Cyclosporine A therapy for multisystem langerhans cell histiocytosis.

Cyclosporine A therapy for multisystem langerhans cell histiocytosis.
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环孢素 A 治疗多系统朗格汉斯细胞组织细胞增多症。

DOI:
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发表时间:
1999
期刊:
Medical and Pediatric Oncology
影响因子:
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通讯作者:
S. Ladisch
S. Ladisch
中科院分区:
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文献类型:
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作者:
M. Minkov;N. Grois;Valerie Broadbent;Adriana Ceci;Å. Jakobson;S. Ladisch

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背景 治疗多系统朗格汉斯细胞组织细胞增生症(LCH)仍然很困难。已经使用了各种单药和多药化疗方案,但相当一部分患者对治疗无效。 程序 我们评估了使用环孢素A(CSA)在对照组的患者,谁接受了系统的主要治疗(LCH-I)。患者接受CSA单药治疗(10例)或与长春碱、依托泊苷、泼尼松龙和/或抗胸腺细胞球蛋白联合治疗(16例)。 结果 在接受治疗的26名患者中,1名患者完全缓解,3名患者部分缓解,而85%(22名患者)对CSA无反应。 结论 CSA在治疗多系统LCH患者,特别是那些在接受化疗时疾病进展的患者中的价值最多是有限的。
BACKGROUND Treatment of multisystem Langerhans cell histiocytosis (LCH) remains difficult. Various regimens of single and multiagent chemotherapy have been used, but a significant proportion of patients fail to respond to treatment. PROCEDURE We have evaluated the use of cyclosporine A (CSA) in a controlled group of patients, who had received a systematic primary therapy (LCH-I). Patients received CSA either as a single agent (10 patients) or in combination with vinblastine, etoposide, prednisolone, and/or antithymocyte globulin (16 patients). RESULTS Among the total of 26 patients treated, a single patient developed a complete response and three a partial response, whereas 85% (22 patients) had no response to CSA. CONCLUSIONS CSA is at best of limited value in the treatment of patients with multisystem LCH, particularly those who had progressive disease while receiving chemotherapy.
儿童组织细胞增多症 X:疾病模式和治疗结果。
DOI: 10.1002/mpo.2950110206
发表时间: 1983
期刊: Medical and pediatric oncology
影响因子: --
作者:
Matus-Ridley,M;RaneyJr,RB;Thawerani,H;Meadows,AT
通讯作者: Meadows,AT