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Autologous Bone Marrow Transplantation for Poor-Prognosis Neuroblastoma Robert C. Seeger, C. Patrick Reynolds, Thomas J. Moss, Carl Lenarsky, Stephen A Feig, Michael Selch, John Clgelstad, and John Wells Neuroblastoma, a neoplasm of the sympathetic nervous system, is the most common extracranial tumor of childhood ( 1 ). Approximately 60% of all patients have only a 10% probability of long-term, disease-free survival if given conventional therapy that includes chemotherapy, local irradiation, and surgery (2-5). Recent pilot studies of intensive chemotherapy and total body irradiation (TBI) followed by allogeneic bone marrow transplantation (BMT) or autologous bone marrow transplantation (ABMT) have produced encouraging results (6,7). In this report, we update our original study in which 20 patients with advanced neuroblastoma underwent intensive four-drug chemotherapy, TBI, and ABMT or allogeneic BMT; in addition, we provide data from our current study regarding the clinical use of sedimentation, filtration, and magnetic immunobeads for the ex vivo removal of neuroblastoma cells from autologous marrow. 375
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Autologous Bone Marrow Transplantat
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To our colleagues, Drs. R. Lee Clar
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via ABMT Autologous Bone Marrow Tra
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X ABMT Pharmacological Manipulation
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XII ABMT C. INTERNATIONAL RANDOMIZE
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xiu ABMT Session IV - Breast Cancer
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xui ABMT Panel Discussion: Session
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xuiii ABMT Effect of Interleukin 2
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Acknowledgments The publication of
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AML in First Remission 5 performed
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AML in First Remission 7 than 50% o
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10 BAVC + ABMT in Patients With AML
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BAVC + ABMT in Patients With AML in
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14 BAVC + ABMTin Patients With AML
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16 Purged ABMT in CR of Acute Leuke
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24 First-Remission Autograft forAML
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Transplantation in CRI AML 33 DISCU
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36 ABMT in ALL compared the results
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38 ABMT in ALL were administered un
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40 ABMT in ALL CR1 patients receive
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42 ABMT in ALL 19. Rizzoli V, Mango
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44 ABMTin CRI program in CR1 is the
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46 ABMTin CRI RESULTS The AML inves
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Leukemia: First Remission K A. Dick
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Panel Discussion: Session IA 51 DR.
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IB. Clinical Studies in Second- or
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56 ABMTIn CR2 RESULTS OF VARIOUS TR
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58 ABMTIn CR2 antibodies; for non-T
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60 ABMT in Acute Nonlymphocytic Leu
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70 ABMT in AML With Monoclonal Anti
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80 Mafosfamide Purging in Leukemia
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ABMT in CR2 Pediatric ALL 91 follow
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Ex Vivo Use of Monoclonal Antibodie
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Ex Vivo Marrow Purging 95 Table 1.
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De Viuo Marrow Purging 97 WBC-f- AN
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Conditioning Regimens Before Bone M
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Conditioning Regimens in AML 101 Le
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Conditioning Regimens in AML 103 co
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106 Double (Jnpurged ABMT in Leukem
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108 Double Unpurged ABMT in Leukemi
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770 Double (Jnpurged ABMT in Leukem
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7/2 Double Autografting in Acute Le
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114 Double Autografting in Acute Le
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120 Recovery After 4-Hydroperoxycyc
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122 Recovery After 4-Hydroperoxycyc
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Panel Discussion: Session IB 127 di
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Panel Discussion: Session IB 129 tu
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Magnetic Affinity Colloid Eliminati
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Magnetic Separation of Marrow Cells
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*r r- r» u. >>• O S ^ CO ai a> C
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4-Hydroperoxycyclophosphamide and V
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Chemopurging 145 incubation, the ce
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Chemopurging 147 To date, four pati
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Chemopurging 149 4-HC + VCR IC75 AM
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Decontaminating Bone Marrow With Me
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Merocyanine 540 Marrow Decontaminat
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Merocyanine 540 Marrow Decontaminat
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CALLA-Negative Clonogenic Cultures
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CALLA-Negatiœ Clonogenic BCell ALL
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CALLA-Negative Clonogenic BCell ALL
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164 Acetaldophosphamide Ex Vivo Che
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766 Acetaldophosphamide Ex Vivo Che
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168 Acetaldophosphamide Ex Viuo Che
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Detecting Residual Disease in Bone
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178 Pharmacological Manipulation an
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ID. Chronic Myelogenous Leukemia
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190 CML Chronic Phase Autografting
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196 CML Blast Crisis Autografting e
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Autologous Transplantation of Phila
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Autografting in Chronic Granulocyti
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Autografting in Chronic Granulocyti
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206 Panel Discussion: Session ID DR
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Natural History of Relapsed Hodgkin
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ABMT in Hodgkin's Disease 211 50%.
