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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8-9
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pubmed:dateCreated |
1992-10-8
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pubmed:abstractText |
Between 1982 and 1990, 70 patients with advanced metastatic seminoma were treated with 4-6 courses of single-agent carboplatin (SAC) administered at 400 mg/m2 every 3-4 weeks. Treatment was of low toxicity and no patients suffered neurotoxicity, ototoxicity or significant renal damage. There was only one episode of neutropenic sepsis and no thrombocytopenic bleeding. The median follow-up of surviving patients was 3 years. 16 patients have relapsed and 4 of these 16 have died, thus the actuarial 3-year relapse-free survival was 77% (95% CI 65-86%), cause-specific survival was 94% (95% CI 82-99%) and overall survival was 91% (95% CI 80-96%). The risk of relapse was reduced by post-chemotherapy irradiation (PCRT) to involved nodes, occurring in 1/20 patients treated with PCRT compared with 11/31 who could have been treated but were not (P = 0.04). Of the 16 patients who relapsed, 12(75%) have been salvaged with combination chemotherapy and remain free from further relapse with a median follow-up of 18 months. Though this level of survival is equivalent to that obtained with initial cisplatin-based combination chemotherapy, the recurrence rate indicates that SAC remains an investigative treatment, except for unfit patients.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0959-8049
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
28A
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1307-10
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1515239-Adult,
pubmed-meshheading:1515239-Aged,
pubmed-meshheading:1515239-Carboplatin,
pubmed-meshheading:1515239-Drug Administration Schedule,
pubmed-meshheading:1515239-Dysgerminoma,
pubmed-meshheading:1515239-Follow-Up Studies,
pubmed-meshheading:1515239-Humans,
pubmed-meshheading:1515239-Infusions, Intravenous,
pubmed-meshheading:1515239-Lymphatic Metastasis,
pubmed-meshheading:1515239-Male,
pubmed-meshheading:1515239-Mediastinal Neoplasms,
pubmed-meshheading:1515239-Middle Aged,
pubmed-meshheading:1515239-Neoplasm Recurrence, Local,
pubmed-meshheading:1515239-Survival Rate,
pubmed-meshheading:1515239-Testicular Neoplasms
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pubmed:year |
1992
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pubmed:articleTitle |
The activity of single-agent carboplatin in advanced seminoma.
|
pubmed:affiliation |
Unit of Radiotherapy and Oncology, Royal Marsden Hospital, Sutton, Surrey, U.K.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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