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  • 11
    Digitale Medien
    Digitale Medien
    Springer
    Annals of hematology 70 (1995), S. 15-17 
    ISSN: 1432-0584
    Schlagwort(e): Key words Fas antigen ; Apoptosis ; Leukemia
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Summary  The antigen defined by the monoclonal antibody anti-Fas can mediate apoptosis, is associated with the receptor for tumor necrosis factor, and is expressed on a limited number of human tissues. In this study we analyzed the expression of Fas on primary human leukemic cells and on mononuclear cells from other hematologic disorders. A total of 95 samples of blood or bone marrow were studied by indirect immunofluorescence. These samples included the normal controls, 47 cases of acute myelogenous leukemia (AML), 11 cases of acute lymphoblastic leukemia (ALL), 21 cases of leukemic lymphoma, seven cases of chronic myelogenous leukemia (CML), five cases of plasma cell leukemia or multiple myeloma, and five cases of myelodysplastic or myeloproliferative syndromes. Normal controls were negative without exception. Among AML, 13/47 cases (28%) were positive; among ALL, 1/11 cases (9%) was positive; among leukemic lymphomas, 3/21 cases (14%) were positive. In a case of plasma cell leukemia which strongly expressed the Fas antigen, we demonstrated that the antibody mediates cell lysis, which was synergistically enhanced by the addition of rabbit complement. In patients with AML, Fas positivity had no obvious clinical relevance. Taken together, our results show that approximately 30% of cases of AML and occasionally other leukemias express the Fas antigens, whereas normal controls are negative in our test system. These findings may be useful in the treatment of refractory leukemias or may permit the purging of autologous transplants.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 12
    ISSN: 1432-0584
    Schlagwort(e): Key words Autologous bone marrow transplantation ; Autologous peripheral blood stem cell transplantation ; High-dose chemotherapy ; Second and secondary primary neoplasms
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  We treated 500 patients with high-dose chemotherapy (HDC) and autologous bone marrow (ABMT) or autologous peripheral blood stem cell transplantation (PBSCT). Treated conditions included leukemia, lymphomas, breast cancer, lung cancer, germ-cell carcinomas, and other solid tumors. In order to assess relapse of primary malignancy or occurrence of new neoplasms, routine screening after ABMT or PBPCT was performed at regular and close intervals. With a total follow-up of 1358 person-years and a median follow-up of 34 months (range 9–91), 10/500 (2%) patients developed second malignancies after PBSCT or ABMT; i.e., one new cancer occurred every 136 person-years. All malignancies were detected at routine follow-up examinations; and 7/10 diagnoses were made in an asymptomatic phase; 6/10 neoplasms were amenable to complete surgical resection, five of which remain in CR at a median of 23+ months after autotransplantation. We conclude that regular and close follow-up examination of patients after autologous hematopoietic stem cell transplantation may be beneficial, since successful treatment of second malignancies is possible in selected cases after early detection.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 13
    ISSN: 1569-8041
    Schlagwort(e): malignant portal hypertension ; portal vein stent ; transjugular intrahepatic portosystemic stent-shunt procedure(TIPS)
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Background: The increase in portal vascular resistance is asignificant complication of metastatic disease to the liver or locallyadvanced cancer, e.g., biliary cancer. Patients and methods: This paper describes the successful palliativetreatment of two cancer patients with portal hypertension presenting with thesymptoms of tense ascites, mesenteric congestion, and severe varicealbleeding. By creating a stent-tract between a hepatic vein and a main branchof the portal vein and/or by placing an extendable stent into the portal vein,the transjugular intrahepatic portosystemic stent-shunt (TIPS) technique wasused to decompress the portovascular system. Results: The TIPS-technique offers a new, safe and effectivepalliation for malignant portal hypertension. In both patients, the symptomsof the portal hypertension disappeared after the procedure. This wasaccompanied by a significant improvement of the patients performance status,allowing an early ambulation. Conclusion: Our findings demonstrate the feasibility andeffectiveness of the TIPS procedure as a minimal invasive treatment for portalvein decompression in selected tumor patients.
    Materialart: Digitale Medien
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  • 14
    ISSN: 1569-8041
    Schlagwort(e): breast cancer ; high-dose chemotherapy ; minimal residual disease ; stem cell transplantation
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract The increasing use of high-dose chemotherapy with autologous hematopoietic transplantation for the treatment of solid malignancies has raised concern about the role of tumor cells contaminating the grafts. Minimal residual disease (MRD) in autologous grafts has became a dynamic and intensively studied field in oncology. This review discusses the current status of MRD in breast cancer autografts and presents existing data on detection methodology, clinical relevance, biologic characteristics and purging techniques.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 15
    Digitale Medien
    Digitale Medien
    Springer
    Annals of oncology 8 (1997), S. 1-1 
    ISSN: 1569-8041
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 16
    ISSN: 1569-8041
    Schlagwort(e): cancer fatigue ; physical performance ; psychological distress
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract Background: Fatigue and a reduction in physical ability are common andoften severe problems of cancer patients regardless of disease stage andmodality of treatment. However, while physical performance can be assessedobjectively with laboratory tests, fatigue is a subjective phenomenon whoseperception is influenced by past experience and expectations for the future. Patients and methods: To evaluate the correlation between fatigue andphysical impairment, we assessed maximal physical performance with atreadmill test, and mental state with two questionnaires, the Profile ofMood States (POMS) and the Symptom Check List (SCL-90-R), in a successiveseries of 78 cancer patients with solid tumors or hematologicalmalignancies. Results: A weak association between fatigue and maximal physicalperformance was found (r = −0.30; P 〈 0.01). However, intensity offatigue showed a strong correlation with several indicators of psychologicaldistress such as depression (r = 0.68), somatization (r = 0.64) and anxiety(r = 0.63; P for all 〈0.001). Furthermore, patients with lower levels ofphysical performance had significantly higher scores for depression (P =0.005), somatization (P = 0.03) and anxiety (P = 0.08), and significantlylower scores for vigor (P = 0.05) than their counterparts whose physicalperformance was higher. Conclusions: We conclude that fatigue in cancer patients may be related tomood disturbance but appears to be independent of physical performance.Moreover, low physical performance can be viewed as an independent predictorof mental distress in cancer patients.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 17
    Digitale Medien
    Digitale Medien
    Springer
    Annals of oncology 8 (1997), S. 11-12 
    ISSN: 1569-8041
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 18
    Digitale Medien
    Digitale Medien
    Springer
    Annals of oncology 8 (1997), S. 13-13 
    ISSN: 1569-8041
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 19
    ISSN: 1432-1440
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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  • 20
    ISSN: 1432-1440
    Schlagwort(e): Key words Plasmid vector ; Lipofection ; Transgene expression ; Gene therapy ; Nontranscribed Spacer
    Quelle: Springer Online Journal Archives 1860-2000
    Thema: Medizin
    Notizen: Abstract  We evaluated the survival, transgene production, and copy numbers of integrated plasmid units per host genome after lipofection with mono- and bicistronic plasmid vectors in different cell lines and under various conditions. The addition of an integration enhancing murine sequence nontranscribed spacer (NTS) to the plasmids increased transfection efficiency, survival, and transgene expression. However, in human fibroblast cells this sequence had only marginal effects on overall plasmid copy number in bulk cultures. Clones producing the highest amounts of the transgene contained only one or two copies of plasmid per genome, independent of cell type and plasmid design.
    Materialart: Digitale Medien
    Bibliothek Standort Signatur Band/Heft/Jahr Verfügbarkeit
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