Cisplatin, bleomycin, and vinblastine combination therapy of testicular tumors: An analysis
| Autor: | Lawrence H. Einhorn, Sandra J. Ginsberg, W. A. T. Archambault, Joan C. D'Aoust, Archie W. Prestayko, Robert L. Comis, Stanley T. Crooke |
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| Rok vydání: | 1979 |
| Předmět: |
Adult
Male Cancer Research Vincristine medicine.medical_specialty Adolescent Combination therapy Pulmonary toxicity medicine.medical_treatment Antineoplastic Agents Dysgerminoma Kidney Vinblastine Bleomycin Gastroenterology Drug Administration Schedule chemistry.chemical_compound Testicular Neoplasms Internal medicine Humans Medicine Neoplasm Metastasis Lung Chemotherapy Leukopenia business.industry Teratoma Anemia Middle Aged Prognosis medicine.disease Thrombocytopenia Primary tumor Surgery Oncology chemistry Pediatrics Perinatology and Child Health Drug Evaluation Drug Therapy Combination Cisplatin medicine.symptom business medicine.drug |
| Zdroj: | Medical and Pediatric Oncology. 6:195-205 |
| ISSN: | 1096-911X 0098-1532 |
| DOI: | 10.1002/mpo.2950060303 |
| Popis: | A combination regimen consisting of cisplatin, bleomycin, and vinblastine was evaluated in 86 patients with metastatic testicular tumors. Prior therapy included surgical resection of primary tumor (84 patients), radiotheapy (21 patients), chemotherapy (33 patients). Thirteen patients received prior bleomycin and vincristine or vinblastine. Of 80 evaluable patients 51 achieved complete response (CR) and 26 achieved partial response (PR), for an overall response rate 96.5%. There was no significant difference in response rates or survival with respect to prior therapy, sites of metastatic lesions, and tumor histology. The median survival time was not reached in an observation period of 44+ months. Sixty patients were alive 11+--44+ months, and 57 of these were free of disease. Thirty-two of the 60 patients (53%) had a survival time greater than 20 months. Toxicities included nephrotoxicity (18 patients) leukopenia, (69 patients), thrombocytopenia (nine patients), and anemia (56 patients). Bleomycin-induced pulmonary toxicity was fatal in one patient. Other toxicities included nausea and vomiting, stomatitis, fever, alopecia, and neurological effects. |
| Databáze: | OpenAIRE |
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