Chemotherapy, Adjuvant
Antineoplastic Combined Chemotherapy Protocols
Adjuvants, Immunologic
Substances that augment, stimulate, activate, potentiate, or modulate the immune response at either the cellular or humoral level. The classical agents (Freund's adjuvant, BCG, Corynebacterium parvum, et al.) contain bacterial antigens. Some are endogenous (e.g., histamine, interferon, transfer factor, tuftsin, interleukin-1). Their mode of action is either non-specific, resulting in increased immune responsiveness to a wide variety of antigens, or antigen-specific, i.e., affecting a restricted type of immune response to a narrow group of antigens. The therapeutic efficacy of many biological response modifiers is related to their antigen-specific immunoadjuvanticity.
Combined Modality Therapy
Freund's Adjuvant
An antigen solution emulsified in mineral oil. The complete form is made up of killed, dried mycobacteria, usually M. tuberculosis, suspended in the oil phase. It is effective in stimulating cell-mediated immunity (IMMUNITY, CELLULAR) and potentiates the production of certain IMMUNOGLOBULINS in some animals. The incomplete form does not contain mycobacteria.
Radiotherapy, Adjuvant
Cisplatin
An inorganic and water-soluble platinum complex. After undergoing hydrolysis, it reacts with DNA to produce both intra and interstrand crosslinks. These crosslinks appear to impair replication and transcription of DNA. The cytotoxicity of cisplatin correlates with cellular arrest in the G2 phase of the cell cycle.
Cyclophosphamide
Precursor of an alkylating nitrogen mustard antineoplastic and immunosuppressive agent that must be activated in the LIVER to form the active aldophosphamide. It has been used in the treatment of LYMPHOMA and LEUKEMIA. Its side effect, ALOPECIA, has been used for defleecing sheep. Cyclophosphamide may also cause sterility, birth defects, mutations, and cancer.
Treatment Outcome
Doxorubicin
Disease-Free Survival
Neoplasm Staging
Neoadjuvant Therapy
Survival Analysis
A class of statistical procedures for estimating the survival function (function of time, starting with a population 100% well at a given time and providing the percentage of the population still well at later times). The survival analysis is then used for making inferences about the effects of treatments, prognostic factors, exposures, and other covariates on the function.
Adjuvants, Pharmaceutic
Prognosis
Survival Rate
Neoplasm Recurrence, Local
Methotrexate
Drug Administration Schedule
Etoposide
A semisynthetic derivative of PODOPHYLLOTOXIN that exhibits antitumor activity. Etoposide inhibits DNA synthesis by forming a complex with topoisomerase II and DNA. This complex induces breaks in double stranded DNA and prevents repair by topoisomerase II binding. Accumulated breaks in DNA prevent entry into the mitotic phase of cell division, and lead to cell death. Etoposide acts primarily in the G2 and S phases of the cell cycle.
Paclitaxel
Taxoids
Follow-Up Studies
Induction Chemotherapy
Anthracyclines
Organoplatinum Compounds
Drug Resistance, Neoplasm
Ifosfamide
Neoplasms
Bleomycin
Antineoplastic Agents, Alkylating
A class of drugs that differs from other alkylating agents used clinically in that they are monofunctional and thus unable to cross-link cellular macromolecules. Among their common properties are a requirement for metabolic activation to intermediates with antitumor efficacy and the presence in their chemical structures of N-methyl groups, that after metabolism, can covalently modify cellular DNA. The precise mechanisms by which each of these drugs acts to kill tumor cells are not completely understood. (From AMA, Drug Evaluations Annual, 1994, p2026)
Neoplasm Metastasis
Tamoxifen
Lymphatic Metastasis
Carcinoma, Non-Small-Cell Lung
Clinical Trials as Topic
Works about pre-planned studies of the safety, efficacy, or optimum dosage schedule (if appropriate) of one or more diagnostic, therapeutic, or prophylactic drugs, devices, or techniques selected according to predetermined criteria of eligibility and observed for predefined evidence of favorable and unfavorable effects. This concept includes clinical trials conducted both in the U.S. and in other countries.
