在两名患有耐火性急性髓性白血病的儿童中,使用门诊息化疗延长了生存时间
Rebecca E MacDonell-Yilmaz1, Emily Vistica Sampino2, Laura Moynihan2
1Division of Palliative Medicine, Department of Medicine, Rhode Island Hospital/Brown University.
Journal of pediatric hematology/oncology
|July 26, 2023
概括
门诊缓性化疗有效控制了两名儿科患者的耐火性急性髓性白血病 (AML),维持了超过一年的生活质量. 这些方案为那些无法接受激进治疗的儿童提供了可行的选择.
科学领域:
- 儿科瘤学 儿科瘤学
- 血液学 血液学 血液学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 对于复发性/耐药性急性髓性白血病 (AML) 存在有限的治疗选择,特别是在儿科患者群体中.
- 息化疗在成年人中表现有前途,但对儿童的证据很少.
研究的目的:
- 描述两个患有耐火性AML的儿科患者的临床过程.
- 评估门诊息化疗在实现疾病控制和维持生活质量的有效性.
主要方法:
- 关于两名患有耐药AML的儿科患者的病例报告.
- 第1名患者接受了化疗和利诺斯塔特的门诊治疗.
- 患者2接受了阿扎西蒂丁和莱纳利多米德门诊息化疗.
主要成果:
- 两位患者在门诊息化疗中超过14个月实现了疾病控制和可接受的生活质量.
- 患者1经历了疾病进展,并过渡到终身护理.
- 患者2获得了最小的残留疾病,并进行了干细胞移植.
结论:
- 门诊息化疗方案可以提供疾病控制和改善儿童患有复发/耐药AML的患者的生活质量.
- 这些方案对于那些不适合或拒绝接受密集性细胞毒性化疗的患者来说是一个有价值的考虑因素.
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