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논문 기본 정보

자료유형
학술저널
저자정보
Seo, Juhee (Department of Pediatrics, Korea Cancer Center Hospital) Kim, Dong Ho (Department of Pediatrics, Korea Cancer Center Hospital) Lim, Jung Sub (Department of Pediatrics, Korea Cancer Center Hospital) Koh, Jae-Soo (Department of Pathology, Korea Cancer Center Hospital) Yoo, Ji Young (Department of Diagnostic Radiology, Korea Cancer Center Hospital) Kong, Chang-Bae (Department of Orthopedic Surgery, Korea Cancer Center Hospital) Song, Won Seok (Department of Orthopedic Surgery, Korea Cancer Center Hospital) Cho, Wan Hyeong (Department of Orthopedic Surgery, Korea Cancer Center Hospital) Jeon, Dae-Geun (Department of Orthopedic Surgery, Korea Cancer Center Hospital) Lee, Soo-Yong (Department of Orthopedic Surgery, Korea Cancer Center Hospital) Lee, Jun Ah (Department of Pediatrics, Korea Cancer Center Hospital)
저널정보
대한소아청소년과학회 Clinical and Experimental Pediatrics Korean journal of pediatrics 제56권 제9호
발행연도
2013.1
수록면
401 - 406 (6page)

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Purpose: We performed a pilot study to determine the benefit of high-dose chemotherapy and autologous peripheral blood stem cell transplantation (HDCT/autoPBSCT) for patients with Ewing sarcoma family of tumors. Methods: We retrospectively analyzed the data of patients who received HDCT/autoPBSCT at Korea Cancer Center Hospital. Patients with relapsed, metastatic, or centrally located tumors were eligible for the study. Results: A total of 9 patients (3 male, 6 female), with a median age at HDCT/autoPBSCT of 13.4 years (range, 7.1 to 28.2 years), were included in this study. Patients underwent conventional chemotherapy and local control either by surgery or radiation therapy, and had achieved complete response (CR, n=7), partial response (n=1), or stable disease (n=1) prior to HDCT/autoPBSCT. There was no transplant-related mortality. However, the median duration of overall survival and event-free survival after HDCT/autoPBSCT were 13.3 months (range, 5.3 to 44.5 months) and 6.2 months (range, 2.1 to 44.5 months), respectively. At present, 4 patients are alive and 5 patients who experienced adverse events (2 metastasis, 2 local recur, and 1 progressive disease) survived for a median time of 2.8 months (range, 0.1 to 10.7 months). The 2-year survival after HDCT/autoPBSCT was $44.4%{\pm}16.6%$ and disease status at the time of HDCT/autoPBSCT tended to influence survival ($57.1%{\pm}18.7%$ of cases with CR vs. 0% of cases with non-CR, P=0.07). Conclusion: Disease status at HDCT/autoPBSCT tended to influence survival. Further studies are necessary to define the role of HDCT/autoPBSCT and to identify subgroup of patients who might benefit from this investigational treatment.

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