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Prevention of Chemotherapy-Induced Neutropenia Using G-CSF with VACOP-B—A Case Report

 

作者: AnglinPeter,   StraussBarbara A.,   BrandweinJoseph M.,  

 

期刊: Leukemia&Lymphoma  (Taylor Available online 1993)
卷期: Volume 11, issue 5-6  

页码: 469-472

 

ISSN:1042-8194

 

年代: 1993

 

DOI:10.3109/10428199309067942

 

出版商: Taylor&Francis

 

关键词: G-CSF;hematopoietic growth factors;neutropenia non-hodgkin's lymphoma;chemotherapy

 

数据来源: Taylor

 

摘要:

Hematopoietic growth factors, including granulocyte colony-stimulating factor (G-CSF), are being increasingly used to prevent chemotherapy-induced neutropenia. We report a patient with aggressive non-Hodgkin's lymphoma who was successfully supported with G-CSF through a weekly VACOP-B chemotherapy regimen. The patient had become severely neutropenic at week 3, requiring a one-week delay. For the remainder of the treatment, G-CSF at a dose of 4μg/kg/day was administered daily over 4 days after week 4, then over 3 days thereafter, beginning the day after the non-myelosuppressive weeks (vincristine/bleomycin). A total of 5 such G-CSF courses were given, with no further neutropenia despite administration of full chemotherapy doses on schedule. This case suggests that, at least with the VACOP-B regimen, chemotherapy-induced neutropenia can be prevented using much lower quantities of G-CSF than has been reported using other regimens.

 

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