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Volume 352:2449-2451 June 9, 2005 Number 23
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Treatment of Localized Lymphoma

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 by Reyes, F.
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To the Editor: Reyes and colleagues (March 24 issue)1 should elaborate on the disadvantages, particularly the long-term side effects, of a regimen of doxorubicin, cyclophosphamide, vindesine, bleomycin, and prednisone (ACVBP) in comparison with a regimen of cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP). With an increased duration of parenteral chemotherapy (20, rather than 3, days), ACVBP has a complicated schedule and thus poses a compliance problem in nonresearch settings. Furthermore, in many centers, patients need hospitalization to ensure hydration during high-dose methotrexate therapy. ACVBP also causes more mucositis, neutropenia, and thrombocytopenia than does CHOP, and it increases the risk of myelodysplasia . . . [Full Text of this Article]


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