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Japanese Society of Hematology
- Source :
- International journal of hematology. 100(5)
- Publication Year :
- 2014
-
Abstract
- VCAP (vincristine, cyclophosphamide, doxorubicin, and prednisone)-AMP (doxorubicin, ranimustine, and prednisone)-VECP (vindesine, etoposide, carboplatin, and prednisone) is a standard regimen for aggressive adult T cell leukemia-lymphoma (ATL). However, the efficacy of this regimen has not been fully elucidated for patients aged 70 years or older. Here, we retrospectively analyzed elderly patients with aggressive ATL at Nagasaki University Hospital between 1994 and 2010 to assess treatment outcomes. Of 148 evaluable patients, 54 were aged 70 years or older at diagnosis. The median survival time (MST) and overall survival (OS) at 2 years in elderly patients were 10.6 months and 22.1 %, respectively. Thirty-four patients received VCAP-AMP-VECP as the initial treatment, although the doses were reduced for most patients. In these patients, MST and OS at 2 years were 13.4 months and 26.6 %, respectively. Eleven of 34 patients (32 %) received maintenance oral chemotherapy after two or three cycles of VCAP-AMP-VECP, and MST and OS at 2 years were 16.7 months and 32.7 %, respectively. Our results suggest that the VCAP-AMP-VECP regimen may be effective and that maintenance oral chemotherapy may be considered as a therapeutic option for elderly patients with aggressive ATL.<br />International Journal of Hematology, 100(5), pp.464-472; 2014
- Subjects :
- Male
medicine.medical_specialty
Vincristine
medicine.medical_treatment
Ranimustine
Maintenance Chemotherapy
chemistry.chemical_compound
Prednisone
Internal medicine
Antineoplastic Combined Chemotherapy Protocols
medicine
Chemotherapy
Humans
Leukemia-Lymphoma, Adult T-Cell
Cyclophosphamide
Aged
Neoplasm Staging
Retrospective Studies
Aged, 80 and over
business.industry
Age Factors
Induction chemotherapy
Hematology
Induction Chemotherapy
Middle Aged
Carboplatin
Surgery
Elderly patients
Regimen
Treatment Outcome
chemistry
Doxorubicin
Adult T cell leukemia-lymphoma (ATL)
Disease Progression
Vindesine
Female
business
medicine.drug
Subjects
Details
- ISSN :
- 18653774
- Volume :
- 100
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- International journal of hematology
- Accession number :
- edsair.doi.dedup.....b92d035320eeecd16495371df1f73671