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Volume 346:1830-1831 June 6, 2002 Number 23
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Rituximab plus CHOP for Diffuse Large-B-Cell Lymphoma

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 by Coiffier, B.
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To the Editor: The study by Coiffier et al. (Jan. 24 issue)1 raises several issues. First, the Southwest Oncology Group had clearly established the superiority of three courses of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) followed by radiation in patients with stage I or II diffuse large-B-cell lymphoma by the time Coiffier et al. began their study.2 Nevertheless, patients with stage II disease were given eight cycles of CHOP, which thus raises the ethical question of whether the therapy these patients received was more toxic than necessary.

Second, the central review of the diagnosis revealed that 49 patients with presumed . . . [Full Text of this Article]

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