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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2006-11-7
pubmed:abstractText
Clear cell carcinoma (CCC) of the ovary has distinct characteristics showing resistance to conventional platinum-based regimen. Our aim was to evaluate the effects of combination therapy with irinotecan hydrochloride and cisplatin (CPT-P), comparing to regimen with paclitaxel and platinum (TP). We retrospective reviewed 172 patients with complete surgical staging procedures including lymphadenenctomy. Forty-six patients received CPT-P and 126 patients were treated with TP. Survival of the two groups was compared. Between CPT-P group and TP group, there was no significant difference in median age, performance status, FIGO stage, rate of optimal cytoreduction, and follow-up period. There was no significant difference in progression-free survival of patients with stage I tumors (p=0.95) and suboptimally debulked stage II-IV tumors (p=0.92). Although there was no significant difference of overall survival, progression-free survival of CPT-P group was significantly better than that of TP group in optimally debulked stage II-IV (p=0.03). Multiple regression survival analysis revealed CPT-P regimen (p=0.02) and residual tumor diameter (p<0.01) were both independent prognostic factors in stage II-IV tumors. The combination of CPT-P was shown to have a potential therapeutic benefit for advanced CCC of the ovary, especially for cases with optimal debulking surgery. However, this is a limited retrospective study, therefore we recommend that the CPT-P regimen be evaluated in a larger prospective study.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1021-335X
pubmed:author
pubmed:issnType
Print
pubmed:volume
16
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1301-6
pubmed:meshHeading
pubmed-meshheading:17089053-Adenocarcinoma, Clear Cell, pubmed-meshheading:17089053-Adult, pubmed-meshheading:17089053-Aged, pubmed-meshheading:17089053-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:17089053-Camptothecin, pubmed-meshheading:17089053-Chemotherapy, Adjuvant, pubmed-meshheading:17089053-Cisplatin, pubmed-meshheading:17089053-Disease-Free Survival, pubmed-meshheading:17089053-Female, pubmed-meshheading:17089053-Gynecologic Surgical Procedures, pubmed-meshheading:17089053-Humans, pubmed-meshheading:17089053-Middle Aged, pubmed-meshheading:17089053-Ovarian Neoplasms, pubmed-meshheading:17089053-Paclitaxel, pubmed-meshheading:17089053-Platinum Compounds, pubmed-meshheading:17089053-Prognosis, pubmed-meshheading:17089053-Retrospective Studies, pubmed-meshheading:17089053-Survival Analysis, pubmed-meshheading:17089053-Treatment Outcome
pubmed:year
2006
pubmed:articleTitle
Adjuvant chemotherapy with irinotecan hydrochloride and cisplatin for clear cell carcinoma of the ovary.
pubmed:affiliation
Department of Obstetrics and Gynecology, National Defense Medical College, Saitama 359-8513, Japan. m.takano@imperial.ac.uk
pubmed:publicationType
Journal Article, Comparative Study