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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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WHO and UICC criteria for assessment of disease response in bone

WHO and UICC criteria for assessment of disease response in bone
Response type International Union Against Cancer* WHO
Complete response

Disappearance of all known disease

Lytic lesions should have radiologic evidence of calcification
Complete disappearance of all lesions on plain radiograph or scan for at least four weeks
Partial response

At least 50% decrease in size of measurable lesions

Objective improvement in evaluable or nonmeasurable lesions

No new lesions or progressive lesions
Partial decrease in size of lytic lesions, recalcification of lytic lesions, or decreased density of blastic lesions for at least four weeks
No change (stable disease) Unchanged, or between 25% increase and 50% decrease in size of measurable lesionsΔ Because of the slow response of bone lesions, the classification of "no change" should not be applied until at least eight weeks have passed from start of therapy
Progressive disease

Mixed; some lesions persist while others progress, or new lesions appear

Failure; some or all lesions progress and/or new lesions appear

No lesions regress
Increase in size of existent lesions or appearance of new lesions

UICC: International Union Against Cancer; WHO: World Health Organization.

* Criteria are based on plain radiography; the duration of response is to be dated from the start of therapy until either new lesions appear or any one existing lesion increases by 25% or more above its smallest recorded size.

¶ Occurrence of bone compression or fracture and its healing should not be used as the sole indicator for evaluation of therapy.

Δ If lesions that cannot be measured but are otherwise evaluable represent the bulk of disease and these lesions clearly do not respond even though measurable lesions have improved, then the response is considered no change, rather than an objective regression.
From: Hamaoka T, Madewell JE, Podoloff DA, et al. Bone imaging in metastatic breast cancer. J Clin Oncol 2004; 22:2942-53. Reprinted with permission. Copyright © 2004 American Society of Clinical Oncology. All rights reserved.
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