Salvage Therapy
Chemotherapy, Cancer, Regional Perfusion
Kaplan-Meier Estimate
A nonparametric method of compiling LIFE TABLES or survival tables. It combines calculated probabilities of survival and estimates to allow for observations occurring beyond a measurement threshold, which are assumed to occur randomly. Time intervals are defined as ending each time an event occurs and are therefore unequal. (From Last, A Dictionary of Epidemiology, 1995)
Colorectal Neoplasms
Testicular Neoplasms
Ovarian Neoplasms
Antineoplastic Agents, Hormonal
Antineoplastic agents that are used to treat hormone-sensitive tumors. Hormone-sensitive tumors may be hormone-dependent, hormone-responsive, or both. A hormone-dependent tumor regresses on removal of the hormonal stimulus, by surgery or pharmacological block. Hormone-responsive tumors may regress when pharmacologic amounts of hormones are administered regardless of whether previous signs of hormone sensitivity were observed. The major hormone-responsive cancers include carcinomas of the breast, prostate, and endometrium; lymphomas; and certain leukemias. (From AMA Drug Evaluations Annual 1994, p2079)
Cytarabine
A pyrimidine nucleoside analog that is used mainly in the treatment of leukemia, especially acute non-lymphoblastic leukemia. Cytarabine is an antimetabolite antineoplastic agent that inhibits the synthesis of DNA. Its actions are specific for the S phase of the cell cycle. It also has antiviral and immunosuppressant properties. (From Martindale, The Extra Pharmacopoeia, 30th ed, p472)
Prospective Studies
Aluminum Hydroxide
Antineoplastic Agents, Phytogenic
Dacarbazine
Randomized Controlled Trials as Topic
Nausea
Transplantation, Autologous
Tumor Markers, Biological
Molecular products metabolized and secreted by neoplastic tissue and characterized biochemically in cells or body fluids. They are indicators of tumor stage and grade as well as useful for monitoring responses to treatment and predicting recurrence. Many chemical groups are represented including hormones, antigens, amino and nucleic acids, enzymes, polyamines, and specific cell membrane proteins and lipids.
Antibiotics, Antineoplastic
Brain Neoplasms
Neoplasms of the intracranial components of the central nervous system, including the cerebral hemispheres, basal ganglia, hypothalamus, thalamus, brain stem, and cerebellum. Brain neoplasms are subdivided into primary (originating from brain tissue) and secondary (i.e., metastatic) forms. Primary neoplasms are subdivided into benign and malignant forms. In general, brain tumors may also be classified by age of onset, histologic type, or presenting location in the brain.
Lymphoma, Non-Hodgkin
Any of a group of malignant tumors of lymphoid tissue that differ from HODGKIN DISEASE, being more heterogeneous with respect to malignant cell lineage, clinical course, prognosis, and therapy. The only common feature among these tumors is the absence of giant REED-STERNBERG CELLS, a characteristic of Hodgkin's disease.
Tegafur
Hodgkin Disease
A malignant disease characterized by progressive enlargement of the lymph nodes, spleen, and general lymphoid tissue. In the classical variant, giant usually multinucleate Hodgkin's and REED-STERNBERG CELLS are present; in the nodular lymphocyte predominant variant, lymphocytic and histiocytic cells are seen.
Antibodies, Monoclonal, Humanized
Antibodies from non-human species whose protein sequences have been modified to make them nearly identical with human antibodies. If the constant region and part of the variable region are replaced, they are called humanized. If only the constant region is modified they are called chimeric. INN names for humanized antibodies end in -zumab.
Mitomycin
Neoplasms, Germ Cell and Embryonal
Granulocyte Colony-Stimulating Factor
A glycoprotein of MW 25 kDa containing internal disulfide bonds. It induces the survival, proliferation, and differentiation of neutrophilic granulocyte precursor cells and functionally activates mature blood neutrophils. Among the family of colony-stimulating factors, G-CSF is the most potent inducer of terminal differentiation to granulocytes and macrophages of leukemic myeloid cell lines.
