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1、HindawiPublishingCorporationSarcomaVolume2015,ArticleID269197,9pageshttp://dx.doi.org/10.1155/2015/269197ClinicalStudyMyeloablativeChemotherapywithAutologousStemCellTransplantforDesmoplasticSmallRoundCellTumor111ChristopherJ.Forlenza,BrianH.Kushner,NancyKerna
2、n,1112FaridBoulad,HeatherMagnan,LeonardWexler,SuzanneL.Wolden,1,31MichaelP.LaQuaglia,andShakeelModak1DepartmentofPediatrics,MemorialSloan-KetteringCancerCenter,1275YorkAvenue,NewYork,NY10065,USA2DepartmentofRadiationOncology,MemorialSloan-KetteringCancerCente
3、r,1275YorkAvenue,NewYork,NY10065,USA3DepartmentofSurgery,MemorialSloan-KetteringCancerCenter,1275YorkAvenue,NewYork,NY10065,USACorrespondenceshouldbeaddressedtoShakeelModak;modaks@mskcc.orgReceived12December2014;Accepted9March2015AcademicEditor:CyrilFisherCop
4、yright©2015ChristopherJ.Forlenzaetal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited.Desmoplasticsmallroundcelltumor(DSRCT
5、),arare,aggressiveneoplasm,hasapoorprognosis.Inthisprospectivestudy,weevaluatedtheroleofmyeloablativechemotherapy,followedbyautologousstemcelltransplantinimprovingsurvivalinDSRCT.Afterhigh-doseinductionchemotherapyandsurgery,19patientswithchemoresponsiveDSRCT
6、underwentautologousstemcell22transplant.Myeloablativechemotherapyconsistedofcarboplatin(400–700mg/m/dayfor3days)+thiotepa(300mg/m/dayfor23days)±topotecan(2mg/m/dayfor5days).Allpatientswereengraftedandtherewasnotreatment-relatedmortality.Seventeenpatientsrecei
7、vedradiotherapytositesofpriororresidualdiseaseatamedianof12weeksaftertransplant.Five-yearevent-freeandoverallsurvivalwere11±7%and16±8%,respectively.Twopatientssurvivedisease-free16and19yearsaftertransplant(bothincompleteremissionbeforetransplant).14patientsha
8、dprogressionanddiedofdiseaseatamedianof18monthsfollowingautologoustransplant.ThesedatadonotjustifytheuseofmyeloablativechemotherapywithcarboplatinplusthiotepainpatientswithDSRCT.Alternati
