CobaltMaghrebV1, Main, Exploration, bibRecord, 000353

Radiation therapy for the management of patients with HTLV-1–associated adult T-cell leukemia/lymphoma

Identifieur interne : 000353 ( Main/Exploration ); précédent : 000352; suivant : 000354

Radiation therapy for the management of patients with HTLV-1–associated adult T-cell leukemia/lymphoma

Auteurs : Charles B. Simone [États-Unis] ; John C. Morris [États-Unis] ; Donn M. Stewart [États-Unis] ; Nicole E. Urquhart [Jamaïque] ; John E. Janik [États-Unis] ; Robert J. Kreitman ; Elena Lita ; Kevin Conlon [États-Unis] ; Gilian Wharfe [Jamaïque] ; Thomas A. Waldmann [États-Unis] ; Aradhana Kaushal

Source :

Blood [ 0006-4971 ] ; 2012.

RBID : PMC:3433088

Abstract

Human T-cell leukemia virus type 1–associated adult T-cell leukemia/lymphoma (ATL) typically has survivals measured in months with chemotherapy. One prior published series (1983-1991) assessed local radiotherapy for ATL. Ten consecutive patients with pathologically confirmed ATL treated with radiotherapy were reviewed. Subtypes included acute (n = 7), smoldering (n = 2), and lymphomatous (n = 1). Patients received an average of 2.5 systemic therapy regimens before radiotherapy. Twenty lesions (cutaneous = 10, nodal = 8, extranodal = 2) were treated to a mean of 35.4 Gy/2-3 Gy (range, 12-60 Gy). At 9.0-month mean follow-up (range, 0.1-42.0 months), all lesions symptomatically and radiographically responded, with in-field complete responses in 40.0% (nodal 37.5% vs cutaneous 50.0%; P = .62). No patient experienced in-field progression. Nine patients developed new/progressive out-of-field disease. Median survival was 17.0 months (3-year survival, 30.0%). No Radiation Therapy Oncology Group acute grade ≥ 3 or any late toxicity was noted. This report is the first to use modern radiotherapy techniques and finds effective local control across ATL subtypes. Radiotherapy should be considered for symptomatic local progression of ATL.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3433088

DOI: 10.1182/blood-2012-01-401349
PubMed: 22730536
PubMed Central: 3433088

Affiliations:

Jamaïque, États-Unis
Maryland, Ohio, Pennsylvanie

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p>Human T-cell leukemia virus type 1–associated adult T-cell leukemia/lymphoma (ATL) typically has survivals measured in months with chemotherapy. One prior published series (1983-1991) assessed local radiotherapy for ATL. Ten consecutive patients with pathologically confirmed ATL treated with radiotherapy were reviewed. Subtypes included acute (n = 7), smoldering (n = 2), and lymphomatous (n = 1). Patients received an average of 2.5 systemic therapy regimens before radiotherapy. Twenty lesions (cutaneous = 10, nodal = 8, extranodal = 2) were treated to a mean of 35.4 Gy/2-3 Gy (range, 12-60 Gy). At 9.0-month mean follow-up (range, 0.1-42.0 months), all lesions symptomatically and radiographically responded, with in-field complete responses in 40.0% (nodal 37.5% vs cutaneous 50.0%; <italic>P</italic>
 = .62). No patient experienced in-field progression. Nine patients developed new/progressive out-of-field disease. Median survival was 17.0 months (3-year survival, 30.0%). No Radiation Therapy Oncology Group acute grade ≥ 3 or any late toxicity was noted. This report is the first to use modern radiotherapy techniques and finds effective local control across ATL subtypes. Radiotherapy should be considered for symptomatic local progression of ATL.</p>
</div>
</front>
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Serveur d'exploration sur le cobalt au Maghreb

Radiation therapy for the management of patients with HTLV-1–associated adult T-cell leukemia/lymphoma

Radiation therapy for the management of patients with HTLV-1–associated adult T-cell leukemia/lymphoma

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Abstract

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	Serveur d'exploration sur le cobalt au Maghreb
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