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ABMTin Hodgkin, 's Disease 213 (62%
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ABMT in Hodgkin's Disease 215 LLLLL
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Updated Results of CBV and Autologo
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CBV and ABMT in Hodgkin's Disease 2
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CBV and ABMT in Hodgkin 's Disease
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224 Chemotherapy and ABMT in Hodgki
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226 Chemotherapy and ABMTin Hodgkin
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232 ABMT for Advanced Hodgkin's Dis
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234 ABMTfor Advanced Hodgkin's Dise
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Hodgkin's Disease J. O. Armitage an
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Panel Discussion: Session IIA 239 D
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IIB. Non-Hodgkin's Lymphoma
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244 Salvage Chemotherapy for Lympho
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246 Salvage Chemotherapy for Lympho
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ABMT in Burkitt's Lymphoma 251 Tabl
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ABMT in Burkitt's Lymphoma 253 medi
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ABMT in Burkitt's Lymphoma 255 Heal
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ABMT in Burkitt's Lymphoma 257 •
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ABMT in Burkitt's Lymphoma 259 init
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ABMT in Burkitt's Lymphoma 261 11.
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264 Myeloma Biology and Therapy hig
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266 Myeloma Biology and Therapy mon
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265 Myeloma Biology and Therapy 5.
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270 BMT in Relapsed Diffuse Large C
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276 Transplantation for Malignant L
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Optimum Timing of Autologous Bone M
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ABMT Timing in Lymphoma 281 PATIENT
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3 o + + + + o LO T— T— LO co Tf
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ABMT Timing in Lymphoma 285 RESULTS
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co co I I I I I I I I I I 2 2 2 CD
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ABMT Timing in Lymphoma 289 Median
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ABMT Timing in Lymphoma 291 in a mi
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ABMT Timing in Lymphoma 293 Develop
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ABMT Timing in Lymphoma 295 53. Sto
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298 Treatment Strategies for NHL PA
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300 Treatment Strategies for NHL 10
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302 Treatment Strategies for NHL 2)
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304 Treatment Strategies for NHL al
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306 Treatment Strategies for NHL 31
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308 Panel Discussion: Session IIB m
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IIC. International Randomized Study
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314 Proposed International Adult Ly
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Page 348 and 349: 324 Proposed International Adult Ly
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Page 365 and 366: International NHL Trial 341 ORGANIZ
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Page 372 and 373: 348 Chemoimmunoseparation of T Lymp
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Page 376 and 377: 352 Burkitt's Lymphoma Purging Assa
Page 378 and 379: 354 Burkitts Lymphoma Purging Assay
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Page 384 and 385: 360 Purging Methods in Burkitt's Ly
Page 390 and 391: 366 Leukemia Cell Sensitivity to Im
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Page 400 and 401: 376 ABMT for Neuroblastoma TOXICITY
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Page 426 and 427: 402 High-Dose Melphalan in Neurobla
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Transplantation for Neuroblastoma U
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Purged Marrow Engraftment in Neurob
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s o o o i o i - w n . t t i s T - T
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436 Digital Image Analysis System a
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438 Digital Image Analysis System T
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440 Digital Image Analysis System u
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Eliminating Burkitt's Cells From Ex
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Immunomagnetic Purging ofBurkitt's
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Immunomagnetic Purging ofBurkitt's
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Neuroblastoma T. Philip and C. P. R
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Panel Discussion: Session 111 451 w
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IV. Breast Cancer
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456 High-Dose Chemotherapy and ABMT
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Strategies in the Treatment of Brea
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Treatment Strategies in Breast Canc
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Phase I and II Studies of High-Dose
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a « O 75 o c Ü co s g c .2 — o
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+ O CM CD CM CO CO O O CM O CM CM 8
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High-Dose Chemotherapy and Autologo
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High-Dose Therapy and ABMT in Breas
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Immunodetection of Breast Carcinoma
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Immunodetection of Breast Carcinoma
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490 ABMTfor Breast Cancer initial s
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492 ABMT for Breast Cancer agent gr
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494 ABMT for Breast Cancer approach
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Detection of Occult Breast Cancer C
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Occult Breast Cancer Cells in Marro
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Occult Breast Cancer Cells in Marro
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Breast Cancer E. Frei III and R. Ba
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Panel Discussion: Session IV 505 DR
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V. Lung Cancer
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570 Tumor Cell Detection MATERIAL A
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512 Tumor Cell Detection Table 3. I
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High-Dose Etoposide and Cisplatin W
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Etoposide and Cisplatin for Lung Ca
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524 Panel Discussion: Session V to
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526 Panel Discussion: Session V sma
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VI. Melanoma/Sarcoma/Carcinoma
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532 ABMT in Melanoma chemotherapy a
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534 ABMT in Melanoma Table 2. Effec
