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Adjuvant Therapies and Markers of Post-Surgical Minimal Residual Disease II: Adjuvant Therapies of the Various Primary Tumors PDF

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Preview Adjuvant Therapies and Markers of Post-Surgical Minimal Residual Disease II: Adjuvant Therapies of the Various Primary Tumors

Recent Results 68 in Cancer Research Fortschritte der Krebsforschung Progres dans Ies recherches sur Ie cancer Edited by V. G. AUfrey, New York . M. Allgower, Basel I. Berenblum, Rehovoth . F. Bergel, Jersey 1. Bernard, Paris . W. Bernhard, Villejuif N. N. Blokhin, Moskva . H. E. Bock, Tubingen W. Braun, New Brunswick . P. Bucalossi, Milano A. V. Chaklin, Moskva . M. Chorazy, Gliwice G.1. Cunningham, Richmond . G. Della Porta, Milano P. Denoix, Villejuif . R. Dulbecco, La lolla ~ Eagle, New York . R. Eker, Oslo R. A. Good, New York . P. Grabar, Paris R. l. C. Harris, Salisbury . E. Hecker, Heidelberg R. Herbeuval, Vandoeuvre . J. Higginson, Lyon W. C. Hueper, Fort Myers . H. Isliker, Lausanne 1. Kieler, Kobenhavn . W. H. Kirsten, Chicago G. Klein, Stockholm . H. Koprowski, Philadelphia L. G. Koss, New York· G. Martz, Zurich G. Mathe, Villejuif . O. Muhlbock, Amsterdam W. Nakahara, Tokyo· L. l. Old, New York V. R. Potter, Madison . A. B. Sabin, Charleston, S.c. L. Sachs, Rehovoth . E. A. Saxen, Helsinki C. G. Schmidt, Essen . S. Spiegelman, New York W. Szybalski, Madison . H. Tagnon, Bruxelles R. M. Taylor, Toronto . A. Tissieres, Geneve E. Uehlinger, Zurich . R. W. Wissler, Chicago Editor in Chief: P. Rentchnick, Geneve Chemotherapy ! Infiltration Metastasis Adjuvant Therapies and Markers of Post-Surgical Minimal Residual Disease II Adjuvant Therapies of the Various Primary Tumors Edited by G. Bonadonna G. Mathe S. E. Salmon With 181 Figures and 218 Tables Springer-Verlag Berlin Heidelberg New York 1979 1978 Annual Plenary Meeting of the European Organization for Research on Treatment of Cancer, Paris, June 1978 Professor Gianni Bonadonna Istituto Nazionale dei Tumori, Via Venezian 1 1-20133 Milano Professor Georges Mathe Institut de Cancerologie et d'lmmunogenetique H6pital Paul-Brousse, 14-16, Avenue Paul-Vaillant-Couturier F-94800 Villejuif Professor Sydney E. Salmon University of Arizona Cancer Center 1501 North Campbell Ave. Tucson, Arizona 85724/USA Sponsored by the Swiss League against Cancer ISBN-13: 978-3-642-81334-4 e-ISBN-13: 978-3-642-81332-0 DOl: 10.1007/978-3-642-81332-0 Library of Congress Cataloging in Publication Data. European Organization for Research on Treatment of Cancer. Adjuvant therapies and markers of post-surgical minimal residual disease I & II. (Recent results in cancer research; 67-68 "1978 annual plenary meeting of the European Organization for Research on Treatment of Cancer, Paris, June 1978." "Sponsored by the Swiss League against Cancer." Bibliography: p. Includes index. I. Cancer-Congresses. 2. Cancer-Surgery-Congresses. 3. Tumor proteins-Congresses. 4. Therapeutics-Congresses. 1. Bonadonna. G .. 1934 - n. Mathe, Georges, 1922 - III. Salmon. Sydney E. - IV. Schweizerische Nationalliga fiir Krebsbekiimpfung und Krebsforschung. - V. Title. VI. Series. RC261.R35 no.67-68 [RC270.8) 616.9'94'008s 79-9998 [616.9'94'()6j This work is subject to copyright. All rights are reserved, whether the wholc or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machine or similar means. and storage in data banks. Under § 54 of the German Copyright Law where copies are for other than private use, a fee is payable to the publisher, the amount of thc fee to be determined by agreement with the publisher. © Springer-Verlag Berlin Heidelberg 1979 Softcover reprint ofthe hardcover 1s t edition 1979 The use of registered names, trademarks. etc. in the publication does not imply. even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Typesetting: Carl Ritter & Co.lWiesbaden 2125/3140-543210 Contents B. Wilms' Tumor and Sarcomas J. Lemerle, M. F. Tournade, and C. Patte: Wilms' Tumor: Assessment and Treatment of Residual Disease ............................................................. . K. Breur and E. van der Schueren: Adjuvant Therapy in the Management of Osteosarcoma: Need for Critical Reassessment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 E. P. Cortes, J. F. Holland, and O. Glidewell: Adjuvant Therapy of Operable Primary Osteo- sarcoma-Cancer and Leukemia Group B Experience ............................... 