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Adjuvant Therapies of Cancer

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  • © 1982

Overview

Part of the book series: Recent Results in Cancer Research (RECENTCANCER, volume 80)

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Table of contents (57 chapters)

  1. General Considerations

  2. Hemopoietic and Lymphoid Neoplasias

  3. Bone Tumors

Keywords

About this book

Transplantation of syngeneic (donor is a monozygous twin) or allogeneic (donor is an HLA-identical sibling) marrow provides the opportunity for aggressive antileukemic therapy without regard to marrow toxicity. Until 1975, marrow transplantation was carried out only after failure of all other therapy. Consequently, most patients were in advanced relapse. Six of 16 recipients of syngeneic marrow and 13 of 100 recipients of allogeneic marrow are still in remission after 5. 5-10 years [3, 7]. An actuarial survival curve of the first 100 patients grafted in Seattle after conditioning with cyclophos­ phamide (60 mg/kg on each of 2 successive days) and total body irradiation (1,000 rad) showed three periods of interest: (1) The first 4 months showed a rapid loss of patients associated with advanced illness, graft-versus-host disease, infections (in particular interstitial pneumonias), and recurrent leukemia; (2) from 4 months to 2 years, the curve showed a much slower rate of decline attributable primarily to recurrent leukemia; and (3) from 2-10 years, the curve was almost flat with a negligible loss of patients and no recurrent leukemia. This flat portion of the curve corresponded to 13% of the patients and indicates a strong probability that the majority of these survivors are cured of their disease [8]. Attempts at reducing the incidence of leukemic relapse after transplantation were made by a number of marrow transplant groups by added chemotherapy.

Editors and Affiliations

  • Institut de Cancérologie et d’Immunogénétique, Hôpital Paul-Brousse, Villejuif, France

    G. Mathé

  • Istituto Nazionale per lo Studio e la Cura dei Tumori, Milan, Italy

    G. Bonadonna

  • Health Science Center Department of Internal Medicine Section of Hematology and Oncology Tucson, The University of Arizona, USA

    S. Salmon

Bibliographic Information

  • Book Title: Adjuvant Therapies of Cancer

  • Editors: G. Mathé, G. Bonadonna, S. Salmon

  • Series Title: Recent Results in Cancer Research

  • DOI: https://doi.org/10.1007/978-3-642-81685-7

  • Publisher: Springer Berlin, Heidelberg

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag Berlin Heidelberg 1982

  • Softcover ISBN: 978-3-642-81687-1Published: 22 February 2012

  • eBook ISBN: 978-3-642-81685-7Published: 06 December 2012

  • Series ISSN: 0080-0015

  • Series E-ISSN: 2197-6767

  • Edition Number: 1

  • Number of Pages: XVI, 358

  • Topics: Oncology, Radiotherapy

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