Authors: | Slater, D. E.; Mertelsmann, R.; Koziner, B.; Higgins, C.; McKenzie, S.; Schauer, P.; Gee, T.; Straus, D.; Kempin, S.; Arlin, Z.; Clarkson, B. D. |
Article Title: | Lymphoblastic lymphoma in adults |
Abstract: | Fifty-one patients with lymphoblastic lymphoma (LBL) treated with one of five successive intensive chemotherapy protocols for acute lymphoblastic leukemia (ALL) since 1971 were reviewed. The patients were divided into leukemic and nonleukemic groups, and their clinical and laboratory parameters compared. The projected 5-year survival rate for all patients treated with the L10/17 protocols was 45% for both leukemic and nonleukemic LBL. The response to treatment was compared with that of 111 patients with ALL and was nearly identical. Poor prognostic factors were age beyond 30, WBC > 50,000/μL, failure to achieve a complete response (CR), and a late CR during induction. Leukemia at presentation, T cell surface markers, and the presence of a mediastinal mass did not adversely affect survival. The use of intensive chemotherapy protocols has proven to be a significant advance in the treatment of LBL. |
Keywords: | survival; leukemia; major clinical study; prednisone; cancer combination chemotherapy; drug efficacy; chemotherapy; cytarabine; methotrexate; cyclophosphamide; vincristine; carmustine; age; lymphatic system; lymphoma; daunorubicin; dactinomycin; asparaginase; acute lymphocytic leukemia; drug therapy; therapy; tioguanine; intravenous drug administration; mercaptopurine; lymphoblastoma; prognosis; human; priority journal; blood and hemopoietic system |
Journal Title: | Journal of Clinical Oncology |
Volume: | 4 |
Issue: | 1 |
ISSN: | 0732-183X |
Publisher: | American Society of Clinical Oncology |
Date Published: | 1986-01-01 |
Start Page: | 57 |
End Page: | 67 |
Language: | English |
DOI: | 10.1200/jco.1986.4.1.57 |
PROVIDER: | scopus |
PUBMED: | 3510283 |
DOI/URL: | |
Notes: | Article -- Export Date: 18 August 2021 -- Source: Scopus |