The chemotherapy of lymphomas: looking back, moving forward--the Richard and Hinda Rosenthal Foundation award lecture.

نویسندگان

  • V T De Vita
  • S M Hubbard
  • D L Longo
چکیده

phoma. Looking back, this has been a very satisfying experi ence, the major impact of which is the provision of proof of the hypothesis that advanced cancers could be cured by combina tions of cancer drugs developed because of their antitumor effect in animals. As with most new approaches to treatment, however, looking back identifies previously unanticipated prob lems as well. One of the problems with combination chemo therapy is toxicity, real and sometimes exaggerated. With the benefit of hindsight, looking back reveals that concerns for toxicity, out of proportion to the fatal consequences of the diseases themselves, have frequently led to ad hoc modification of programs that, based on data from animal systems, predict a decrease in their capacity to cure. Looking forward, the lessons learned from past attempts to modify treatment provide insight for the design of current and future treatment programs in all the lymphomas. The complex ity of these programs grows as biologies enter the therapeutic arena and are integrated into treatment programs at an early stage in their development. The early enthusiasm for biologies followed by the feeling of disappointment over their incapacity to provide quick cures without side effects is reminiscent of the introduction of chemotherapy and should not deter the clinical investigators from defining their ultimate role in treatment in the most expeditious way. The lessons learned by looking back at the treatment of lymphomas are applicable to other common malignancies of adults.

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عنوان ژورنال:
  • Cancer research

دوره 47 22  شماره 

صفحات  -

تاریخ انتشار 1987