Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3B
pubmed:dateCreated
2000-8-17
pubmed:abstractText
Caffeine, which has a DNA-repair inhibiting effect, enhances the cytocidal effects of anticancer drugs and radiation. We present a preliminary report on the results of a new treatment, "radiochemotherapy combined with caffeine" (K3 protocol), for high-grade soft tissue sarcomas. Seventeen patients with various high-grade soft tissue sarcomas were included in this study. Preoperatively, three to five courses of intra-arterial chemotherapy using cisplatin, caffeine and doxorubicin after radiation therapy were administered. Following the preoperative therapy, function-saving surgery was performed for all cases. Complete response was observed in six patients, partial response in six and no change in five. The effectiveness rate of caffeine-potentiated radiochemotherapy was therefore 71%. The histological response for radiochemotherapy was better than that for chemotherapy alone, that is, total tumor necrosis was identified in six patients and over 90% necrosis in another six. Complications resulting from the preoperative radiation comprised of serious inflammation in three patients and skin necrosis in another three. Twelve patients have remained free of disease, two patients are alive with disease and three have died of metastatic disease with a mean follow-up period of 36 months. There was no local tumor recurrence. These preliminary findings suggest that caffeine-potentiated radiochemotherapy contributed to a satisfactory local response and the success of function-saving surgery for high-grade soft tissue sarcomas.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0250-7005
pubmed:author
pubmed:issnType
Print
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2137-43
pubmed:dateRevised
2006-4-24
pubmed:meshHeading
pubmed-meshheading:10928167-Adolescent, pubmed-meshheading:10928167-Adult, pubmed-meshheading:10928167-Aged, pubmed-meshheading:10928167-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:10928167-Back, pubmed-meshheading:10928167-Caffeine, pubmed-meshheading:10928167-Chemotherapy, Adjuvant, pubmed-meshheading:10928167-Child, pubmed-meshheading:10928167-Cisplatin, pubmed-meshheading:10928167-Combined Modality Therapy, pubmed-meshheading:10928167-DNA Repair, pubmed-meshheading:10928167-Disease Progression, pubmed-meshheading:10928167-Doxorubicin, pubmed-meshheading:10928167-Drug Administration Schedule, pubmed-meshheading:10928167-Extremities, pubmed-meshheading:10928167-Female, pubmed-meshheading:10928167-Follow-Up Studies, pubmed-meshheading:10928167-Humans, pubmed-meshheading:10928167-Injections, Intra-Arterial, pubmed-meshheading:10928167-Male, pubmed-meshheading:10928167-Middle Aged, pubmed-meshheading:10928167-Necrosis, pubmed-meshheading:10928167-Neoplasm Recurrence, Local, pubmed-meshheading:10928167-Premedication, pubmed-meshheading:10928167-Prospective Studies, pubmed-meshheading:10928167-Radiation-Sensitizing Agents, pubmed-meshheading:10928167-Radiotherapy, Adjuvant, pubmed-meshheading:10928167-Remission Induction, pubmed-meshheading:10928167-Sarcoma, pubmed-meshheading:10928167-Sleep Initiation and Maintenance Disorders, pubmed-meshheading:10928167-Soft Tissue Neoplasms, pubmed-meshheading:10928167-Treatment Outcome
pubmed:articleTitle
Caffeine-potentiated radiochemotherapy and function-saving surgery for high-grade soft tissue sarcoma.
pubmed:affiliation
Department of Orthopedic Surgery, School of Medicine, Kanazawa University, Japan.
pubmed:publicationType
Journal Article, Clinical Trial