COMLA lymphoma(89)
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cytoxan......... 1,500 mg/sqm IV day 1.
vincristine..... 1.4 mg/sqm IV on days 1, 8, and 15.
methotrexate.... 120 mg/sqm IV at 3 weeks (day 22) then weekly
times 7 (days 29, 36, 43, 50, 57, 64, and 71).
leucovorin...... 25 mg/sqm orally every 6 hours times four
starting 24 h after each dose of methotrexate.
cytarabine...... 300 mg/sqm IV at 3 weeks (day 22), then weekly
times 7 (days 29, 36, 43, 50, 57, 64, and 71).
FREQUENCY....... Repeat cycle every 13 weeks (91 days).
reference...
Berd D. Cornog J. DeConti RC. Levitt M. Bertino JR.
Long-term remission in diffuse histiocytic lymphoma treated
with combination sequential chemotherapy. Cancer.
35(4):1050-4, 1975 Apr.
abstract...
Seventeen patients with Stage III or IV reticulum cell sarcoma
were treated with three cycles of a 5-drug regimen between
February, 1969 and December, 1970. Of the 17 patients, 9
attained a complete remission and 6 had a parital remission; 2
were considered unevaluable. Recently, the original biopsies
from these patients were reclassified according to the
criteria of rappaport et al. The results were: diffuse
histiocytic--8; nodular histiocytic--2; diffuse mixed--2;
nodular mixed--3; diffuse lymphocytic poorly
differentiated--1; nodular lymphocytic poorly
differentiated--1. Of the 8 patients with diffuse histiocytic
lymphoma 6 attained complete remission, 1 had a partial
remission, and 1 was unevaluable. One of the 6 with complete
remission relapsed at 7 months and died 2 months later.
However, the other 5 are alive and in continued unmaintained
remission for 55 to 65 months.
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