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May 6, 2004 Vol. 350 No. 19
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In this randomized trial of the postoperative treatment of high-risk squamous-cell carcinoma of the head and neck, concurrent radiotherapy plus chemotherapy (cisplatin) reduced the incidence of local and regional recurrence and prolonged disease-free survival, as compared with radiotherapy alone. The combined treatment was substantially more toxic than radiotherapy alone.
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In patients with Hurler's syndrome, cord-blood transplantation before the age of two years halts disease progression and prolongs life, but many children lack donors. This study reports complete donor chimerism and normal leukocyte α-L-iduronidase levels in 17 of 20 children with Hurler's syndrome who received cord-blood transplants from unrelated donors. Their neurocognitive performance improved and somatic features decreased after transplantation.
A 22-year-old woman presents to her gynecologist with genital lesions. Examination reveals bilateral labial ulcerations, cervical ulcerations, and mildly tender inguinal lymphadenopathy. To her knowledge, neither she nor any of the four sexual partners she has had, including her husband of two years, has ever had herpes. How should this patient's case be managed?
The most common cutaneous lymphoma is mycosis fungoides, a non-Hodgkin's, peripheral T-cell lymphoma. Recent advances in the understanding of the molecular and biologic behavior of T cells in this lymphoma — notably, their ability to home to the skin, function in an activated state, and achieve clonal dominance — have had a tremendous influence on current treatment. In this review, the expanding armamentarium of biologic agents, phototherapeutic and irradiation techniques, and combination regimens available to treat mycosis fungoides is discussed.
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