Improved outcome in childhood B-cell lymphoma with the intensified French LMB protocol

Isaac Yaniv, Salvador Fischer, Celia Mor, Batia Stark, Yaacov Goshen, Jeremiah Stein, Ian J. Cohen, Rina Zaizov

Research output: Contribution to journalArticlepeer-review

Abstract

Background. During the last 20 years, 120 children with B cell lymphoma were treated at the National Pediatric Hematology/Oncology Center of Israel. Until 1986, 63 patients received an institutional protocol (BMC), and thereafter 57 patients received a modified French LMB protocol. We report the results of a retrospective analysis comparing the results of these two protocols. Procedure. Patient characteristics were similar in both groups except for stage of disease and lactate dehydrogenase (LDH) levels. Significantly more patients in the LMB group had higher stage disease, and the LDH levels also were higher (<600 μg/ml). Results. Fifty-four of fifty- seven children on the modified LMB protocol are alive, disease-free, with an overall event-free survival of 94% (median follow-up of 73 months). Event- free survival for stages I, II, and III patients is 100%, and for stage IV 77%, whereas the overall event-free survival was 58% among 63 children treated previously, and for stage IV patients only 10%. Severe marrow suppression and neutropenic enterocolitis were the major complications of this intensive protocol. Conclusions. Intensive chemotherapy with a modified LMB protocol and modern supportive care result in a high cure rate of childhood B cell lymphoma even in patients with advanced disease. Med. Pediatr. (C) 2000 Wiley-Liss, Inc.

Original languageEnglish
Pages (from-to)8-12
Number of pages5
JournalMedical and Pediatric Oncology
Volume35
Issue number1
DOIs
StatePublished - Jul 2000

Keywords

  • Burkitt lymphoma
  • Chemotherapy
  • Childhood lymphoma
  • LMB protocol

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