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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1990-11-2
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pubmed:abstractText |
Twenty-three patients with malignant melanoma metastatic to the central nervous system (CNS) were treated with intracarotid cisplatin-based chemotherapy. Twenty-two had failed prior cranial radiation therapy (one patient refused radiation therapy) and had progressive brain metastases documented by computerized tomography (CT). Intracarotid cisplatin 40-75 mg/m2 was administered alone (seven patients) with 1,3-bis(2-Chloroethyl)-1-nitrosourea (BCNU) (13 patients) or bleomycin (three patients). Courses were repeated monthly with CT scan. Seven patients (30%) had objective improvement in CT scans and three patients (13%) had stabilization of disease. The median time to tumor progression for responding patients was 20 weeks (range 8-34 weeks) while stable disease ranged from 9-12 weeks. In three patients the extracranial disease progressed while the brain metastases responded. Neurological and retinal toxicity were potential complications of therapy. Intracarotid cisplatin-based chemotherapy may be useful for palliation in selected patients with malignant melanoma and CNS metastases.
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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:month |
Oct
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pubmed:issn |
0277-3732
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
13
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
448-51
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pubmed:dateRevised |
2006-4-24
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pubmed:meshHeading |
pubmed-meshheading:1699402-Adult,
pubmed-meshheading:1699402-Aged,
pubmed-meshheading:1699402-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:1699402-Bleomycin,
pubmed-meshheading:1699402-Brain Neoplasms,
pubmed-meshheading:1699402-Carmustine,
pubmed-meshheading:1699402-Carotid Artery, Internal,
pubmed-meshheading:1699402-Cisplatin,
pubmed-meshheading:1699402-Drug Evaluation,
pubmed-meshheading:1699402-Female,
pubmed-meshheading:1699402-Humans,
pubmed-meshheading:1699402-Infusions, Intra-Arterial,
pubmed-meshheading:1699402-Male,
pubmed-meshheading:1699402-Melanoma,
pubmed-meshheading:1699402-Middle Aged,
pubmed-meshheading:1699402-Palliative Care,
pubmed-meshheading:1699402-Remission Induction
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pubmed:year |
1990
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pubmed:articleTitle |
Intracarotid cisplatin-based chemotherapy in patients with malignant melanoma and central nervous system (CNS) metastases.
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pubmed:affiliation |
Department of Oncology, University of Miami, Florida 33136.
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pubmed:publicationType |
Journal Article
|