Abstract |
Univariate and multivariate linear logistic regression analyses of potential prognostic variables have been performed for 163 patients with disseminated nonseminomatous testicular cancer, treated with cisplatin, vinblastine, and bleomycin in a multicenter study of the European Organization for Research on Treatment of Cancer Genito-Urinary Tract Cancer Cooperative Group. With a multivariate analysis, four prognostic groups with complete responder rates of 100, 89, 41, and 18%, respectively, were identified based on three prognostic factors: trophoblastic elements in the primary tumor, serum concentration of alpha-fetoprotein, and lung metastases by size and number. However, with a univariate analysis the logarithm of the beta subunit of human chorionic gonadotrophin (BHCG) was the single most important factor. This model aids the physician in selecting prospectively good risk patients who are candidates for low toxicity chemotherapy and poor risk patients with whom innovative treatment should be attempted.
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Authors | G Stoter, R Sylvester, D T Sleijfer, W W ten Bokkel Huinink, S B Kaye, W G Jones, A T van Oosterom, C P Vendrik, P Spaander, M de Pauw |
Journal | Cancer research
(Cancer Res)
Vol. 47
Issue 10
Pg. 2714-8
(May 15 1987)
ISSN: 0008-5472 [Print] United States |
PMID | 2436756
(Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
- Chorionic Gonadotropin
- Chorionic Gonadotropin, beta Subunit, Human
- Peptide Fragments
- alpha-Fetoproteins
- Bleomycin
- Vinblastine
- Cisplatin
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Topics |
- Analysis of Variance
- Bleomycin
(therapeutic use)
- Chorionic Gonadotropin
(blood)
- Chorionic Gonadotropin, beta Subunit, Human
- Cisplatin
(therapeutic use)
- Clinical Trials as Topic
- Humans
- Lung Neoplasms
(secondary)
- Male
- Peptide Fragments
(blood)
- Prognosis
- Risk
- Statistics as Topic
- Testicular Neoplasms
(drug therapy, physiopathology)
- Vinblastine
(therapeutic use)
- alpha-Fetoproteins
(analysis)
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