M-BACOD lymphoma(96,97)
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methotrexate.... 200 mg/sqm IV on days 8 and 15.
leucovorin...... 10 mg/sqm orally every 6 h times 8 beginning 24
hours after methotrexate.
bleomycin....... 4 mg/sqm IV day 1.
adriamycin...... 45 mg/sqm IV day 1.
cytoxan......... 600 mg/sqm IV day 1.
vincristine..... 1.0 mg/sqm IV day 1.
dexamethasone... 6.0 mg/sqm/day orally from day 1 to day 5.
FREQUENCY....... Repeat cycle every 21 days for 10 cycles.
96. Skarin AT, Canellos G, Rosenthal D, et.al. Moderate dose
methotrexate (m) combined with bleomycin (B), adriamycin
(A), cyclophosphamide (C), Oncovin (O), and dexamethasone
(D), m-BACOD, in advanced diffuse histiocytic lymphoma. Proc
Soc Clin Onocl 2:220, 1983.
reference...
Shipp MA. Harrington DP. Klatt MM. Jochelson MS. Pinkus
GS. Marshall JL. Rosenthal DS. Skarin AT. Canellos GP.
Identification of major prognostic subgroups of patients with
large-cell lymphoma treated with m-BACOD or M-BACOD. Annals of
Internal Medicine. 104(6):757-65, 1986 Jun.
abstract...
One hundred twenty-one patients with diffuse large-cell
lymphoma treated with m- or M-BACOD (methotrexate, bleomycin,
doxorubicin, cyclophosphamide, vincristine, and dexamethasone)
were evaluated for pretreatment characteristics predictive for
response and survival. Two characteristics, poor performance
status and massive bulky disease, were negatively associated
with response rate in a multivariate analysis. These two
characteristics were also negatively associated with survival
in multivariate analysis, as was another factor, an increased
number of extranodal sites of disease. These three
pretreatment characteristics were used to construct a model
containing 12 categories of patients at increasing risk for
relapse and shortened survival. These categories divided
naturally into three broad groups of patients with respective
5-year survival rates of 68%, 55%, and 24%.
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