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NEUROLOGY 2004;62:1885-1887
© 2004 American Academy of Neurology


Brief Communications

Response of relapsed or refractory primary central nervous system lymphoma (PCNSL) to topotecan

L. Fischer, MD, E. Thiel, MD, H. A. Klasen, MD, H. Kirchen, MD, K. Jahnke, MD and A. Korfel, MD

From the Department of Hematology, Oncology, and Transfusion Medicine (Drs. Fischer, Thiel, Jahnke, and Korfel), Klinikum Benjamin Franklin, Freie Universität Berlin, Germany; Department of Radiotherapy and Oncology (Dr. Klasen), Pius-Hospital, Oldenburg, Germany; and Department of Gastroenterology, Hematology, and Oncology (Dr. Kirchen), Krankenhaus der Barmherzigen Brüder, Trier, Germany.

Address correspondence and reprint requests to Dr. Lars Fischer, Innere Medizin III, Hämatologie, Onkologie, Transfusionsmedizin, Klinikum Benjamin Franklin, Hindenburgdamm 30, 12200 Berlin, Germany; e-mail: lfischer{at}zedat.fu-berlin.de

The authors treated 16 immunocompetent patients with refractory or relapsed primary CNS lymphoma with topotecan. Fifteen patients had been pretreated with up to three chemotherapy regimens, three of them additionally with whole brain irradiation (WBI), and one with WBI alone. Four complete remissions and two partial remissions were achieved. Progression-free survival was 20% at 6 months and 13% at 12 months.


Received March 3, 2003. Accepted in final form January 8, 2004.




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