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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1990-11-15
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pubmed:abstractText |
Thirty-two children with poor-prognosis solid tumors were treated with a combination of high-dose cisplatin (CDDP) (200 mg/m2 over 5 days) and VP16. In the 30 children evaluable for antitumor effect, there were 7 complete, 12 partial, and 3 minor tumor responses. Wilms' tumor and rhabdomyosarcoma responded best. There were no therapy-related deaths. Severe neutropenia (PMN less than 500/mmc) developed after 29 out of the 45 evaluable courses and lasted a median of 8 days; during periods of neutropenia 8 episodes of fever occurred, 1 of which was caused by streptococcal sepsis. Platelet levels were depressed to less than 50,000/mmc after 17/45 cycles and this thrombocytopenia lasted a median of 8 days. No neurological toxicity occurred. One case developed acute renal failure. A hearing deficit for high frequencies was documented in 14/22 patients evaluated after the first cycle and in all cases after the subsequent cycles; the deficits correlated with the total dose of CDDP administered. High-dose cisplatin and VP16 is an effective association in children with advanced cancer, but cumulative dosage is limited by ototoxicity.
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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 |
0888-0018
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
4
|
pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
329-36
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3152939-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:3152939-Bone Marrow Diseases,
pubmed-meshheading:3152939-Child,
pubmed-meshheading:3152939-Cisplatin,
pubmed-meshheading:3152939-Drug Evaluation,
pubmed-meshheading:3152939-Etoposide,
pubmed-meshheading:3152939-Hearing Loss, Sensorineural,
pubmed-meshheading:3152939-Humans,
pubmed-meshheading:3152939-Neoplasms,
pubmed-meshheading:3152939-Vomiting
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pubmed:year |
1987
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pubmed:articleTitle |
High-dose cisplatin and etoposide in advanced malignancies of childhood.
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pubmed:affiliation |
Department of Hematology-Oncology, Giannina Gaslini Children's Hospital, Genova, Italy.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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