BEAC or BEAM high-dose chemotherapy followed by autologous stem cell transplantation in non-Hodgkin's lymphoma patients: comparative analysis of efficacy and toxicity.

The treatment of choice for relapsed/refractory non-Hodgkin's lymphoma (NHL) consists of high-dose chemotherapy (HDC) followed by autologous stem cell transplantation (ASCT). Little is known, however, regarding the comparative toxicity and efficacy of various HDC regimens applied in NHL. We have retrospectively evaluated the clinical aspects of the BCNU, etoposide, cytarabine, and cyclophosphamide (BEAC) and BCNU, etoposide, cytarabine, and melphalan (BEAM) regimens for ASCT. Between April 1994 and February 2005, 97 NHL patients underwent HDC with BEAC (N = 69) or BEAM (N = 28), followed by ASCT, at the Asan Medical Center. We matched each BEAM patient with two BEAC patients having the same International Prognostic Index. Thus, 84 patients (56 BEAC and 28 BEAM) were analyzed. Median age was 40.5 years, and baseline characteristics were well balanced between the two groups. The median time to neutrophil engraftment (>500/mm(3)) was significantly longer with BEAC than with BEAM (12 vs 11 days, P = 0.001), as was the total amount of red blood cell transfusion (6.5 vs 3.7U, P = 0.037), but the median time to platelet engraftment (>20,000/mm(3)) and the total amount of platelet transfusion did not differ between the two groups. BEAM patients had significantly more frequent World Health Organization grade greater than or equal to 2 diarrhea than BEAC patients (46.4 vs 19.6%, P = 0.010), but the incidence of mucositis, nausea/vomiting, and bleeding and the number of episodes of febrile neutropenia and septicemia did not differ between the two groups. Median follow-up for survivors was 33 months in the BEAM group and 89 months in the BEAC group. Median overall survival and median event-free survival were not reached in the BEAM group and were 7.9 (95% confidence interval [CI], 1-14.8 months, P = 0.003) and 3.7 months (95% CI, 0.1-7.2 months, P = 0.001), respectively, in the BEAC group. BEAM appeared to be superior to BEAC for survival. Regimen-related toxicities were similar, except that BEAM was associated with more frequent but acceptable diarrhea.

Both-sided intra-atrial intracardiac metastases as the initial presentation of testicular seminoma.

We report a case of a 41-year-old man admitted with respiratory distress and found to have masses in both atria of the heart and in the testicle. The patient received palliative radiotherapy to relieving obstruction of blood flow tract caused by the intracardiac masses, followed by radical orchiectomy. After the diagnosis of testicular seminoma, he was treated successfully with 4 cycles of systemic chemotherapy. This is a rare case that presented with metastatic testicular seminoma involving both atria of heart and causing symptomatic obstruction of blood flow tract.

Source identification and trends in concentrations of gaseous and fine particulate principal species in Seoul, South Korea.

Ambient measurements were made using two sets of annular denuder system during the four seasons (April 2001 to February 2002) and were then compared with the results during the period of 1996-1997 to estimate the trends and seasonal variations in concentrations of gaseous and fine particulate matter (PM2.5) principal species. Annual averages of gaseous HNO3 and NH3 increased by 11% and 6%, respectively, compared with those of the previous study, whereas HONO and SO2 decreased by 11% and 136%, respectively. The PM2.5 concentration decreased by -17%, 35% for SO4(2-), and 29% for NH4+, whereas NO3- increased by 21%. Organic carbon (OC) and elemental carbon (EC) were 12.8 and 5.98 microg/m(-3), accounting for -26 and 12% of PM2.5 concentration, respectively. The species studied accounted for 84% of PM2.5 concentration, ranging from 76% in winter to 97% in summer. Potential source contribution function (PSCF) analysis was used to identify possible source areas affecting air pollution levels at a receptor site in Seoul. High possible source areas in concentrations of PM2.5, NO3-, SO4(2-), NH4+, and K+ were coastal cities of Liaoning province (possibly emissions from oil-fired boilers on ocean liners and fishing vessels and industrial emissions), inland areas of Heibei/Shandong provinces (the highest density areas of agricultural production and population) in China, and typical port cities (Mokpo, Yeosu, and Busan) of South Korea. In the PSCF map for OC, high possible source areas were also coastal cities of Liaoning province and inland areas of Heibei/Shandong provinces in China. In contrast, high possible source areas of EC were highlighted in the south of the Yellow Sea, indicating possible emissions from oil-fired boilers on large ships between South Korea and Southeast Asia. In summary, the PSCF results may suggest that air pollution levels in Seoul are affected considerably by long-range transport from external areas, such as the coastal zone in China and other cities in South Korea, as well as Seoul itself.

Atmospheric concentrations of PM2.5 trace elements in the Seoul urban area of South Korea.

Fine particles (PM2.5) were collected during all four seasons, from April 2001 to February 2002, in Seoul, South Korea, using an annular denuder system. Elemental compositions of ambient PM2.5 were analyzed using the proton-induced X-ray emission method. The greatest contributors (> or = 2%) to the PM2.5 mass were sulfur (S), silicon (Si), chlorine (Cl), aluminum (Al), and iron (Fe) in the spring; S in the summer; and S and Cl in the fall. S, Cl, and Si were the major elements in the winter. S was the most abundant species among the elements, ranging from 5.3 to 7.9%, followed by Si and Cl. From analysis of variance, PM2.5 mass, Al, Si, potassium, calcium, and Fe showed significant seasonal differences during the four seasons (p < 0.001). Enrichment factor (EF) analysis was carried out to identify the sources affecting the aerosol in the Seoul area. On the basis of the mean EF values, elemental S, copper, zinc, and lead may be emitted from anthropogenic sources (EF > 50). Elemental Al, Si, titanium, and Fe may be emitted from crustal sources (EF < 3). Additionally, a correlation analysis was carried out for source identification. The results of the correlation analysis were confirmed by the results of the EF analysis.