16 F. Fossati-Bellani, M. Gasparini, and G. Bonadonna: Adriamycin in the Adjuvant Treatment of Operable Osteosarcoma .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 C. Jasmin: Randomized Trial of Adjuvant Chemotherapy in Osteogenic Osteosarcoma: Com parison of Altering Sequential Administrations of High Doses of Adriamycin, Methotrexate, and Cyclophosphamide with a 6-Month Administration of High-Dose Adriamycin Followed by a Low-Dose Semicontinuous Chemotherapy. EORTC-Osteosarcoma Working Party Group........................................................................ 28 W. Wilmanns, H. Sauer, and A. Schalhorn: Biochemistry of the Citrovorum Factor Rescue Effect in Normal Bone Marrow Cells After High-Dose Methotrexate Treatment: Implications for Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 H. Strander, U. Adamson, T. Aparisi, L. A. Brostrom, K. Cantell, S. Einhorn, K. Hall, S. Ingimarsson, U. Nilsonne, and G. Soderberg: Adjuvant Interferon Treatment of Human Osteosarcoma ................................................................. 40 M. Gasparini, F. Fossati-Bellani, and G. Bonadonna: Current Results With a Combined Treat- ment Approach to Localized Ewing's Sarcoma .................................... 45 B. P. Le Mevel et al.: EORTC/GTO Adjuvant Chemotherapy Program for Primary Ewing's Sarcoma: Results at 5 Years. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 V. H. C. Bramwell, P. A. Vofite, S. A. Rosenberg, and H. M. Pinedo: Adjuvant Treatment of Soft Tissue Sarcoma in Children and Adults ...................................... 60 C. Breast Carcinoma K. E. Halnan: Place and Role of Radiotherapy After Surgery for Breast Cancer. . . . . . . 75 A. Rossi, P. Valagussa, and G. Bonadonna: Combined Modality Management of Operable Breast Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80 VI Contents S. E. Salmon, A. Wendt, S. E. Jones, R. Jackson, G. Giordano, R. Miller, R. Heusinkveld, and T. E. Moon: Treatment of Early Breast Cancer With Adriamycin-Cyclophosphamide With or Without Radiation Therapy: Initial Results of a Brief and Effective Adjuvant Program. 98 B. Serrou, H. Sancho-Garnier, P. Cappelaere, R. Plagne, R. Metz, M. Schneider, P. Chollet, M. N amer, H. Pujol, J. Gary-Bobo, G. Meyer, and G. Mathe: Results of a Randomized Trial of Prophylactic Chemotherapy in TcT4 Breast Cancer Patients Previously Treated by Radio- therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 G. A. Edelstyn, I. S. Bates, D. Brinkley, K. D. MacRae, H. Spittle, and T. Wheeler: Four Drug Combination Cytotoxic Chemotherapy Following Surgery for Breast Cancer .......... 109 C. Schaake, E. Engelsman, and E. Hamersma: Pilot Study on Adjuvant Chemotherapy and Hormonal Therapy for Irradiated Inoperable Breast Cancer. . . . . . . . . . . . . . . . . . . . . . . . . 113 J. W. Meakin, W. E. C. Alit, F. A. Beale, R. S. Bush, R. M. Clark, P. J. Fitzpatrick, N. V. Hawkins, R. D. T. Jenkin, J. F. Pringle, J. G. Reid, and W. D. Rider: Ovarian Irradiation and Prednisone Following Surgery and Radiotherapy for Carcinoma of the Breast. . . . . . . . . 118 A. V. Buzdar, J. U. Gutterman, G. R. Blumenschein, Ch. K. Tashima, G. N. Hortobagyi, H.-Y. Yap, E. M. Hersh, and E. A. Gehan: Adjuvant Therapy of Stage II, III Breast Cancer...... ...................... .. .......... ..... ...... ............. ....... 123 F. Lacour, G. Delage, A. Spira, E. Nahon-Merlin, J. Lacour, A. M. Michelson, and S. Bayet: Randomized Trial With Poly A - Poly U as Adjuvant Therapy Complementing Surgery in Patients With Breast Cancer: In vitro Study of Cellular Immunity. . . . . . . . . . . . . . . . . . . 