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Autologous Bone Marrow Transplantation - Blog Science Connections

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44 ABMTin CRI<br />

program in CR1 is the relatively low number of leukemic cells remaining in the<br />

recipient and the small chance of drug resistance of the leukemic cell<br />

population in CR1. This program is the subject of this chapter.<br />

PATIENT POPULATION<br />

The patients selected for transplantation were those who achieved CR and<br />

stayed in remission for at least 6 months. Their median age was 35 years (range,<br />

17-50 years). The induction and consolidation programs for acute myelogenous<br />

leukemia (AML) and acute lymphocytic leukemia (ALL) are shown in Figures 1<br />

and 2. It should be noted that in AML as well as in ALL, high-dose ara-C<br />

(cytarabine) was used for consolidation immediately after achieving CR. Three<br />

courses of chemotherapy, AD-OAP (Adriamycin-Oncovin [vincristine], ara-C<br />

[cytarabine 1, prednisone) for AML and MTX-DOMP (methotrexate-daunorubicin,<br />

Oncovin [vincristine], mercaptopurine, prednisone) for ALL, were administered<br />

before high-dose intensification with CBV and ABMT. During the chemotherapy<br />

Remission<br />

AP.A-C 3 g/rn^<br />

Induction<br />

PPR >.6 PPR

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