Effect of Large-dose Chemotherapy in Patients with
Relapsing or Resistant Hodgkin´s Disease
Král Z. 1 , Mayer J. 1 , Navrátil M. 1 , Vášová I. 1 , Kořístek Z. 1 , Tomíška M. 1 ,
1 Interní hematoonkologická klinika FN, Brno, přednosta prof. MUDr. J. Vorlíček, CSc. 2 Tkáňová banka FN, Brno, přednosta doc. MUDr. J. Adler, CSc. 3 Masarykův onkologický ústav, Brno, ředitel MUDr. J. Drbal 4 Radioterapeutická klinika FN, Ostrava, přednosta MUDr. P. Vodvářka |
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Summary:
The authors evaluated a group of 48 patients with relapsing or resistant Hodgkin’s disease. The
patients were treated by life-saving chemotherapy followed by large doses of chemotherapy and
autologous transplantation of haematopoietic cells. For life-saving chemotherapy they used most
frequenmtly a combination of VIM in 40 patients and combinations of DHAP, MINE, MiniDexaBE-
AM. In 11 patients they changed the regime of life-saving chemotherapy because of a poor respon-
se. After completed life-saving chemotherapy 18 (37.5 %) patients were in CR, 27 (56.2 %) in PR and
in 3 (6.3 %) the disease progressed. For large dose chemotherapy the authors used BEAM in 32
patients, CBV in 2, Busulfan with Cyclophosphamide in 13 patients and Busulfan with Melfalan in
one patient. After completion of large dose chemotherapy and subsequent autologous transplan-
tation of bone marrow 31 (64.6 %) patients were in CR, 8 (16.7 %) in PR and the disease progressed
in 9 (18.7 %). In August 1999 a total of 44.9 % patients in CR survive, the median period of follow
up after autologous transplantation was 23 months. Life-saving chemotherapy with subsequent
large dose chemotherapy led in the investigated group to induction of CR in 64.6 % patients which
is the basic prerequisite of long-term survival.
Key words:
Large-dose Chemotherapy - Hodgkin’s disease.
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