Abstract | OBJECTIVE: METHODS: A total of 20 relapsed and refractory MM patients with extramedullary plasmacytomas treated with DECP regimen from May 2005 to May 2013 were analyzed retrospectively. DECP protocols included cisplatin 20 mg/m(2), Day 1-3; etoposide 100 mg/d,Day 1-3; ifosfamide 500 mg·m(-2)·d(-1), Day 1-4; dexamethasone 20 mg/d, Day 1-4. Efficacy was evaluated after 2 therapeutic cycles. RESULTS: After 2 therapeutic cycles, the objective response rate (ORR) was 55% (11/20). After 3 therapeutic cycles, the ORR was 7/12.Seven patients completed 4 cycles with an ORR of 4/7. Two patients had finished 6 cycles and continued to maintain partial remission. The most common adverse events included gastrointestinal reaction and myelosuppression. The median follow-up time was 30 (12-80) months. The median time of overall survival (OS) was 30 (9-121) months. The 1-year OS was 73%, 2-year OS 28% and 3-year OS 21%. CONCLUSION: The DECP chemotherapy is both effective and safe in the treatment of relapsed and refractory MM patients with extramedullary plasmacytomas.
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Authors | Xin Li, Wanjun Sun, Fengyan Jin, Shilun Chen, Yuping Zhong, Ying Hu, Jiajia Zhang, Na An, Man Shen, Zhongxia Huang |
Journal | Zhonghua yi xue za zhi
(Zhonghua Yi Xue Za Zhi)
Vol. 94
Issue 16
Pg. 1258-60
(Apr 29 2014)
ISSN: 0376-2491 [Print] China |
PMID | 24924893
(Publication Type: English Abstract, Journal Article)
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Topics |
- Adult
- Aged
- Antineoplastic Combined Chemotherapy Protocols
(therapeutic use)
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Multiple Myeloma
(drug therapy)
- Neoplasm Recurrence, Local
(drug therapy)
- Retrospective Studies
- Treatment Outcome
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