Document Detail


Chronic lymphocytic leukemia and hairy-cell leukemia.
MedLine Citation:
PMID:  1710506     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The chronic lymphoid leukemias are a heterogeneous group of disorders with different immunologic, biologic, and clinical features. The most common of these are the B-cell diseases, chronic lymphocytic leukemia and its variants, including prolymphocytic leukemia and hairy cell leukemia. The increased use of immunophenotyping has identified a number of other less common but related disorders. Despite being clonal disorders, the chronic B-cell leukemias exhibit immunologic abnormalities in multiple other lineages, the mechanism for which is not clear. Fludarabine, 2'-deoxycoformycin, and 2-chlorodeoxyadenosine are purine analogues that have advanced the treatment of chronic B-cell leukemias. Fludarabine appears to be the single most effective agent for chronic lymphocytic leukemia, while 2'-deoxycoformycin and 2-chlorodeoxyadenosine are both extremely effective in hairy cell leukemia. A recently completed comparison of alpha-interferon with 2'-deoxycoformycin in hairy cell leukemia may redefine the standard therapy for this disorder. Continued interaction between laboratory and clinical scientists is essential for continued progress in these diseases.
Authors:
B D Cheson
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in oncology     Volume:  3     ISSN:  1040-8746     ISO Abbreviation:  Curr Opin Oncol     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-07-17     Completed Date:  1991-07-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9007265     Medline TA:  Curr Opin Oncol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  54-62     Citation Subset:  IM    
Affiliation:
National Cancer Institute, Bethesda, Maryland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antineoplastic Agents / therapeutic use
B-Lymphocytes / pathology
Chlorambucil / therapeutic use
Humans
Immunologic Factors / therapeutic use
Interferon Type I / therapeutic use
Leukemia, Hairy Cell* / immunology,  pathology,  therapy
Leukemia, Lymphocytic, Chronic, B-Cell* / diagnosis,  immunology,  pathology,  therapy
Middle Aged
Neoplasm Staging
Palliative Care
Pentostatin / therapeutic use
Prognosis
Splenectomy
Chemical
Reg. No./Substance:
0/Antineoplastic Agents; 0/Immunologic Factors; 0/Interferon Type I; 305-03-3/Chlorambucil; 53910-25-1/Pentostatin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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