Table 1.

Clinical characteristics and patient follow-up

Patient
no.
Age/sexPast
history
Past
treatment
Extramedullary sites of involvementInitial therapy5-152CR/PROutcome
Relapse
Survival
SkinLymph nodeSpleenOther
15-150 76/M RA Symptomatic  Symptomatic No  3 mo+ 
8/M None None Cytarabine, mitoxantrone CR Yes, at mo 12 37 mo+ 
86/F None None    Symptomatic No  3 mo+ 
81/F None None   Cyclophosphamide, vincristine, prednisone CR Yes, at mo 6 12 mo+ 
68/F None None    Lomustine, adriamycin, cytarabine CR Yes, at mo 18 22 mo 
69/M None None  Cyclophosphamide, vincristine, prednisone CR Yes, at mo 12 12 mo+ 
75/M None None   VP16/AraC/ifosfamide CR Yes, at mo 4 6 mo+ 
72/M None None   Cyclophosphamide, epirubicine, vincristine, prednisone PR Yes, at mo 9 23 mo+ 
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/sexPast
history
Past
treatment
Extramedullary sites of involvementInitial therapy5-152CR/PROutcome
Relapse
Survival
SkinLymph nodeSpleenOther
15-150 76/M RA Symptomatic  Symptomatic No  3 mo+ 
8/M None None Cytarabine, mitoxantrone CR Yes, at mo 12 37 mo+ 
86/F None None    Symptomatic No  3 mo+ 
81/F None None   Cyclophosphamide, vincristine, prednisone CR Yes, at mo 6 12 mo+ 
68/F None None    Lomustine, adriamycin, cytarabine CR Yes, at mo 18 22 mo 
69/M None None  Cyclophosphamide, vincristine, prednisone CR Yes, at mo 12 12 mo+ 
75/M None None   VP16/AraC/ifosfamide CR Yes, at mo 4 6 mo+ 
72/M None None   Cyclophosphamide, epirubicine, vincristine, prednisone PR Yes, at mo 9 23 mo+ 
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.

F5-150

Diagnosis of refractory anemia without excess of blasts (RA) 3 years previously for patient 1; diagnosis of RAEB 2 years previously for patient 15.

F5-151

Initial cutaneous localization and secondary medullary dissemination.

F5-152

Generic names are followed by their proprietary products: cytarabine, Aracytine; cyclophosphamide, Endoxan; ifosfamide, Holoxan; mitoxantrone, Novantrone; vincristine, Oncovin; 6-mercaptopurine, Purinethol.

Close Modal

or Create an Account

Close Modal
Close Modal