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Pre-operative High-dose chemotherapy for infantile hepatoblastoma (PRETEXT IV)-review of our two cases
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- MUTO,Mitsuru
- Department of Surgery, Tokyo Metropolitan Kiyose Children's Hospital
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- HIROBE,Seiichi
- Department of Surgery, Tokyo Metropolitan Kiyose Children's Hospital
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- TOMA,Miki
- Department of Surgery, Tokyo Metropolitan Kiyose Children's Hospital
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- KOMORI,Koji
- Department of Surgery, Tokyo Metropolitan Kiyose Children's Hospital
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- OKUMURA,Kenji
- Department of Surgery, Tokyo Metropolitan Kiyose Children's Hospital
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- KANEKO,Takashi
- Department of Hematology and Oncology, Tokyo Metropolitan Kiyose Children's Hospital
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- YONEYAMA,Hiroshi
- Department of Hematology and Oncology, Tokyo Metropolitan Kiyose Children's Hospital
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- SUGITA,Mayumi
- Department of Hematology and Oncology, Tokyo Metropolitan Kiyose Children's Hospital
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- HUKUOKA,Kohei
- Department of Hematology and Oncology, Tokyo Metropolitan Kiyose Children's Hospital
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- MORIKAWA,Masahiko
- Department of Pathology, Tokyo Metropolitan Kiyose Children's Hospital
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- KAMAGATA,Syoichiro
- Department of Surgery, Tokyo Metropolitan Kiyose Children's Hospital
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- HAYASHI,Akira
- Department of Surgery, Tokyo Metropolitan Kiyose Children's Hospital
Bibliographic Information
- Other Title
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- 術前超大量化学療法を行ったPRETEXT IV乳児肝芽腫2症例の検討
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Description
We report on two cases of infantile hepatoblastoma specified as PRETEXT (Pre-Treatment Extent of Disease) IV. Regimen CITA and ITEC prescribed by the JPLT-2 (Japanese Study Group for Pediatric Liver Tumor) protocol were invalid in both cases. Then, the extensive high-dose chemotherapy followed by an autologous bone marrow transplant were tried. Consequently, regimen Hi-MEC (Melpharan+Etoposide+Carboplatin) showed a poor response. On the other hand, regimen Hi-MT (Melpharan+thio-TEPA) had a great effect and the tumor could be excised completely. This is the first report about "preoperative high-dose chemotherapy" based on the JPLT-2 protocol. Hi-MT was thought to be a suitable treatment when standard chemotherapy was not effective. The treatment strategy for unresectable infantile hepatoblastoma was considered based on our experience.
Journal
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- 小児がん : 小児悪性腫瘍研究会記録
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小児がん : 小児悪性腫瘍研究会記録 45 (2), 158-161, 2008-05-25
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Keywords
Details 詳細情報について
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- CRID
- 1544231895055111808
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- NII Article ID
- 110007170695
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- NII Book ID
- AN00116159
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- Text Lang
- ja
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- Data Source
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- NDL Digital Collections (NII-ELS)
- CiNii Articles