Abstract | OBJECTIVE: METHOD: From 1979 to 1988, 152 patients with trophoblastic tumor were treated with combination chemotherapy using nitrocaphanum and 5-FU. Seventy patients had nonmetastatic disease, 61 with single organ metastasis and 9 with involvement of two or more organs. Fifty patients had received previous chemotherapy. The dose of 5-FU was 26 mg/kg and that of nitrocaphanum 0.6 mg/kg each daily for 8 days, repeated every 29 days. RESULTS: Among patients who received nitrocaphanum with 5-FU, 134 of 152 patients (88%) achieved remission. By World Health Organization risk groups, the response to nitrocaphanum was as follows: 5-FU was 93.6% of 94 low-risk patients, 81.4% of 46 medium-risk patients, and 73.3% of 15 high-risk patients. Eighteen patients had to be given a second-line protocol because of resistance to nitrocaphanum and 5-FU. Fourteen of the 18 were cured while 4 patients died. There were 7 late recurrences more than 3 months after completion of therapy and 6 of these were cured by hysterectomy and chemotherapy. CONCLUSION: Nitrocaphanum is an active chemotherapy agent in GTT and deserves further study for possible use in high-risk, chemotherapy-resistant patients.
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Authors | Y Wang, L Jiu, Y Guan, D Qiu |
Journal | Gynecologic oncology
(Gynecol Oncol)
Vol. 71
Issue 3
Pg. 416-9
(Dec 1998)
ISSN: 0090-8258 [Print] United States |
PMID | 9887241
(Publication Type: Clinical Trial, Journal Article)
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Copyright | Copyright 1998 Academic Press. |
Chemical References |
- Nitrogen Mustard Compounds
- nitrocaphane
- Fluorouracil
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Topics |
- Antineoplastic Combined Chemotherapy Protocols
(therapeutic use)
- Female
- Fluorouracil
(administration & dosage)
- Follow-Up Studies
- Humans
- Nitrogen Mustard Compounds
(administration & dosage)
- Pregnancy
- Trophoblastic Neoplasms
(drug therapy)
- Uterine Neoplasms
(drug therapy)
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