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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8 Pt 2
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pubmed:dateCreated |
1988-10-7
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pubmed:abstractText |
Twenty-eight patients with malignant bone or soft tissue tumors were treated with preoperative and/or postoperative intra-arterial high-dose adriamycin. The antitumor effects of intra-arterial adriamycin were noted in not only primary tumor but also skip and distant metastasis (2 patients with lung metastasis). Clinical or histopathological responses were noted in 14/26 (54%) and 8/20 (40%) patients, respectively. Four patients were inoperable, but 24 patients were operable. Limb-saving procedures or amputation became subsequently feasible in 19/24 (79%) and 5/24 (21%) patients, respectively. Median follow-up of all the 28 patients was 23 months (minimum 3 months, maximum 127 months). Of the 20 patients with operable sarcomas, 11 (55%) were continuously disease-free, 3 (15%) were disease-free after treatment of a local recurrence or distant metastasis, and 5 (25%) died with multiple distant metastases. The Kaplan-Meier survival curves at 10 years showed 70% in 20 patients with operable sarcomas (66% in 8 with bone sarcomas, and 75% in 12 with soft tissue sarcomas). The initial large tumor size (greater than or equal to 10 cm diameters), poor response to intra-arterial adriamycin (less than NC* Clinically, less than II-B histopathologically), low total dose of adriamycin (less than 300 mg/m2), short total chemotherapy time (less than 6 months), and inadequate position of the tip of the catheter were the factors in poor prognosis.
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pubmed:language |
jpn
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0385-0684
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
2453-8
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3415257-Adolescent,
pubmed-meshheading:3415257-Adult,
pubmed-meshheading:3415257-Aged,
pubmed-meshheading:3415257-Bone Neoplasms,
pubmed-meshheading:3415257-Child,
pubmed-meshheading:3415257-Combined Modality Therapy,
pubmed-meshheading:3415257-Doxorubicin,
pubmed-meshheading:3415257-Female,
pubmed-meshheading:3415257-Humans,
pubmed-meshheading:3415257-Infusions, Intra-Arterial,
pubmed-meshheading:3415257-Male,
pubmed-meshheading:3415257-Middle Aged,
pubmed-meshheading:3415257-Prognosis,
pubmed-meshheading:3415257-Sarcoma,
pubmed-meshheading:3415257-Soft Tissue Neoplasms
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pubmed:year |
1988
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pubmed:articleTitle |
[Intra-arterial high-dose adriamycin in patients with malignant bone or soft tissue tumors. The factors in poor prognosis].
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pubmed:affiliation |
Dept. of Orthopedic Surgery, School of Medicine, Fukuoka University, Japan.
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pubmed:publicationType |
Journal Article,
English Abstract
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