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Long-term remission in an elderly patient with mantle cell leukemia treated with low-dose cyclophosphamide

✍ Scribed by Asou, Norio; Suzushima, Hitoshi; Nishimura, Shintaro; Okubo, Toshiya; Yamasaki, Hiroshi; Osato, Motomi; Hoshino, Koyu; Takatsuki, Kiyoshi; Mitsuya, Hiroaki


Publisher
John Wiley and Sons
Year
2000
Tongue
English
Weight
74 KB
Volume
63
Category
Article
ISSN
0361-8609

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✦ Synopsis


We present an elderly patient with mantle cell leukemia who was successfully treated with low-dose cyclophosphamide (CY). A 76-year-old female was diagnosed as mantle cell leukemia based on abnormal lymphocytosis and splenomegaly without lymphadenopathy. She was orally treated with 50 mg of CY daily and had continuous remission over 4 years. Rearrangements of BCL1 and immunoglobulin heavy chain genes in the peripheral blood lymphocytes were detected at diagnosis, but not 1 or 4 years later. Further studies are required to confirm the role of low-dose CY therapy for patients with mantle cell leukemia and lymphoma. Am.


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