:与未治疗的对照组相比,所有治疗组的肿瘤生长均显著减少(平均相对体积3.1比47.4;P = 0.0015 - 0.0079)。血清甲胎蛋白水平在所有三种细胞系中均降低,其中两种显著降低(平均44,535 kU/l vs. 228,883 kU/l;P = 0.005-0.246)。组织学上,与对照组相比,治疗组肿瘤坏死率较高,免疫组化显示肿瘤增殖活性较低。结论拓扑替康是治疗异种人肝母细胞瘤的有效药物。从这些结果来看,拓扑替康治疗似乎是人类肝母细胞瘤患者术前和术后治疗的一个有希望的选择
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引用次数: 9
期刊
Medical and pediatric oncology
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