Source:http://linkedlifedata.com/resource/pubmed/id/19935728
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rdf:type | |
lifeskim:mentions |
umls-concept:C0023981,
umls-concept:C0030705,
umls-concept:C0036525,
umls-concept:C0038250,
umls-concept:C0183683,
umls-concept:C0282460,
umls-concept:C0344211,
umls-concept:C1171411,
umls-concept:C1261473,
umls-concept:C1317973,
umls-concept:C1328050,
umls-concept:C1521721,
umls-concept:C1522484,
umls-concept:C2003874
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pubmed:issue |
7
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pubmed:dateCreated |
2010-7-7
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pubmed:abstractText |
Prognosis of patients with metastatic soft tissue sarcoma remains poor. Whether high-dose chemotherapy with stem cell support improves the long-term outcome for these patients is debatable. We present a prospective, single-institutional phase II study that enrolled 34 soft tissue sarcoma patients with advanced and/or metastatic disease. After four courses of chemotherapy consisting of doxorubicin and ifosfamide, responding patients in at least partial response (PR) were treated with high-dose chemotherapy (n=9); all other patients continued chemotherapy for two more cycles. After standard chemotherapy, PR (n=10), stable disease (SD, n=6) and progressive disease (PD, n=14) were attained for the evaluable patients. Twenty-nine patients died and five are alive with the disease. Median PFS was 11.6 months (range 8-15) for patients treated with high-dose chemotherapy (n=9) vs 5.6 months (range 0-19) for patients treated with standard chemotherapy. Median OS was 23.7 months (range 12-34) vs 10.8 months (range 0-39), respectively. The subgroup of patients treated with high-dose chemotherapy gained significant survival benefit. Nevertheless, high-dose chemotherapy as a possible consolidation strategy remains highly investigational.
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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 |
Jul
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pubmed:issn |
1476-5365
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
45
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1234-8
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pubmed:meshHeading |
pubmed-meshheading:19935728-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:19935728-Dose-Response Relationship, Drug,
pubmed-meshheading:19935728-Doxorubicin,
pubmed-meshheading:19935728-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:19935728-Humans,
pubmed-meshheading:19935728-Ifosfamide,
pubmed-meshheading:19935728-Neoplasm Metastasis,
pubmed-meshheading:19935728-Sarcoma,
pubmed-meshheading:19935728-Survival Rate
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pubmed:year |
2010
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pubmed:articleTitle |
Consolidation with high-dose chemotherapy and stem cell support for responding patients with metastatic soft tissue sarcomas: prospective, single-institutional phase II study.
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pubmed:affiliation |
Department of Internal Medicine V, University of Heidelberg, Heidelberg, Germany. mail@berndkasper.de
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pubmed:publicationType |
Journal Article,
Clinical Trial, Phase II
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