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Autologous Bone Marrow Transplantation - Blog Science Connections

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Neuroblastoma<br />

T. Philip and C. P. Reynolds, Chairmen<br />

DR. T. PHILIP: I want to thank everybody first, and ask specific questions<br />

of each of the speakers. We'll begin with Dr. August. Any questions? Yes,<br />

Ross (Dr. Pinkerton).<br />

DR. R. PINKERTON: Dr. August, you mentioned your plans to incorporate<br />

an 125 l-meta-iodobenzylguanidine in a future regimen. Was this intended to<br />

be a replacement for total body irradiation (TBI) or an adjunct to it and, if so,<br />

what exactly are your plans?<br />

DR. C. AUGUST: It will probably occur before surgery so that there will be<br />

an interval of, I would guess, anywhere from a few weeks to a few months<br />

between that therapy and the ablative therapy and bone marrow rescue.<br />

DR. PHILIP: Dr. Seeger, one point was not clear to me. In 10 of 17<br />

patients you found tumor cells with immunologic screening and cytology was<br />

normal. Can you give us some details?<br />

DR. R. SEEGER: Those patients all had bilateral aspirates and bilateral<br />

biopsies that were normal. They were all done at the same institution, UCLA,<br />

at the time of the autologous harvest.<br />

DR. M. FAVROT: First, we do not so often find a difference between<br />

immunologic detection and morphology. What might the explanation be?<br />

Second, can you give us some objective criteria of what you call a tumor cell?<br />

449

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