Ewing's Sarcoma of the Axial System in Patients Older Than 15 Years: Dismal Prognosis Despite Intensive Multiagent Chemotherapy and Aggressive Local Treatment

Autor: Sevil Bavbek, Emin Darendeliler, Andac Argon, Yavuz Dizdar, Hakan Camlica, Fulya Yaman, Mert Basaran, Haluk Onat, Burak Sakar, Harzem Ozger
Rok vydání: 2004
Předmět:
Zdroj: Japanese Journal of Clinical Oncology. 34:667-672
ISSN: 1465-3621
Popis: BACKGROUND Older age and axial location of Ewing's sarcoma have been reported as unfavorable prognostic factors. METHODS The records of patients older than 15 years with the Ewing's family of tumors were reviewed retrospectively. After the induction chemotherapy consisting of alternating vincristine, adriablastin, cyclophosphamide (VAC) and etoposide, ifosfamide with mesna protection (IE), a local treatment modality was chosen based on tumor and patient characteristics. RESULTS Twenty-five patients with a median age of 19 years were evaluated. Median follow-up was 26 months (range 4-58). Seventeen patients (68%) had died. In univariate analysis, factors predictive of shorter survival were the patients presenting with metastatic disease, with the primary tumor located at the pelvis, those who never achieved complete response to chemotherapy and those who had chemotherapy for
Databáze: OpenAIRE