Clinical characteristics and patient follow-up
Patient no. . | Age/sex . | Past history . | Past treatment . | Extramedullary sites of involvement . | Initial therapy5-152 . | CR/PR . | Outcome Relapse . | Survival . | |||
---|---|---|---|---|---|---|---|---|---|---|---|
Skin . | Lymph node . | Spleen . | Other . | ||||||||
15-150 | 76/M | RA | Symptomatic | + | + | + | Symptomatic | No | 3 mo+ | ||
2 | 8/M | None | None | + | + | + | + | Cytarabine, mitoxantrone | CR | Yes, at mo 12 | 37 mo+ |
3 | 86/F | None | None | + | Symptomatic | No | 3 mo+ | ||||
4 | 81/F | None | None | + | + | Cyclophosphamide, vincristine, prednisone | CR | Yes, at mo 6 | 12 mo+ | ||
5 | 68/F | None | None | + | Lomustine, adriamycin, cytarabine | CR | Yes, at mo 18 | 22 mo | |||
6 | 69/M | None | None | + | + | + | Cyclophosphamide, vincristine, prednisone | CR | Yes, at mo 12 | 12 mo+ | |
7 | 75/M | None | None | + | + | VP16/AraC/ifosfamide | CR | Yes, at mo 4 | 6 mo+ | ||
8 | 72/M | None | None | + | + | Cyclophosphamide, epirubicine, vincristine, prednisone | PR | Yes, at mo 9 | 23 mo+ | ||
9 | 6/F | None | None | + | + | Rubidomycine, prednisone, asparaginase, vincristine + allogenic BMT at the first CR | CR | No | 98 mo | ||
10 | 55/M | One son dead of AML3 | None | + | Lomustine, adriamycin, cytarabine | CR | Yes, at mo 15 | 16 mo+ | |||
115-151 | 79/M | None | None | + | Cyclophosphamide, VP16, prednisone | CR | Yes, at mo 6 | 8 mo+ | |||
12 | 14/M | None | None | + | Vincristine, prednisone, daunorubicin, asparaginase5-151 | CR | No | 10 mo | |||
135-151 | 74/M | None | None | + | VP16/ifosfamide | CR | Yes, at mo 6 | 17 mo+ | |||
14 | 74/F | One sister with breast carcinoma | None | + | Vincristine, 6-mercaptopurine, cyclophosphamide, cytarabine | CR | No | 5 mo | |||
155-150 | 67/M | RAEB + cutaneous nodule | Electron-therapy + caryolysine + hydroxyurea | + | + | + | Idarubicine, cytarabine | CR | Yes, at mo 3 | 5 mo | |
16 | 75/F | None | None | + | + | + | + | Prednisone, vincristine, cyclophosphamide, daunorubicin | No | 9 mo+ | |
17 | 60/M | None | None | + | + | Lomustine, adriamycin, cytarabine | CR | Yes, at mo 8 | 9 mo+ | ||
18 | 82/M | None | None | + | Vincristine, cyclophosphamide, adriamycin | CR | 4 mo | ||||
19 | 56/M | Cutaneous nodules one month before | None | + | + | Daunorubicin, cytarabine | CR | Yes, at mo 9 | 13 mo+ | ||
20 | 67/M | None | None | + | + | + | 6-Mercaptopurine, methotrexate, prednisone | PR | Yes, at mo 5 | 12 mo | |
21 | 70/M | None | + | + | + | + | Cyclophosphamide, vincristine, prednisone | CR | Yes, at mo 6 | 7 mo+ | |
225-151 | 28/M | None | None | + | Cyclophosphamide, adriamycin, vincristine, prednisone, allogenic BMT at the first CR | CR | Yes, at mo 12 | 38 mo+ | |||
23 | 29/M | None | None | + | Cyclophosphamide, adriamycin, vincristine, prednisone, allogenic BMT at the first CR | CR | No | 76 mo | |||
Frequencies | 17/M (74%), 6/F (26%) | 19/23 (83%) | 12/23 (52%) | 9/23 (39%) | 6/23 (26%) | 18 CR (78%) | 15 relapses/ 18 (83%), | Median = 12 mo | |||
2 PR (9%) | Median, 9 mo | (range 3-96 mo) | |||||||||
14/23 (61%) with both |
Patient no. . | Age/sex . | Past history . | Past treatment . | Extramedullary sites of involvement . | Initial therapy5-152 . | CR/PR . | Outcome Relapse . | Survival . | |||
---|---|---|---|---|---|---|---|---|---|---|---|
Skin . | Lymph node . | Spleen . | Other . | ||||||||
15-150 | 76/M | RA | Symptomatic | + | + | + | Symptomatic | No | 3 mo+ | ||
2 | 8/M | None | None | + | + | + | + | Cytarabine, mitoxantrone | CR | Yes, at mo 12 | 37 mo+ |
