000 03618cam a2200349 a 4500
003 EG-GiCUC
005 20250223032008.0
008 180521s2017 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.19.04.M.Sc.2017.Ma.O
100 0 _aMaha Alaa Eldin Abdelfatah
245 1 0 _aOutcome of treatment of multiple myeloma patients with bortezomib-based regimens compared to vincristine,doxorubicin and dexamethasone (VAD) regimen /
_cMaha Alaa Eldin Abdelfatah ; Supervised Mohamed Abdelmooti , Omar Elfarouk Osman Zaki , Mosaad Mahmoud Elgammal
246 1 5 _aنتائج علاج الميلوما المتعددة باستخدام البروتوكولات المحتوية على البورتزيماب مقارنة باستخدام البروتوكول المحتوي على الفينكرستين والدوكسوربسين والديكساميثازون
260 _aCairo :
_bMaha Alaa Eldin Abdelfatah ,
_c2017
300 _a121 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - National Cancer Institute - Department of Oncology (Medical )
520 _aObjective: Compare outcome of treatment of Bortezomib-based regimens versus VAD regimen (Vincristine, Doxorubicin, Dexamethazone) in multiple myeloma patients treated in The Medical Oncology departments of both National Cancer Institute (NCI) and Nasser Institute from January 2011 till December 2015). Methods:This study was performed retrospectively on 89 MM patientstreated at The Medical Oncology departments of both National Cancer Institute (NCI) and Nasser Institute from January 2011 till December 2015.All patients were evaluated for different responses with different lines of treatment (VAD versus Bortezomib based regimens) which correlated with progression free survival (PFS) and overall survival (OS). Also, the different prognostic factors: age, sex, clinical presentation, albumin, LDH, creatinine,B2 microglobulin, ISS, Durie Salmon Staging and ASCT which correlated with different lines of treatment, PFS and OS. Results: The age of patients ranged between 32 years to 76 years and the mean age was 51.1+/-7.4 years. It included 65.2% males and 34.8% females with male to female ratio 1.87:1. Bony pains were the most common clinical manifestation of patients in our study (44.9%) followed by bony masses (22.5%), fractures (16.9%), pallor (7.9%), neurological symptoms (5.6%) and finally oliguria (2.2%).Bortezomib based regimens have better overall response rate (ORR)({u2265}PR)( p value 0.031), progression free survival PFS(p value 0.004) and disease free survival DFS(p value 0.013) as 1st line treatment compared to VAD regimen. Also in previously treated patients bortezomib based regimens showed better progression free survival PFS(p value 0.039) compared to VAD regimen. There was significant relation between age (p value 0.001&<0.001) and ASCT (p value 0.001&0.034) with PFS and OS respectively, while other factors was not significant including (sex, clinical presentation, B2 microglobulin, creatinine, LDH, albumin, ISS, Durie Salmon Staging)
530 _aIssued also as CD
653 4 _aBortezomib based regimens
653 4 _aMultiple Myeloma
653 4 _aVAD regimen
700 0 _aMohamed Abdelmooti ,
_eSupervisor
700 0 _aMosaad Mahmoud Elgammal ,
_eSupervisor
700 0 _aOmar Elfarouk Osman Zaki ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c66278
_d66278