首页> 外文期刊>European journal of gynaecological oncology >Weekly single-agent carboplatin in heavily pretreated patients with recurrent ovarian, peritoneal and fallopian tube carcinoma.
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Weekly single-agent carboplatin in heavily pretreated patients with recurrent ovarian, peritoneal and fallopian tube carcinoma.

机译:重度治疗的复发性卵巢癌,腹膜癌和输卵管癌患者每周进行单药卡铂治疗。

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PURPOSE OF INVESTIGATION: To report the experience of a single institution in the south of Israel with weekly carboplatin in heavily pretreated patients with platinum-sensitive recurrent ovarian, peritoneal and fallopian tube carcinoma. METHODS: The hospital records of ten patients with platinum-sensitive recurrent ovarian, peritoneal and fallopian tube carcinoma who had 2nd-line or later chemotherapy with weekly carboplatin between January 2003 and December 2004 were retrospectively reviewed. Weekly carboplatin, at a dose calculated with use of the Hilary Calvert's formula at AUC = 2, was given intravenously in 500 ml dextrose 5% over 30 minutes on day 1 of every seven days. Response was determined using clinical evaluation, radiological reports and CA-125 level. Toxicity was graded using the National Cancer Institute (NCI) criteria. RESULTS: Overall, 155 courses of weekly carboplatin were given. The median number of courses per patient was 14 (range, 2-37) and median duration of treatment was 22.5 (range, 2-40) weeks. Four patients (40%) had complete response lasting for 8-20 (median, 12) weeks, two (20%) had partial response lasting for five and 14 weeks, respectively, one (10%) had stable disease lasting for 23 weeks and three (30%) had progressive disease. Toxicity was mainly hematological with only grade 1-2 hematological toxicity as follows: anemia--four patients (40%), leukopenia--three (30%), neutropenia--three (30%) and thrombocytopenia--two (20%). CONCLUSION: Weekly carboplatin has considerable activity and low and well tolerated toxicity in heavily pretreated patients with platinum-sensitive recurrent ovarian, peritoneal and fallopian tube carcinoma.
机译:调查的目的:报告在铂金敏感的复发性卵巢癌,腹膜癌和输卵管癌的经过大量预处理的患者中,以色列南部一家单一机构每周接受卡铂的经历。方法:回顾性分析2003年1月至2004年12月期间每周进行二线或以后的卡铂化疗的10例铂敏感型复发性卵巢癌,腹膜癌和输卵管癌患者的医院记录。在每7天的第1天的30分钟内,以500 ml葡萄糖5%静脉注射每周卡铂,剂量使用AUC = 2的希拉里·卡尔弗特公式计算。使用临床评估,放射学报告和CA-125水平确定反应。毒性根据美国国家癌症研究所(NCI)标准进行分级。结果:总体上,每周进行155个疗程的卡铂。每位患者的中位疗程数为14(范围2-37),中位疗程为22.5(范围2-40)周。 4名患者(40%)的完全缓解持续了8-20(中位数,12)周,其中2(20%)的部分缓解持续了5和14周,其中1(10%)的疾病稳定了持续了23周三名(30%)患有进行性疾病。毒性主要是血液学,只有1-2级血液学毒性,如下:贫血-四名患者(40%),白细胞减少症-三名(30%),中性粒细胞减少症-三名(30%)和血小板减少症-两名(20%) )。结论:在对铂敏感的复发性卵巢癌,腹膜癌和输卵管癌的大量预处理患者中,每周卡铂具有相当的活性,且毒性低且耐受性良好。

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