3 | 86/F | None | None | + | Symptomatic | No | 3 mo+ | ||||
4 | 81/F | None | None | + | + | Cyclophosphamide, vincristine, prednisone | CR | Yes, at mo 6 | 12 mo+ | ||
5 | 68/F | None | None | + | Lomustine, adriamycin, cytarabine | CR | Yes, at mo 18 | 22 mo | |||
6 | 69/M | None | None | + | + | + | Cyclophosphamide, vincristine, prednisone | CR | Yes, at mo 12 | 12 mo+ | |
7 | 75/M | None | None | + | + | VP16/AraC/ifosfamide | CR | Yes, at mo 4 | 6 mo+ | ||
8 | 72/M | None | None | + | + | Cyclophosphamide, epirubicine, vincristine, prednisone | PR | Yes, at mo 9 | 23 mo+ | ||
9 | 6/F | None | None | + | + | Rubidomycine, prednisone, asparaginase, vincristine + allogenic BMT at the first CR | CR | No | 98 mo | ||
10 | 55/M | One son dead of AML3 | None | + | Lomustine, adriamycin, cytarabine | CR | Yes, at mo 15 | 16 mo+ | |||
115-151 | 79/M | None | None | + | Cyclophosphamide, VP16, prednisone | CR | Yes, at mo 6 | 8 mo+ | |||
12 | 14/M | None | None | + | Vincristine, prednisone, daunorubicin, asparaginase5-151 | CR | No | 10 mo | |||
135-151 | 74/M | None | None | + | VP16/ifosfamide | CR | Yes, at mo 6 | 17 mo+ | |||
14 | 74/F | One sister with breast carcinoma | None | + | Vincristine, 6-mercaptopurine, cyclophosphamide, cytarabine | CR | No | 5 mo | |||
155-150 | 67/M | RAEB + cutaneous nodule | Electron-therapy + caryolysine + hydroxyurea | + | + | + | Idarubicine, cytarabine | CR | Yes, at mo 3 | 5 mo | |
16 | 75/F | None | None | + | + | + | + | Prednisone, vincristine, cyclophosphamide, daunorubicin | No | 9 mo+ | |
17 | 60/M | None | None | + | + | Lomustine, adriamycin, cytarabine | CR | Yes, at mo 8 | 9 mo+ | ||
18 | 82/M | None | None | + | Vincristine, cyclophosphamide, adriamycin | CR | 4 mo | ||||
19 | 56/M | Cutaneous nodules one month before | None | + | + | Daunorubicin, cytarabine | CR | Yes, at mo 9 | 13 mo+ | ||
20 | 67/M | None | None | + | + | + | 6-Mercaptopurine, methotrexate, prednisone | PR | Yes, at mo 5 | 12 mo | |
21 | 70/M | None | + | + | + | + | Cyclophosphamide, vincristine, prednisone | CR | Yes, at mo 6 | 7 mo+ | |
225-151 | 28/M | None | None | + | Cyclophosphamide, adriamycin, vincristine, prednisone, allogenic BMT at the first CR | CR | Yes, at mo 12 | 38 mo+ | |||
23 | 29/M | None | None | + | Cyclophosphamide, adriamycin, vincristine, prednisone, allogenic BMT at the first CR | CR | No | 76 mo | |||
Frequencies | 17/M (74%), 6/F (26%) | 19/23 (83%) | 12/23 (52%) | 9/23 (39%) | 6/23 (26%) | 18 CR (78%) | 15 relapses/ 18 (83%), | Median = 12 mo | |||
2 PR (9%) | Median, 9 mo | (range 3-96 mo) | |||||||||
14/23 (61%) with both |
“Other” was liver for patients 1, 2, 15, 16, and 21; tonsils for patients 6 and 21; lung, eyes, and CNS for patient 6. lomustine, indicates lomustine; BMT, bone marrow transplantation; CR, complete remission; PR, partial remission; No, absence of remission; +, death. In case of relapse, the date of the first relapse is indicated. Patient 9 was treated according to EORTC58881 VHR protocol, patient 12 according to the FRALLE 2000-BT protocol, and patient 15 according to the GOELAL protocol for adults.
Diagnosis of refractory anemia without excess of blasts (RA) 3 years previously for patient 1; diagnosis of RAEB 2 years previously for patient 15.
Initial cutaneous localization and secondary medullary dissemination.
Generic names are followed by their proprietary products: cytarabine, Aracytine; cyclophosphamide, Endoxan; ifosfamide, Holoxan; mitoxantrone, Novantrone; vincristine, Oncovin; 6-mercaptopurine, Purinethol.