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Editorial
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Volume 336:367-369 January 30, 1997 Number 5
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Silence of the Leukemic Clone

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The success of treatment for childhood acute lymphoblastic leukemia (ALL) has been justifiably lauded. Some 70 percent of patients who receive optimal therapy and support can now expect to have a long-term remission and probable cure.1 Most current therapeutic protocols use not only early induction and consolidation phases of combination therapy but also a two-year maintenance phase with methotrexate and other drugs. Clinical trials have clearly demonstrated that this protracted treatment is necessary; a shorter duration of maintenance therapy results in more relapses.2 After the cessation of chemotherapy, a minority of patients unpredictably relapse within a year or two. Overall, . . . [Full Text of this Article]

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