Management of Treatment-Related Toxicity in Advanced Ovarian Cancer

作者: Charles J. Dunton

DOI: 10.1634/THEONCOLOGIST.7-SUPPL_5-11

关键词: SurgeryInternal medicineContext (language use)OncologyToxicityEtoposideTopotecanDoxorubicinGemcitabineChemotherapyRadiation treatment planningMedicine

摘要: Recognition of recurrent ovarian cancer as a disease with significant secondary responses and remissions has led to an increase in the need for oncologists plan long-term therapy patients. However, many currently available front-line salvage agents used advanced are associated cumulative and/or irreversible toxicities that pose challenges planning. The effects some these therapies may render patients less tolerant subsequent treatments lead cycle diminishing treatment options each remission relapse. Additionally, potential experience toxicity must be carefully weighed against goals prolonging disease-free interval improving patient quality life. A number armamentarium (platinum, paclitaxel, gemcitabine, etoposide, liposomal doxorubicin, topotecan), many, but not all which toxicity. For instance, neurotoxicity cisplatin first-line diminish option retreatment platinum at first In contrast, main topotecan is noncumulative, manageable myelosuppression. this review, major predominant chemotherapy discussed along selected management approaches context planning sequencing.

参考文章(65)
Robert F. Ozols, Robert C. Young, High-dose cisplatin therapy in ovarian cancer. Seminars in Oncology. ,vol. 12, pp. 21- 30 ,(1985) , 10.5555/URI:PII:0093775485901022
Polly E. Kintzel, Anticancer drug-induced kidney disorders. Drug Safety. ,vol. 24, pp. 19- 38 ,(2001) , 10.2165/00002018-200124010-00003
Barbara A. Goff, Lynn Mandel, Howard G. Muntz, Cindy H. Melancon, Ovarian carcinoma diagnosis Cancer. ,vol. 89, pp. 2068- 2075 ,(2000) , 10.1002/1097-0142(20001115)89:10<2068::AID-CNCR6>3.0.CO;2-Z
A. Kartum, N. Alkiş, A. Öge, Ö. Öge, Comparison of Granisetron, Ondansetron and Tropisetron for Control of Vomiting and Nausea Induced by Cisplatin Journal of Chemotherapy. ,vol. 12, pp. 105- 108 ,(2013) , 10.1179/JOC.2000.12.1.105
A N Gordon, C A Stringer, C M Matthews, D L Willis, J Nemunaitis, Phase I dose escalation of paclitaxel in patients with advanced ovarian cancer receiving cisplatin: rapid development of neurotoxicity is dose-limiting. Journal of Clinical Oncology. ,vol. 15, pp. 1965- 1973 ,(1997) , 10.1200/JCO.1997.15.5.1965
M A Bookman, W P McGuire, D Kilpatrick, E Keenan, W M Hogan, S W Johnson, P O'Dwyer, E Rowinsky, H H Gallion, R F Ozols, Carboplatin and paclitaxel in ovarian carcinoma: a phase I study of the Gynecologic Oncology Group. Journal of Clinical Oncology. ,vol. 14, pp. 1895- 1902 ,(1996) , 10.1200/JCO.1996.14.6.1895
D Fennelly, C Aghajanian, F Shapiro, C O'Flaherty, M McKenzie, C O'Connor, W Tong, L Norton, D Spriggs, Phase I and pharmacologic study of paclitaxel administered weekly in patients with relapsed ovarian cancer. Journal of Clinical Oncology. ,vol. 15, pp. 187- 192 ,(1997) , 10.1200/JCO.1997.15.1.187
E A Eisenhauer, W W ten Bokkel Huinink, K D Swenerton, L Gianni, J Myles, M E van der Burg, I Kerr, J B Vermorken, K Buser, N Colombo, European-Canadian randomized trial of paclitaxel in relapsed ovarian cancer: high-dose versus low-dose and long versus short infusion. Journal of Clinical Oncology. ,vol. 12, pp. 2654- 2666 ,(1994) , 10.1200/JCO.1994.12.12.2654
H Anderson, B Lund, F Bach, N Thatcher, J Walling, H H Hansen, Single-agent activity of weekly gemcitabine in advanced non-small-cell lung cancer: a phase II study. Journal of Clinical Oncology. ,vol. 12, pp. 1821- 1826 ,(1994) , 10.1200/JCO.1994.12.9.1821