Etoposide in recurrent childhood Langerhans' cell histiocytosis: An Italian cooperative study

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Abstract
Eighteen evaluable children with recurrent Langerhans'' cell histiocytosis (LCH) which was resistant to standard therapy, were treated with etoposide (VP 16-213), 200/mg/m2/day for 3 days every 3 weeks, to study the efficacy and toxicity of this drug. Complete and partial responses were demonstrated in 15 patients (83.3%). Only one of the 12 children achieving a complete remission has relapsed. No dose-limiting major toxicities were registered. Although etoposide might be an effective treatment in recurrent LCH which needs a chemotherapeutic approach, it is emphasized that this drug must be used carefully.

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