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Hoppe, Richard T., MD; Harrison, Cameron, MD; Tavallaee, Mahkam, MD, MPH; Bashey, Sameer, MD; Sundram, Uma, MD, PhD; Li, Shufeng, MS; Million, Lynn, MD; Dabaja, Bouthaina, MD; Gangar, Pamela, MD; Duvic, Madeleine, MD; Kim, Youn H., MD
Journal of the American Academy of Dermatology, 02/2015, Letnik: 72, Številka: 2Journal Article
Background Standard-dose (36-Gy) total skin electron beam therapy (TSEBT) is a highly effective treatment in mycosis fungoides. However, the regimen is time-intensive and may be associated with significant toxicity. Objective We sought to evaluate the efficacy and tolerability associated with low-dose (12-Gy) TSEBT. Methods Data from 3 clinical trials using low-dose (12-Gy) TSEBT were pooled. In all trials, TSEBT-naïve patients with stage IB to IIIA mycosis fungoides were treated with TSEBT (12 Gy, 1 Gy per fraction over 3 weeks). The primary end point was clinical response rate. Secondary end points included time to response and duration of clinical benefit. Results In all, 33 patients enrolled. Eighteen were male; stages were 22 IB, 2 IIA, 7 IIB, and 2 IIIA. Overall response rate was 88% (29/33), including 9 patients with complete response. Median time to response was 7.6 weeks (3-12.4 weeks). Median duration of clinical benefit was 70.7 weeks (95% confidence interval 41.8-133.8 weeks). Toxicities from TSEBT were mild and reversible. Limitations Conclusions are limited because of the small number of patients. Conclusions Low-dose TSEBT provides reliable and rapid reduction of disease burden in patients with mycosis fungoides, which could be administered safely multiple times during the course of a patient's disease with acceptable toxicity profile.
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Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
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Vir: Osebne bibliografije
in: SICRIS
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