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Chinese Journal of Hematology ; (12): 68-70, 2003.
Article de Chinois | WPRIM | ID: wpr-261359

RÉSUMÉ

<p><b>OBJECTIVE</b>To investigate the clinical value of glycosylated G-CSF combined with middle-high dose cyclophosphamide (Cy) or conventional chemotherapy with increased dose of Cy for mobilizing peripheral blood progenitor cells in patients with tumor.</p><p><b>METHODS</b>Thirty patients from four hospitals in Beijing region were enrolled in this clinical study. Diagnoses of the patients were non-Hodgkin' lymphoma (n = 21), Hodgkin disease (n = 1), breast cancer (n = 7) and ovary cancer (n = 1). Autologous peripheral blood progenitor cells (APBPC) were mobilized by middle-high dose Cy or conventional chemotherapy with increased dose of Cy combined with G-CSF. G-CSF was given subcutaneously from the nadir of the white blood cell (WBC) count to the end of PBPC collection. The dosage of G-CSF was 250 microg/d in 29 patients and 500 microg/d in 1 patient. When WBC count was > 5 x 10(9)/L, APBPC were harvested with CS 3000 plus/COBE Spectra.</p><p><b>RESULTS</b>The average dosage of Cy was 3.95 g (2.3 g/m(2)). The doses of G-CSF were 3.1 approximately 6.4 microg x kg(-1) x d(-1). Thirteen patients (43%) were collected twice, 14 patients (47%) three times and 3 patients (10%) four times. All of the patients could tolerate the treatment regimens. Seven patients had bone pain after G-CSF injection and one was severe, one patient had headache and one had nausea and vomiting.</p><p><b>CONCLUSION</b>250 microg glycosylated G-CSF combined with middle-high Cy or conventional chemotherapy with increased dose of Cy combined G-CSF is an optimal method for APBPC mobilization in tumor patients.</p>


Sujet(s)
Adolescent , Adulte , Femelle , Humains , Mâle , Adulte d'âge moyen , Antigènes CD34 , Protocoles de polychimiothérapie antinéoplasique , Utilisations thérapeutiques , Test clonogénique , Cyclophosphamide , Relation dose-effet des médicaments , Facteur de stimulation des colonies de granulocytes , Mobilisation de cellules souches hématopoïétiques , Numération des leucocytes , Agranulocytes , Biologie cellulaire , Allergie et immunologie , Tumeurs , Sang , Traitement médicamenteux , Anatomopathologie , Numération des plaquettes , Résultat thérapeutique
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