Abstract:
The aim of our study was to assess the role for recombinant granulocyte growth factors (rG-CSF) in the management of HIV-related malignancies. We treated with chemo and/or radiotherapy 6 patients, all males, mean age 35 years, HIV infected, belonging in the IV class of CDC staging classification, for the following neoplasms: 1 Hodgkin's disease, 3 non-Hodgkin's lymphomas, 1 seminoma and 1 Kaposi's sarcoma. In all of them rG-CSF was administered during the cycles (5 ug/kg/day sc) and maintained in the intervals only when necessary. All patients completed therapy but for 1 who had progressed and died while being treated. One achieved complete remission, 2 partial remission and the remaining 3 progressed. The lowest leukocyte counts averaged 0.6 x 10(9)/L for a maximum of 2 days. No infectious or febrile complication was recorded, nobody required prophylactic antibiotic or antifungal therapy. Life quality was altogether improved. Although insufficient to draw any conclusion on its efficacy upon survival and disease outcome, our experience with rG-CSF was positive in that it succeeded in preventing drug-induced myelosuppression and its infectious consequences in our heavily compromised patients.
Keywords: Acquired Immunodeficiency Syndrome/*COMPLICATIONS Adult Granulocyte Colony-Stimulating Factor/*THERAPEUTIC USE Hodgkin's Disease/COMPLICATIONS/*THERAPY Human Leukocyte Count Lymphoma, Non-Hodgkin's/COMPLICATIONS/*THERAPY Male Recombinant Proteins/THERAPEUTIC USE Remission Induction Sarcoma, Kaposi's/ETIOLOGY/*THERAPY Seminoma/COMPLICATIONS/*THERAPY ABSTRACT 950228
M9521044
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