We describe 3 patients with acute myeloblastic leukemia (AML), who received rhG-CSF for infections such as pneumonia or for prophylaxis of infection, and who achieved complete remission. They had not received any antileukemic therapy before or during the administration of rhG-CSF. These findings sug
G-CSF-induced remission in two cases of acute myeloid leukemia
✍ Scribed by Rudolf Benz; Jeroen S. Goede; Valérie Parlier; Dominique Mühlematter; Martine Jotterand; Jörg Fehr
- Publisher
- Elsevier Science
- Year
- 2008
- Tongue
- English
- Weight
- 395 KB
- Volume
- 32
- Category
- Article
- ISSN
- 0145-2126
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✦ Synopsis
We report on two elderly patients with newly diagnosed acute myeloid leukemia (AML) who were treated in palliative intention because of comorbidities and intermediate or poor risk cytogenetics. Both received G-CSF to reduce the risk of infection related to neutropenia. Interestingly, one patient achieved a full hematological remission and the other a peripheral remission with dramatic reduction of the bone marrow blast count. Although a direct therapeutic effect of myeloid growth factors seems to be unusual in AML, the use of G-CSF or GM-CSF may be recommended in patients such as elderly patients who are not suited for intensive chemotherapy.
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Thirty-eight patients with primary resistant or relapsing acute myeloid leukemia (AML) were treated with fludarabine, cytarabine and granulocyte colony-stimulating factor (FLAG). Median age was 41 (range 11-70). Sixteen patients had AML that was primary resistant to induction treatment, while 22 wer
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