129 E. J. W. Stephens, H. F. Wood, and B. Mason: Levamisole: As Adjuvant to Cyclic Chemo- therapy in Breast Cancer ...................................................... 139 D. Ovary, Uterus and Testis Cancer C. Mangioni, G. Bolis, M. D. Incalci, P. Molteni, and L. Morasca: Laparoscopy and Peritoneal Cytology as Markers in the Follow-Up of Ovarian Epithelial Tumors. . . . . . . . . . . . . . . . 146 D. Chassagne and J. P. Wolff: Radiotherapy in Ovarian Cancer for Post-Surgical Minimal Residual Disease .............................................................. 152 J. H. Edmonson, T. R. Fleming, D. G. Decker, E. O. Jorgensen, G. D. Malkasian, J. A. Jeffe ries, L. K. Kvols, and M. J. Webb: Chemotherapeutic Sensitivity of Minimal Residual Disease Following Surgical Excision of Ovarian Carcinoma ................................ 157 D. S. Alberts, S. E. Salmon, and T. E. Moon: Chemoimmunotherapy for Advanced Ovarian Carcinoma With Adriamycin-Cyclophosphamide ± BCG: Early Report of a Southwest Oncology Group Study. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160 M. E. Crowther, L. Levin, T. A. Poulton, M. J. Saffrey, O. M. Curling, and C. N. Hudson: Active Specific Immunotherapy in Ovarian Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 166 T. Taguchi: Clinical Studies on PSK: Combination Therapy ofPSK With Radiation in Cancer of the Uterine Cervix .......................................................... 174 Contents VII H. F. Hope-Stone: Irradiation as Adjuvant Therapy in the Management of Testicular Tumors....................................................................... 178 E. Pommatau, C. Ardiet, M. Brunat-Mentigny, J. L. Chassard, and M. Mayer: Adjuvant Chemotherapy in Embryonal Carcinoma of the Testis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186 F. M. Muggia and E. M. Jacobs: Adjuvant Chemotherapy of Testicular Carcinoma: Need for Evaluation of Curative Strategies ................................................ 192 M. Hartmann and F. Korner: Results of Cytostatic Therapy of Metastasizing Testicular Tumors....................................................................... 201 E. Digestive Tract Tumors J. C. Goffin and D. Machin: Treatment of Patients With Gastric Cancer by Surgery, Radio therapy, and Chemotherapy: Preliminary Results of an EORTC Randomized Study ... 208 G. R. Giles and J. O. Lawton: Chemotherapy for Known Residual Disease After Resection of Gastric and Colorectal Cancer .................................................. 212 J. M. Gilbert, P. Cassell, H. Ellis, Ch. Wastell, J. Hermon-Taylor, and K. Hellman: Adjuvant Treatment With Razoxane (ICRF 159) Following Resection of Cancer of the Stomach. 217 T. B. Grage, G. J. Hill, G. N. Cornell, R. W. Frelick, and S. E. Moss: Adjuvant Chemotherapy in Large-Bowel Cancer: Demonstration of Effectiveness of Single Agent Chemotherapy in a Prospectively Controlled, Randomized Trial ....................................... 222 P. V. Woolley, G. A. Higgins, and Ph. S. Schein: Ongoing Trials in the Surgical Adjuvant Management of Colorectal Cancer .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231 T. Taguchi: Clinical Studies on PSK: Combination Therapy ofPSK With Surgery and Chemo- therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 236 F. Bronchus Carcinoma J. Stjernsward: Role of Radiotherapy as an Adjuvant Therapy in Operable Bronchus Carcino- ma........................................................................... 241 L. Israel, A. Depierre, and R. Sylvester: Influence of Postoperative Radiotherapy on Local Recurrence and Survival of Bronchial Epidermoid Carcinoma With Regard to Nodal Status: Preliminary Results of the EORTC Protocol 08741 ................................ 