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Acute nonlymphoblastic leukemia: prognostic factors in adults with long-term follow-up.

Abstract
Seventy-nine adult patients with acute nonlymphoblastic leukemia (ANLL) were treated on the L-6 protocol at Memorial Sloan-Kettering Cancer Center between May 1970 and January 1974. Forty-two patients achieved a complete remission (CR) and nine of these are still disease free, with a minimum of seven years of follow-up. An extensive statistical analysis has been carried out on a large number of pretreatment and treatment characteristics to identify factors related to CR and remission duration. Multivariate regression techniques yielded as favorable characteristics associated with CR, in order of importance: young age at diagnosis, the presence of Auer rods at diagnosis, and treatment with Pseudomonas vaccine. A regression model for remission duration identified as favorable prognostic factors for long-term remission: at most two courses of induction therapy, an intermediate age range, and a low platelet count at diagnosis.
AuthorsS Passe, V Miké, R Mertelsmann, T S Gee, B D Clarkson
JournalCancer (Cancer) Vol. 50 Issue 8 Pg. 1462-71 (Oct 15 1982) ISSN: 0008-543X [Print] United States
PMID7116285 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Antineoplastic Agents
  • Bacterial Vaccines
  • Cytarabine
  • Vincristine
  • Cyclophosphamide
  • Thioguanine
  • Carmustine
  • Hydroxyurea
  • Methotrexate
  • Daunorubicin
Topics
  • Acute Disease
  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Antineoplastic Agents (administration & dosage)
  • Antineoplastic Combined Chemotherapy Protocols
  • Bacterial Vaccines (therapeutic use)
  • Carmustine (administration & dosage)
  • Cyclophosphamide (administration & dosage)
  • Cytarabine (administration & dosage)
  • Daunorubicin (administration & dosage)
  • Drug Therapy, Combination
  • Female
  • Follow-Up Studies
  • Humans
  • Hydroxyurea (administration & dosage)
  • Leukemia (drug therapy, pathology)
  • Male
  • Methotrexate (administration & dosage)
  • Middle Aged
  • Platelet Count
  • Prognosis
  • Pseudomonas (immunology)
  • Statistics as Topic
  • Thioguanine (administration & dosage)
  • Vincristine (administration & dosage)

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