An Ounce Of Prevention And A Pound Of Cure

摘要

1.3 year old male child, case of Early Thymic Precursor-AcuteLymphoblastic Leukemia (ALL), not on morphological remission mid-consolidation; parents opted for palliation; put on oral 6-Thioguanine,Etoposide (21 days) and Dexamethasone (7 days) per month and 6 weeklyVincristine, Cyclophosphamide and triple Intrathecal (ITs); on treatmentfor 10 months; well on follow up. 2.16 year old male child, case of Pre-BALL; relapsed second time; parents opted for palliation; put on oral 6-Thioguanine, Etoposide (21 days) and Dexamethasone (7 days) per monthand 6 weekly Vincristine, Cyclophosphamide and triple (ITs);on treatmentfor 12 months; well on follow up.3.18 year old female child, Downs withPre-B ALL; opted for palliation upfront; started on oral 6-mercaptopur-ine,Methotrexate with 5days/month oral prednisolone; on treatment for13 months; well on follow up. 4.14 year old female child, Phladelphiachromosome positive Pre B ALL, had early CNS relapse; parents opted forpalliation; put on oral 6-Thioguanine, Etoposide (21 days) and Dexa-methasone (7 days)per month and 6 weekly Vincristine, Cyclophospha-mide and triple ITs and palliative Cranial Radiotherapy; on treatment for 7months; well on follow up. 5.16 year old male child, T-ALL, had earlycombined medullary and CNS relapse; parents opted for palliation; put onoral 6-Thioguanine, Etoposide (21 days) and Dexamethasone (7 days) permonth and 6 weekly Vincristine, Cyclophospamide and triple Intrathecalsand palliative Cranial Radiotherapy; expired after 5 months of therapy. 61/2 year-old male child, diagnosed with stage 4 neuroblastoma withmetastasis in brain; parents opted for palliation; to decrease the discom-fort, he was given 2 cycles of OJEC, palliative cranial radiotherapy and oralcis-retinoic acid (14 days a month) and etoposide (21 days a month); ontreatment for 12 months on last follow up; doing well on follow up.