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Article Dans Anglais | IMSEAR | ID: sea-41599

Résumé

Twenty-seven patients with acute myelogenous leukemia (AML), aged 15 to 65 years, were treated with standard induction remission chemotherapy and two different strategies for postremission treatment. Seventeen patients (63%) achieved complete remission (CR). Nine patients (37%) died during marrow hypoplasia. The median survival of complete remitters allocated to the intensive postremission therapy is projected to be in excess of 24 months with 53 per cent probability of remaining in CR at two years. The median remission duration for patients who entered the nonintensive postremission therapy was 11 months. Age was the major factor significantly correlated with the outcome of treatment. It is concluded that intensive curative treatment should be indicated in AML patients who are less than 30 years.


Sujets)
Adolescent , Adulte , Sujet âgé , Protocoles de polychimiothérapie antinéoplasique/pharmacologie , Moelle osseuse/effets des médicaments et des substances chimiques , Cause de décès , Cytarabine/administration et posologie , Doxorubicine/administration et posologie , Femelle , Humains , Leucémie aigüe myéloïde/traitement médicamenteux , Mâle , Adulte d'âge moyen , Projets pilotes , Induction de rémission/méthodes , Taux de survie , Thaïlande/épidémiologie , Résultat thérapeutique
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