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中华血液学杂志 1998年第8期19卷 413-417页

作者：冯茹岛崎千寻稻叶亨周淑芸第一军医大学南方医院血液科日本京都府立医科大学第二内科

目的：寻找更确切、有效、方便的预测自体外周血干细胞移植（ＡＰＢＳＣＴ）后血小板恢复能力的指标。方法：利用巨核细胞集落形成单位（ＣＦＵＭＫ）、流式细胞术等技术检测１７例恶性血液病及实体瘤患者外周血干细胞移植物中巨核细... 详细信息

目的：寻找更确切、有效、方便的预测自体外周血干细胞移植（ＡＰＢＳＣＴ）后血小板恢复能力的指标。方法：利用巨核细胞集落形成单位（ＣＦＵＭＫ）、流式细胞术等技术检测１７例恶性血液病及实体瘤患者外周血干细胞移植物中巨核细胞前体细胞的数量。结果：①ＣＤ３４＋细胞中同时表达血小板膜糖蛋白者＜５％；②ＣＤ３４＋／ＣＤ４１ａ＋细胞的数量与ＡＰＢＳＣＴ后血小板恢复时间之间的相关性较ＣＤ３４＋细胞数量与血小板恢复时间之间的相关性好；③ＣＦＵＭＫ的数量与血小板恢复之间有较好的相关性；④ＣＤ３４＋／ＣＤ４１ａ＋细胞数量与ＣＦＵＭＫ数量之间具有较好的相关性。结论：移植物中ＣＤ３４＋／ＣＤ４１ａ＋细胞数量及ＣＦＵＭＫ数量均可作为ＡＰＢＳＣＴ后血小板恢复的预测指标，但以前者更方便。

关键词：干细胞移植外周血血小板 CFU-MK

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Efficacy of Long-Term Treatment with Low-Dose Thalidomide for Patients with Relapsed/Refractory Multiple Myeloma

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International Journal of Clinical Medicine 2011年第5期2卷 570-575页

作者： Kazuyuki Shimizu Hirokazu Murakami Morio Sawamura Yutaka Hattori Shin-ichiro Okamoto Akiyoshi Miwa Isamu Sugiura chihiro shimazaki Masafumi Taniwaki Tadao Ishida Toshiaki Hayashi Hiroshi Kosugi Masaaki Yuge Shinsuke Iida Takashi Ishida Kazutaka Sunami Hideki Asaoku Akira Sakai Masahiro Abe Toshiyuki Takagi 不详

Introduction: We report the results of a prospective study of long-tern treatment with single-agent thalidomide in patients who had responded in a preceding trial of the use of thalidomide for relapsed/refractory myeloma. Patients and Methods: Nineteen patients were enrolled: 11 patients (57.9%) treated at a dosage of 100 mg/day;2 patients (10.5%) at a dosage of 200 mg/day;2 patients (10.5%) at a dosage of 300 mg/day;and 4 patients (21.1%) at a dosage of 400 mg/day. The median follow-up from the start of the preceding study was 3.0 years. At the time of entry to this study, 5 patients (26.3%) had partial response (PR), another 5 patients (26.3%) had a minimal response (MR), and the remaining 9 patients (47.4%) had shown no change (NC). Results: The cumulative MR rate was 78.9% (at the 32nd week) and the cumulative PR rate was 47.4% (at the 112th week). The median progression-free survival was 104 weeks and the median time to next treatment was 144 weeks. No patients experienced grade 4 or greater hematologic toxicity or grade 3 or greater non-hematologic toxicity. Conclusion: Long-term thalidomide maintenance therapy induced an increase in response rate, suppressed the progression to active myeloma without severe adverse events, and contributed to long survival with good activities of daily living.

关键词： Maintenance Therapy Progression-Free Survival Time to Next Treatment Efficacy Safety

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Management of adult Langerhans cell histiocytosis based on the characteristic clinical features

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World Journal of Hematology 2013年第3期2卷 89-98页

作者： Shinsaku Imashuku chihiro shimazaki Arinobu Tojo Toshihiko Imamura Akira Morimoto Division of Hematology Takasago-seibu HospitalTakasago 676-0812Japan the NPO for Japan Langerhans Cell Histiocytosis Study Group Kyoto 602-8566Japan Division of Hematology Social Insurance Kyoto HospitalKyoto 603-8151Japan Division of Stem Cell Therapy Center for Stem Cell Biology and Regenerative Medicinethe Institute of Medical Sciencethe University of TokyoTokyo 108-8639Japan Department of Pediatrics Kyoto Prefectural University of MedicineGraduate School of Medical ScienceKyoto 602-8566Japan Department of Pediatrics Jichi Medical University School of MedicineShimotsuke 329-0498Japan

To find out the most appropriate management,clinical features of 18 cases of adult multisystem langerhans cell histiocytosis(LCH) have been analyzed. The patients comprising of 9 males and 9 females were median age of 36 years,ranging from 18-53 years at diagnosis. Regarding the initial symptoms,7 patients(2 males and 5 females) showed central diabetes insipidus(CDI) and other endocrine symptoms with thickened pituitary stalk or a mass at the hypothalamic region. Additional 2 patients initiated the disease with CDI with no immediate diagnosis. In the remaining patients,the diseasebegun with single(n = 3) or multiple(n = 1) spinal bone lesion(s) in 4 patients(all males),with multiple bone lesions in 3 patients(1 male and 2 females),with single skull lesion in one female patient and with ambiguous symptoms including hypothyroidism in the remaining one male patient. We also recognized the correlation between pregnancy/childbirth and LCH in 4 patients. In terms of treatment,9 patients received systemic immuno-chemotherapy alone,of which the majority received vinblastine-based chemotherapy while 4 received 2-chlorodeoxyadenosine. Five had a combination of immuno-chemotherapy with surgical resection or radiotherapy,2 had immunotherapy alone,2 had surgical resection followed by observation alone to date. Three patients received hematopoietic stem cell transplantation after extensive chemotherapy. In terms of outcome,15 patients are alive(9 with active disease,6 without active disease),with a median of 66 mo(range 17-166 mo),two died of disease while the remaining 1 lost to follow-up. Based on these results,we think that early diagnosis and rapid introduction of appropriate treatment are essential,in order to overcome the problems relevant to adult LCH.

关键词： Langerhans cell histiocytosis Adult Immuno-chemotherapy 2-chlorodeoxyadenosine Childbirth

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Efficacy of Long-Term Treatment with Low-Dose Thalidomide for Patients with Relapsed/Refractory Multiple Myeloma

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International Journal of Clinical Medicine（临床医学国际期刊） 2011年第5期

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