TREATMENT OF REFRACTORY T-CELL CHRONIC LYMPHOCYTIC-LEUKEMIA WITH PURINE NUCLEOSIDE ANALOGS

被引:15
作者
WITZIG, TE
WEITZ, JJ
LUNDBERG, JH
TEFFERI, A
机构
[1] Division of Internal Medicine and Hematology, Mayo Clinic and Mayo Foundation, Rochester, MN
[2] The St Cloud Clinic of Internal Medicine, St Cloud, Minnesota
[3] The Fond du Lac Clinic, Fond Du Lac, Wisconsin
关键词
T-CHRONIC LYMPHOCYTIC LEUKEMIA; FLUDARABINE;
D O I
10.3109/10428199409049659
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
This report describes two cases of T-cell chronic lymphocytic leukemia (T-CLL) treated with purine nucleoside analogues. One patient had CD8+, CD3+ large granular lymphocytosis (LGL) producing transfusion-dependent anemia and was refractory to chemotherapy. Treatment with four cycles of fludarabine produced a clinical complete remission and a molecular genetic partial remission that has been durable for > 15 months. The other patient had CD4+ T-prolymphocytic leukemia and was unresponsive to both fludarabine and 2-chlorodeoxyadenosine. Further trials of these agents are warranted in T-CLL, especially the LGL variant.
引用
收藏
页码:137 / 139
页数:3
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