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536 ABMT in Melanoma with either si
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538 Panel Discussion: Session VI ca
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540 Panel Discussion: Session VI sa
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Intensive Monochemotherapy With Car
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Carmustine and ABMTfor Malignant Gl
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Carmustine andABMTfor Malignant Gli
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550 High-Dose Carmustine and Transp
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558 High-Dose Therapy of CHS Glioma
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Brain Cancer S. Wolff and G. Herzig
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Panel Discussion: Session VII 567 D
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Intensification Regimens for Autolo
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Clinical Intensification Regimens f
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c « O) o in CM -r 1 •«t 00 i -
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582 Busulfan + Cyclophosphamide in
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Busulfan + Cyclophosphamide in Chil
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590 Intensive use of Carmustine Pul
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A Phase II Study of a New Cytoreduc
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BEAM: Cytoreductiue Regimen for Lym
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BEAM: Cytoreductiue Regimen for Lym
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BEAM: Cytoreductlue Regimen for Lym
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Total Body Irradiation, High-Dose C
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Total Body Irradiation, Cytarabine,
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New Regimens K. Antman and M. Syman
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IX. Supportive Therapy
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670 Herpesvirus Infections Table 1.
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612 Herpesvirus Infections Table 3.
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Autologous Blood Stem Cell Transpla
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Peripheral Stem Cell Transplantatio
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a c CO TO O O S E => CO "O CO i- t
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3 w •o « C C o ü ü CD < , o E
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Toxic Deaths After Autologous Bone
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Toxic Deaths in ABMT 635 RESULTS Fi
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Toxic Deaths in ABMT 63 7 Patient/
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Infectious Complications of Autolog
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Infectious Complications of ABMT Ta
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Infectious Complications ofABMT 643
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Infectious Complications ofABMT 645
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648 Infections in ABMT MATERIAL AND
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650 Infections in ABMT Category Tab
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652 Infections in ABMT been found,
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654 Antibiotics in Cancer Patients
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656 Antibiotics in Cancer Patients
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The Empiric Use of Amphotericin B f
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Amphotericin B for Neutropenie Feue
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Amphotericin B for Neutropenie Feve
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The Role of Intravenous Immune Glob
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Mg in ABMT 667 broken down; antigen
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The Possible Therapeutic Value of N
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Natural Killer Cells and Transplant
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Natural Killer Cells and Transplant
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676 Transplantation of Circulating
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Transplantation of Circulating Stem
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682 Peripheral Stem Cell Transplant
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684 Peripheral Stem Cell Transplant
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Autologous Transplantation Using Pe
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Peripheral Blood Stem Cell Transpla
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Peripheral Blood Stem Cell Transpla
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Bronchoscopic Examination and Bronc
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Bronchoscopy in Marrow Transplantat
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Effect of Interleukin 2 on T Lympho
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c c 4) "5 Q. Ss •o 3 35 (A U «5
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T Lymphocyte CFU After ABMT 701 Six
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T Lymphocyte CFCJ After ABMT 703 no
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706 Panel Discussion: Session IX se
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Expression of Human Adenosine Deami
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Human ADA in Monkeys 711 to the SAX
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Human ADA in Monkeys 713 4 were nev
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Human ADA in Monkeys 715 tuted marr
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Electric Field-Mediated DNA Transfe
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724 Aberrant Gene Expression in AML
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Clonal Detection of Remission by Re
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Clonal Detection of Remission 733 c
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Clonal Detection of Remission 3 735
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XI. Summary
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740 Summary administration of the a
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742 Summary particularly apparent i
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744 Summary limited occurrence of t
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Concluding Remarks Karel A. Dicke I
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Contributors and Participants Zora
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Contributors and Participants 751 M
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Contributors and Participants 753 A
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Contributors and Participants 755 R
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Contributors and Participants 757 M
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Contributors and Participants Leona
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Contributors and Participants 761 L
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Contributors and Participants 763 B
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Contributors and Participants 765 J
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Contributors and Participants 769 B
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Contributors and Participants 771 G
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Contributors and Participants 773 A
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