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Compare the speed of neutrophil recovery and the unwanted secondary effects in two groups of acute leukemia patients treated with intensive chemotherapy and G or GM-CSF. Patients were randomly assigned to receive subcutaneous G-CSF at a... more
Compare the speed of neutrophil recovery and the unwanted secondary effects in two groups of acute leukemia patients treated with intensive chemotherapy and G or GM-CSF. Patients were randomly assigned to receive subcutaneous G-CSF at a daily dose of 300 micrograms for adults and 150 micrograms for children or GM-CSF at 400 and 200 micrograms respectively, starting With chemotherapy and stopping when the absolute neutrophil count (ANC) reached 500/microL. Secondary effects were attributed to growth factors only when not coincidental with infection, chemotherapy or hemoderivative transfusion. 34 patients were included in the G-CSF arm and 37 in the GM-CSF arm. Distribution by sex, age, type of acute leukemia, induction or post-induction therapy, as well as initial neutrophil count were comparable among the two groups. Mean time for ANC > 500/microL was 19 days for G-CSF group and 16 days for GM-CSF group (p = 0.08). There were no statistically significant differences in secondary ...
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Base de dados : LILACS. Pesquisa : 227008 [Identificador único]. Referências encontradas : 1 [refinar]. Mostrando: 1 .. 1 no formato [Detalhado]. página 1 de 1, 1 / 1, LILACS, seleciona. para imprimir. Fotocópia. experimental, Documentos... more
Base de dados : LILACS. Pesquisa : 227008 [Identificador único]. Referências encontradas : 1 [refinar]. Mostrando: 1 .. 1 no formato [Detalhado]. página 1 de 1, 1 / 1, LILACS, seleciona. para imprimir. Fotocópia. experimental, Documentos relacionados. Id: 227008. ...
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La leucemia mieloide cronica (LMC) es un trastorno mieloproliferativo, que se caracteriza por tener un curso clinico trifasico, en el cual pasa de una fase cronica benigna a una transformacion de acelerada a fase blastica. Este resulta de... more
La leucemia mieloide cronica (LMC) es un trastorno mieloproliferativo, que se caracteriza por tener un curso clinico trifasico, en el cual pasa de una fase cronica benigna a una transformacion de acelerada a fase blastica. Este resulta de una expansion o transformacion de las celulas progenitoras hematopoyeticas. A escala molecular, la LMC se caracteriza por la fusion del gene bcr-abl, de la cual resulta la translocacion reciproca entre los cromosomas 9 y 22: t(9;22)(q34;11), creando el cromosoma Filadelfia (Ph) y el producto del cual la p210BCR-ABL, una cinasa de tirosina, que permite a las celulas hematopoyeticas proliferacion excesiva, resistencia a la apoptosis fisiologica y resistencia a la quimioterapia. El pronostico de los pacientes con LMC ha evolucionado, de acuerdo a los programas de manejo: en 1856 se manejaba con arsenicales, la radiacion del bazo, empleada de 1900 a 1950, incremento la supervivencia y la aparicion del busulfan (BU) ocupo su lugar al mejorar la supervivencia de los pacientes. En los anos 70s aparece la hidroxiurea (HU), siendo preferida al BU por la fibrosis pulmonar y aplasias medulares que produce este ultimo.