The treatment of advanced metastatic seminoma: experience in 55 cases.

作者: S D Fosså , L Borge , N Aass , N B Johannessen , A E Stenwig

DOI: 10.1200/JCO.1987.5.7.1071

关键词: Combination chemotherapySeminomaRadiation therapyBone Marrow AplasiaPolyneuropathySurgeryStage (cooking)CisplatinMedicineChemotherapy

摘要: Thirty-six of 39 previously untreated evaluable patients with advanced metastatic seminoma (stage greater than or equal to IIb) obtained a complete response (CR) and three partial (PR) after cisplatin-based combination chemotherapy without surgery/radiotherapy (group 1). After median observation time 36 months, 33 are alive no evidence disease (NED). Fifteen additional received due relapsing initial radiotherapy 2). Thirteen CR, two PR. Patients from group 1 lived significantly longer the start those 2. The rate severity treatment-related complications were comparable in both groups. most frequent nonfatal side effects Raynaud-like phenomena, polyneuropathy, myelosuppression. Four developed fatal (septicemia, bone marrow aplasia). In 12 patie...

参考文章(18)
Lawrence H. Einhorn, Radiotherapy in seminoma: more is not better International Journal of Radiation Oncology Biology Physics. ,vol. 8, pp. 309- 310 ,(1982) , 10.1016/0360-3016(82)90533-8
M J Peckham, A Horwich, W F Hendry, Advanced seminoma: treatment with cis-platinum-based combination chemotherapy or carboplatin (JM8). British Journal of Cancer. ,vol. 52, pp. 7- 13 ,(1985) , 10.1038/BJC.1985.141
Jan Folkvard Evensen, Sophie Dorothea Fossa, Kjell Kjellevold, Hans Henrik Lien, Testicular seminoma: analysis of treatment and failure for stage II disease. Radiotherapy and Oncology. ,vol. 4, pp. 55- 61 ,(1985) , 10.1016/S0167-8140(85)80062-1
Nathan Green, Louis Lombardo, Eugene Broth, Leonard Skaist, Frederick W. George, Eugene Weinstein, Ronald Kaplan, Zbigniew Petrovich, Radiation therapy in bulky seminoma Urology. ,vol. 21, pp. 467- 469 ,(1983) , 10.1016/0090-4295(83)90042-0
David Ball, Ann Barrett, Michael J. Peckham, The management of metastatic seminoma testis Cancer. ,vol. 50, pp. 2289- 2294 ,(1982) , 10.1002/1097-0142(19821201)50:11<2289::AID-CNCR2820501112>3.0.CO;2-X
G. Read, A.G. Robertson, V. Blair, Radiotherapy in Seminoma of the Testis Clinical Radiology. ,vol. 34, pp. 469- 473 ,(1983) , 10.1016/S0009-9260(83)80251-7
Gillian M Thomas, Walter D Rider, Alon J Dembo, Bernard J Cummings, Mary Gospodarowicz, Nigel V Hawkins, James G Herman, Colin W Keen, SEMINOMA OF THE TESTIS: RESULTS OF TREATMENT AND PATTERNS OF FAILURE AFTER RADIATION THERAPY International Journal of Radiation Oncology Biology Physics. ,vol. 8, pp. 165- 174 ,(1982) , 10.1016/0360-3016(82)90509-0
Olbjørn Klepp, Sophie D. Fosså, Sigurd Ous, Hans Lien, Jan T. Stenwig, Vera Abeler, Gunnar Eliassen, Herman Høst, Multi-Modality Treatment of Advanced Malignant Germ Cell Tumours in Males: I. Experience with cis-Platinum-based Combination Chemotherapy Scandinavian Journal of Urology and Nephrology. ,vol. 18, pp. 13- 19 ,(1984) , 10.3109/00365598409182158
PC Stomper, MS Jochelson, EL Friedman, MB Garnick, JP Richie, CT evaluation of advanced seminoma treated with chemotherapy American Journal of Roentgenology. ,vol. 146, pp. 745- 748 ,(1986) , 10.2214/AJR.146.4.745