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Table 1 A summary of the unique genetic events associated with the chemotherapy curable malignancies

From: Clinical observations on chemotherapy curable malignancies: unique genetic events, frozen development and enduring apoptotic potential

Tumour type

Unique genetic event

Modern cure rate for metastatic disease

Standard drugs

Reference

Trophoblast tumours

 

Post Mole GTT

Nuclear Fusion

100%

Methotrexate or Dactinomycin

[29]

Gestational choriocarcinoma

Nuclear Fusion

95%

Etoposide, Methotrexate Dactinomycin, Cyclophosphamide, Vincristine

[30]

PSTT

Nuclear Fusion

49%

Etoposide, Methotrexate Dactinomycin, Etoposide, Cisplatin

[31]

Germ cell tumours

 

Testicular cancer

Meiosis

90%

Bleomycin, Etoposide, Cisplatin

[32]

Ovarian germ cell tumour

Meiosis

81%

Bleomycin, Etoposide, Cisplatin

[33]

Childhood malignancies

 

Wilms

Gastrulation

80%

Dactinomycin, Vincristine, Doxorubicin

[34]

Neuroblastoma

Gastrulation

40–90%

Carboplatin, Etoposide, Cyclophosphamide, Doxorubicin

[35]

Ewings

Gastrulation

30%

Vincristine, Doxorubicin, Ifosfamide, Etoposide Busulphan Melphalan

[36]

Acute leukemia

 

B ALL

VDJ rearrangement

Child 85%

Dexamethasone, Vincristine, Asparaginase Daunorubicin

[37,38]

Adult 53%

T ALL

VDJ rearrangement

Child 75%

Dexamethasone, Vincristine, Asparaginase Daunorubicin

[39]

AML

VDJ rearrangement

40%

Daunorubicin, Cytarabine

[40]

B Cell malignancies

 

Hodgkin’s lymphoma

Somatic Hypermutation

80%

Doxorubicin, Bleomycin Vinblastine Dacarbazine

[41]

Diffuse large B cell lymphoma

Somatic Hypermutation

75% (GCB)

Cyclophosphamide, Doxorubicin, Vincristine, Prednisone, Rituximab

[42]

40% (ABC)

Burkitt’s lymphoma

Somatic Hypermutation

80%

Cyclophosphamide, Vincristine, Doxorubicin, Methotrexate, Ifosfamide

[43]

Etoposide, Cytarabine

T Cell malignancies

 

ALK + ve anaplastic large cell lymphoma

V(D)J rearrangement

80%

Cyclophosphamide, Doxorubicin, Vincristine, Prednisone

[44]