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The 6th volume of the book series Acute Leukemias presents both
therapeutic and prognostic updates of the most recent results of
major multicenter clinical trials. Additional chapters report on
new trends in leucemia cell biology, the monitoring of minimal
residual disease and secondary leucemias as well as new
antileucemic drugs, antimicrobial strategies and the use of
cytocines. Acute Leukemias VI provides a new update on the rapid
progress being made internationally concerning leucemic diseases.
The results of treatment for childhood acute myelogenous leukemia
(AML) have improved considerably during the last ten years. This
progress was demonstrated by the two consecutive multicenter
studies, AML-BFM-78 and -83, in which almost identical extended
multi drug regimes of che motherapy were administered for eight
weeks and followed up by two years maintenance. The main difference
in the second study was the addition of an eight-day intensive in
duction course. Due to this new element, the relapse rate was
reduced significantly. Another result of the BFM-83 study was the
definition of two risk groups on the basis of standardized
treatment, which has lead to a risk-adapted treatment strategy in
the third ongoing trial, AML-BFM- 87. This improvement was only
possible thanks to the coop eration of pediatricians, physicians,
radiotherapists, statisti cians, and especially the staff at the
hospitals and reference laboratories. Thus, we would like to thank
everyone who has been involved in these studies and hope that they
will be further encouraged to improve treatment strategies for AML
in children. The coordination, enforcement, and analyses of the
stud ies would not have been possible without the financial sup
port of the Federal Ministry for Research and Technology of the
FRG. We are grateful for the generous contributions supporting this
book from Lederle and Farmitalia. Munster, April 1990 Ursula
Creutzig Jorg Ritter Gunther Schellong Contents 1 Introduction . .
. . .. . . . . . . . . . . . . . . .. . . . 1 ."
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