242 L. Israel, A. Depierre, and R. Sylvester: Preliminary Trends of the EORTC Study Comparing Postoperative Chemotherapy, Immunotherapy, Chemoimmunotherapy or Abstention in Squamous Cell Bronchial Carcinoma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 244 K. Karrer: Adjuvant Chemotherapy of Post-Surgical Minimal Residual Bronchial Carcino- mas.......................................................................... 246 P. Pouillart, T. Palangie, P. Huguenin, P. Morin, H. Gautier, A. Baron, andG. Mathe: Attempt at Immunotherapy With Living BCG in Patients With Bronchus Carcinoma .......... 260 VIII Contents W. K. Amery, J. Cosemans, H. C. Gooszen, E. Lopes Cardozo, A. Louwagie, J. Starn, J. Swierenga, R. G. Vanderschueren, and R. W. Veldhuizen: Adjuvant Therapy With Levami- sole in Resectable Lung Cancer ................................................. 268 T. H. M. Stewart, A. C. Hollinshead, J. E. Harris, S. Raman, R. Belanger, A. Crepeau, A. F. Crook, W. E. Hirte, D. Hooper, D. J. Klaasen, E. F. Rapp, and H. J. Sachs: Specific Active Imunochemotherapy in Lung Cancer: A Survival Study. . . . . . . . . . . . . . . . . . . . . . 278 M. F. McKneally, C. Maver, S. Kellar, and L. Lininger: Patterns of Recurrence After Regional BCG Immunotherapy of Bronchial Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 286 P. B. lies, D. F. Shore, M. J. S. Langmann, R. W. Baldwin: Intrapleural BCG in Operable Lung Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 292 G. Head and Neck Tumors S. G. Taylor, G. A. Sisson, and D. E. By tell: Adjuvant Chemoimmunotherapy of Head and Neck Cancer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 297 H. Szpirglas, Cl. Chastang, and J. C. Bertrand: Adjuvant Treatment of Tongue and Floor of the Mouth Cancers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 309 J. L. Amiel, H. Sancho-Garnier, C. Vandenbrouck, F. Eschwege, J. P. Droz, G. Schwaab, P. Wibault, M. Stromboni, and A. Rey: First Results of a Randomized Trial on Immunother- apy of Head and Neck Tumors................................................. 318 H. J. Wanebo, E. Y. Hilal, E. W. Strong, C. M. Pinsky, V. Mike, and H. F. Oettgen: Adjuvant Trial of Levamisole in Patients With Squamous Cancer of the Head and Neck: A Preliminary Report ....................................................................... 324 H. Urological Tumors B. Richards, A. Akdas, P. Corbett, R. W. Glashan, M. R. G. Robinson, and P. A. Smith: Adjuvant Chemotherapy Following Radical Radiotherapy in T3 Bladder Carcinoma ... 334 C. Schulman, R. Sylvester, M. Robinson, P. Smith, A. Lachand, L. Denis, M. Pavone-Macalu- so, M. De Pauw, and M. Staquet: Adjuvant Therapy of T1 Bladder Carcinoma: Preliminary Results of an EORTC Randomized Study. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 338 l. Melanoma C. Jaquillat, P. Banzet, J. Civatte, P. Puissant, F. Cottenot, L. Israel, S. Belaich, Cl. Chastang, and J. Maral: Adjuvant Chemotherapy or Chemoimmunotherapy in the Management of Primary Malignant Melanoma of Level III, IV, or V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 346 J. U. Gutterman, S. P. Richman, C. M. McBride, M. A. Burgess, S. L. Bartold, A. Kennedy, E. A. Gehan, G. Mavligit, and E. M. Hersh: Immunotherapy for Recurrent Malignant Melano ma: Efficacy of BCG in Prolonging the Postoperative Disease-Free Interval and Survival ...................................................................... 359 Contents IX B. Serrou, H. Pujol, J. Domas, and L. Gaud: Results of a Nonrandomized Trial in Malignant Melanoma Patients (Clark's Stages III-V) Treated by Post-Surgical Chemoimmuno- therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 363 H. H. Peter,K. E. M. Deutschmann,J. Deinhardt,andH. Deicher: Value of Adjuvant Therapy With Bacille Calmette Guerin (BCG) or Dimethyl Triazeno Imidazole Carboximide (DTIC) in the Control of Minimal Residual Disease in Stage II Melanoma ., . . . . . . . . . . . . . . . . . . . 367 U. Veronesi and G. Beretta: Controlled Study for Prolonged Chemotherapy, Immunotherapy, and Chemotherapy Plus Immunotherapy as an Adjuvant to Surgery in Malignant Melanoma (Trial 6): Preliminary Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375 S. D. Kaufman,A. B. Cosimi, W. C. Wood,andR. W. Carey: Adjuvant Therapy in Malignant Melanoma: A Trial of Immunotherapy, Chemotherapy, and Combined Treatment ..... 