Should older adults with AML receive post-remission therapy?

被引:3
|
作者
Stone, Richard M. [1 ]
机构
[1] Harvard Univ, Sch Med, Dana Farber Canc Inst, Boston, MA 02215 USA
关键词
AML; Chemotherapy; Post-remission; ACUTE MYELOID-LEUKEMIA; 1ST COMPLETE REMISSION; LOW-DOSE CYTARABINE; ACUTE NONLYMPHOCYTIC LEUKEMIA; RANDOMIZED PHASE-III; INDUCTION CHEMOTHERAPY; MYELODYSPLASTIC SYNDROME; EUROPEAN ORGANIZATION; CELL TRANSPLANTATION; ELDERLY-PATIENTS;
D O I
10.1016/j.beha.2015.10.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The evolution of post-remission therapy in older adults has for the most part mirrored that for younger adults. However, the suitability of those regimens for an older population is less clear-cut, mainly due to poorer tolerance of therapy and a relatively higher level of disease resistance. Not only is intensive post-remission therapy not appropriate for the majority of older adults, but the role of intensive induction therapy is also unclear. Treatment goals in patients over 55-65 years differ from those in younger patients and may not necessarily be curative but life-prolonging or purely palliative. This paper reviews treatments for older AML patients in an effort to shed some light on choosing appropriate therapy. (C) 2015 Published by Elsevier Ltd.
引用
收藏
页码:106 / 111
页数:6
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