1999
DOI: 10.1200/jco.1999.17.2.569
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Secondary Leukemia or Myelodysplastic Syndrome After Treatment With Epipodophyllotoxins

Abstract: Within the context of the epipodophyllotoxin cumulative dose range and schedules of administration encompassed by the monitoring plan regimens, and within the context of multiagent chemotherapy regimens that include alkylating agents, doxorubicin, and other agents, factors other than epipodophyllotoxin cumulative dose seem to be of primary importance in determining the risk of secondary leukemia. Data obtained by the CTEP secondary leukemia monitoring plan support the relative safety of using epipodophyllotoxi… Show more

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Cited by 270 publications
(159 citation statements)
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“…Despite the importance of topoisomerase II as a target for cancer chemotherapy, considerable evidence suggests that the enzyme also initiates chromosomal translocations that lead to specific types of leukemia [84,86,94,[139][140][141]. For example, ~2-3% of patients treated with regimens that include etoposide ultimately develop acute myelocytic leukemia [84,86,94,139,140].…”
Section: Non-covalent Topoisomerase II Poisonsmentioning
confidence: 99%
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“…Despite the importance of topoisomerase II as a target for cancer chemotherapy, considerable evidence suggests that the enzyme also initiates chromosomal translocations that lead to specific types of leukemia [84,86,94,[139][140][141]. For example, ~2-3% of patients treated with regimens that include etoposide ultimately develop acute myelocytic leukemia [84,86,94,139,140].…”
Section: Non-covalent Topoisomerase II Poisonsmentioning
confidence: 99%
“…For example, ~2-3% of patients treated with regimens that include etoposide ultimately develop acute myelocytic leukemia [84,86,94,139,140]. Recently, correlations between the rising use of mitoxantrone to treat breast cancer and the development of secondary leukemias have been reported [142].…”
Section: Non-covalent Topoisomerase II Poisonsmentioning
confidence: 99%
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“…6,7 Childhood cancer survivors can also develop AML or MDS after treatment with growth factors (GFs), in combination with etoposide, anthracyclines, and radiotherapy. However, it is difficult to distinguish the contribution of GF versus intensified therapy and the effect of intensity 8 or cumulative doses of chemotherapy 9,10 in the development of secondary hematological malignancies.…”
mentioning
confidence: 99%