C-MOPP lymphoma(88)
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cytoxan......... 650 mg/sqm IV on days 1 and 8.
mechlorethamine. 6 mg/sqm IV on days 1 and 8.
vincristine..... 1.4 mg/sqm IV on days 1 and 8.
procarbazine.... 100 mg/sqm/day orally from day 1 to day 14.
prednisone...... 40 mg/sqm/day orally from day 1 to day 14.
FREQUENCY....... Repeat cycle every 28 days.
reference...
DeVita VT Jr. Canellos GP. Chabner B. Schein P. Hubbard
SP. Young RC. Advanced diffuse histiocytic lymphoma, a
potentially curable disease. Lancet. 1(7901):248-50, 1975 Feb
1.
abstract...
Twenty-seven patients with advanced diffuse histiocytic
lymphoma (reticulum-cell sarcoma) were treated with
combination chemotherapy utilising nitrogen mustard (or
cyclophosphamide), procarbazine, vincristine, and prednisone.
Elven (41%) achieved a complete remission and only one of
these has had a recurrence of tumour. The remaining ten
complete responders were free of all evidence of tumour when
last seen 26-105 months from the end of treatment. In
contrast, all non-responders or partial responders have died.
An interpretation of published survival data suggests that
this virulent disease evolves quickly and is usally rapidly
fatal if treatment is unsuccessful. Survival free of disease
beyond 2 years from the end of treatment may be considered
tantamount to cure. This definition of cure, previously
applied only to patients treated with radiotherapy, seems
applicable to patients who achieve complete remissions with
modern drug treatment.
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