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  • Během posledních 15 let jsme svědky významných změn v přístupu k nemocným s Ph+ CML: do léčby byl zaveden interferon a imatinib (IM), došlo k vývoji na poli auto a alogenních transplantací krvetvorných buněk (TKB), změny doznalo i monitorování léčebné odpovědi. Referujeme o výsledcích konzervativní léčby CML v severomoravském regionu v uvedeném období. 22 nemocných statisticky významně starších než zbytek souboru (me věku 61 let; p= 0,029) bylo léčeno perorální chemoterapií s významně nejhorším přežitím (me 51 měsíců; p= 0,0018). Ze 107 nemocných léčených interferonem byla u 38 (45%) dosažena velká cytogenetická odpověď (CO). Celkové přežití (me 99 měsíců) významně ovlivnil Sokalův index a dosažení CO (p= 0,0031 a 0,0063). Pouze 9 nemocných (8%) v léčbě interferonem nadále pokračuje. Důvodem jejího ukončení byla téměř u poloviny nemocných primární rezistence, následována progresí během léčby (27%) a intolerancí (13%). Na druhé straně 4 nemocní ukončili léčbu po dosažení molekulární odpovědi. Léčba IM (cs)
  • We report the results opf conservative treatment of CML in Northern Moravia in 1990-2005. 38 (36%) of 107 patients (pts) treated with interferon (INF) achieved major or better cytogenetic response (CR). OS of pts treated with INF (median 99 months) was influenced by Sokal score and achievement of CR (p=0.0031 and 0.0063). Only 9 (8%) pts are continuing in INF at present. Nearly half of the pts has stopped INF due to the primary resistance. Secondary resistance and intolerance were the cause in 27% and 13% of pts, respectively. 6 pts have stopped the therapy after achievement of molecular response continuing without treatment 9 to 71 months. Treatment with imatinib (IM) was evaluated in 102 pts. 86 pts have started IM in chronic phase, 14 in acceleration and 2 in blastic phase. Interval from diagnosis to initiation of IM ranged from 1 to 135 months (me 9). 28 pts were treated with IM early after diagnosis, 4 were pretreated with oral chemotherapy and 70 pts with INF. IM was indicated due due to int
  • We report the results opf conservative treatment of CML in Northern Moravia in 1990-2005. 38 (36%) of 107 patients (pts) treated with interferon (INF) achieved major or better cytogenetic response (CR). OS of pts treated with INF (median 99 months) was influenced by Sokal score and achievement of CR (p=0.0031 and 0.0063). Only 9 (8%) pts are continuing in INF at present. Nearly half of the pts has stopped INF due to the primary resistance. Secondary resistance and intolerance were the cause in 27% and 13% of pts, respectively. 6 pts have stopped the therapy after achievement of molecular response continuing without treatment 9 to 71 months. Treatment with imatinib (IM) was evaluated in 102 pts. 86 pts have started IM in chronic phase, 14 in acceleration and 2 in blastic phase. Interval from diagnosis to initiation of IM ranged from 1 to 135 months (me 9). 28 pts were treated with IM early after diagnosis, 4 were pretreated with oral chemotherapy and 70 pts with INF. IM was indicated due due to int (en)
Title
  • Treatment of chronic myeloid leukemia in Northern Moravia: results during the perion 1990-2005
  • Léčba chronické myeloidní leukemie na severní Moravě: výsledky z období 1990 až 2005. (cs)
  • Treatment of chronic myeloid leukemia in Northern Moravia: results during the perion 1990-2005 (en)
skos:prefLabel
  • Treatment of chronic myeloid leukemia in Northern Moravia: results during the perion 1990-2005
  • Léčba chronické myeloidní leukemie na severní Moravě: výsledky z období 1990 až 2005. (cs)
  • Treatment of chronic myeloid leukemia in Northern Moravia: results during the perion 1990-2005 (en)
skos:notation
  • RIV/61989592:15110/07:00004381!RIV08-MSM-15110___
http://linked.open.../vavai/riv/strany
  • 79
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • Z(MSM6198959205), Z(MSM6198959223)
http://linked.open...iv/cisloPeriodika
  • Suppl. 1
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 455679
http://linked.open...ai/riv/idVysledku
  • RIV/61989592:15110/07:00004381
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • chronic myeloid leukemia; interferon (INF); imatinib (IM) (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • GB - Spojené království Velké Británie a Severního Irska
http://linked.open...ontrolniKodProRIV
  • [9B67A7751270]
http://linked.open...i/riv/nazevZdroje
  • Blood reviews
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 21
http://linked.open...iv/tvurceVysledku
  • Faber, Edgar
  • Indrák, Karel
  • Jarošová, Marie
  • Raida, Luděk
  • Rohoň, Peter
  • Skoumalová, Ivana
  • Zapletalová, Jana
  • Rožmanová, Šárka
  • Holzerová, Milena
  • Divoký, Vladimír
  • Marešová, Ivana
  • Solná, Renáta
  • Veselovská, Jitka
  • Klusová, Natálie
http://linked.open...n/vavai/riv/zamer
issn
  • 0268-960X
number of pages
http://localhost/t...ganizacniJednotka
  • 15110
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