380 A. H. G. Paterson, D. Willans, L. M. Jerry, and T. A. McPherson: Malignant Melanoma (Stage I): A Clinical Trial of Adjuvant BCG Immunotherapy ....................... 387 J. Neurological Tumors S. Monfardini, C. Brambilla, C. L. Solero, A. Vaghi, P. Valagussa, G. Morello, and G. Bona donna: Adjuvant Chemotherapy With Nitrosourea Compounds Following Surgery Plus Radio therapy in Glioblastoma Multiforme . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 393 P. Pouillart, T. Palangie, M. Poisson, A. Buge, P. Huguenin, P. Morin, and H. Gautier: Treat- ment of Adult Malignant Gliomas ............................................... 399 J. Hildebrand: Adjuvant Chemotherapy in Malignant Brain Gliomas ................. 408 H. J. G. Bloom: Adjuvant Therapy for Residual Disease in Children With Medulloblasto- ma........................................................................... 412 J. M. Zucker and E. Margulis: Radiochemotherapy of Postoperative Minimal Residual Disease in Neuroblastoma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 423 K. Tumors Not Yet Submitted to Adjuvant Chemotherapy and Immunotherapy Trials F. M. Muggia and M. Rozencweig: Adjuvant Systemic Therapy of Cancer: Rationale for Future Trials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 431 G. Mathe, M. Hayat, J. L. Misset, M. Bayssas, J. Gouveia, F. De Vassal, M. Delgado, M. A. Gil, P. Ribaud, D. Machover, V. Slioussartchouk, and D. Dantchev: Some New Chemo therapeutic Agents and Combinations Possibly Available for New Adjuvant Therapies of Minimal Disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 439 G. Mathe, I. Florentin, J. I. Schulz, M. Bruley-Rosset, and N. Kiger: Third Generation of Systemic Adjuvants of Immunity: Experimental Basis for Adjuvant Combinations ..... 449 A. Goldin, A. Nicolin, and E. Bonmassar: Interrelationship Between Chemotherapy and Immunotherapy in the Treatment of Disseminated Disease. . . . . . . . . . . . . . . . . . . . . . . . . . 458 L. Lajtha: Concluding Remarks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 465 List of Participants see Volume 67, pp. XII-XVIII Contents of Volume 67 Adjuvant Therapies and Markers of Post-Surgical Mininal Residual Disease I P. Denoix and G. Mathe: Introduction I. Incidence, Kinetics and Markers of Post-Surgical Minimal Residual Disease S. E. Salmon: Kinetics of Minimal Residual Disease X. Y. Bertagna, W. E. Nicholson, K. Tanaka, Ch. D. Mount, G. D. Sorenson, O. S. Pettengill, and D. N. Orth: Ectopic Production of ACTH, Lipotropin, and ,8-Endorphin by Human Cancer Cells. Structurally Related Tumor Markers R. E. Myers, D. J. A. Sutherland,J. W. Meakin, D. G. Malkin,J. A. Kellen, and A. Malkin: Prognos tic Value of Postoperative Blood Levels of Carcinoembryonic Antigen (CEA) in Breast Cancer D. Buffe and C. Rimbaut: a-Fetoprotein (aFP) as a Marker for Hepatoma and Yolk Sac Tumors J. C. Hendrick, P. F. Zangerle, and P. Franchimont: Casein and Breast Cancer A. G. Foti, J. F. Cooper, and H. Herschman: Prostatic Acid Phosphatase and Prostatic Cancer U. Ganzinger and K. Moser: Sialyl Transferase Activity: A Serum Enzyme Marker in the Follow-Up of Cancer Patients A. M. Roch, G. A. Quash, J. P. Ripoll, and S. Saez: Evidence for Natural Antibodies (IgG) to Polyamines in Human Sera C. Rosenfeld, C. Jasmin, G. Mathe, and M. Inbar: Dynamic and Composition of Cellular Membranes and Serum Lipids in Malignant Disorders R. Maurus and J. Otten: Biologic Markers in Neuroblastoma R. W. Baldwin, K. H5ffken, and R. A. Robins: Immune Complexes in Breast Carcinoma A. Fassas and M. Bruley-Rosset: Serum Leukocyte Inhibitory Factor in Cancer Patients (Serum LIF) D. E. H. Tee: Clinical Evaluation of the Modified Markari Skin Test in Minimal Residual Malignant Disease E. H. Cooper: Multiparametric Markers in the Monitoring of Cancer

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