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Gemcitabine-induced progressive and sustained tumour response in a patient with multi-drug resistant uterine leiomyosarcoma.

AbstractBACKGROUND:
despite the fact that the combination of gemcitabine (GCB) and docetaxel shows an increased benefit for disease-free survival and overall survival compared to GCB alone in patients with soft-tissue sarcoma, GCB mono-chemotherapy should be considered as a preferable option with respect to the combination because of its lower toxicity profile and the possibility of it being administered continuously for a long time period.
CASE REPORT:
we report a clinical case of a woman with advanced high-grade uterine leiomyosarcoma, refractory to ifosfamide, doxorubicin and trabectedin, who experienced a sustained and progressive response to GCB alone.
CONCLUSIONS:
GCB given as mono-chemotherapy can obtain long-lasting tumour control in patients heavily pre-treated with various chemotherapeutic regimes for uterine LMS and should be considered as a possible option for this subset of patients.
AuthorsT De Pas, G Spitaleri, P D Vigna, F Toffalorio, G Curigliano, A Gambino, S Boselli, C Catania, F de Braud
JournalEcancermedicalscience (Ecancermedicalscience) Vol. 2 Pg. 102 ( 2008) ISSN: 1754-6605 [Print] England
PMID22275981 (Publication Type: Case Reports)

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