Dose-Response Relationship, Drug
Carmustine
A cell-cycle phase nonspecific alkylating antineoplastic agent. It is used in the treatment of brain tumors and various other malignant neoplasms. (From Martindale, The Extra Pharmacopoeia, 30th ed, p462) This substance may reasonably be anticipated to be a carcinogen according to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985). (From Merck Index, 11th ed)
Osteosarcoma
Camptothecin
Receptors, Estrogen
Infusions, Intravenous
Immunization
Deliberate stimulation of the host's immune response. ACTIVE IMMUNIZATION involves administration of ANTIGENS or IMMUNOLOGIC ADJUVANTS. PASSIVE IMMUNIZATION involves administration of IMMUNE SERA or LYMPHOCYTES or their extracts (e.g., transfer factor, immune RNA) or transplantation of immunocompetent cell producing tissue (thymus or bone marrow).
Thiotepa
Carcinoma
Infusions, Intra-Arterial
Melphalan
Receptor, erbB-2
A cell surface protein-tyrosine kinase receptor that is overexpressed in a variety of ADENOCARCINOMAS. It has extensive homology to and heterodimerizes with the EGF RECEPTOR, the ERBB-3 RECEPTOR, and the ERBB-4 RECEPTOR. Activation of the erbB-2 receptor occurs through heterodimer formation with a ligand-bound erbB receptor family member.
Multivariate Analysis
Drug Therapy
Sarcoma
Levamisole
An antihelminthic drug that has been tried experimentally in rheumatic disorders where it apparently restores the immune response by increasing macrophage chemotaxis and T-lymphocyte function. Paradoxically, this immune enhancement appears to be beneficial in rheumatoid arthritis where dermatitis, leukopenia, and thrombocytopenia, and nausea and vomiting have been reported as side effects. (From Smith and Reynard, Textbook of Pharmacology, 1991, p435-6)
Proportional Hazards Models
Carcinoma, Squamous Cell
Disease Progression
Fluorouracil
Hematopoietic Stem Cell Transplantation
Transfer of HEMATOPOIETIC STEM CELLS from BONE MARROW or BLOOD between individuals within the same species (TRANSPLANTATION, HOMOLOGOUS) or transfer within the same individual (TRANSPLANTATION, AUTOLOGOUS). Hematopoietic stem cell transplantation has been used as an alternative to BONE MARROW TRANSPLANTATION in the treatment of a variety of neoplasms.
Clinical Trials, Phase III as Topic
Works about comparative studies to verify the effectiveness of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques determined in phase II studies. During these trials, patients are monitored closely by physicians to identify any adverse reactions from long-term use. These studies are performed on groups of patients large enough to identify clinically significant responses and usually last about three years. This concept includes phase III studies conducted in both the U.S. and in other countries.
Germinoma
A malignant neoplasm of the germinal tissue of the GONADS; MEDIASTINUM; or pineal region. Germinomas are uniform in appearance, consisting of large, round cells with vesicular nuclei and clear or finely granular eosinophilic-staining cytoplasm. (Stedman, 265th ed; from DeVita Jr et al., Cancer: Principles & Practice of Oncology, 3d ed, pp1642-3)
Actuarial Analysis
The application of probability and statistical methods to calculate the risk of occurrence of any event, such as onset of illness, recurrent disease, hospitalization, disability, or death. It may include calculation of the anticipated money costs of such events and of the premiums necessary to provide for payment of such costs.
Quality of Life
Vaccines
Pancreatic Neoplasms
Tumors or cancer of the PANCREAS. Depending on the types of ISLET CELLS present in the tumors, various hormones can be secreted: GLUCAGON from PANCREATIC ALPHA CELLS; INSULIN from PANCREATIC BETA CELLS; and SOMATOSTATIN from the SOMATOSTATIN-SECRETING CELLS. Most are malignant except the insulin-producing tumors (INSULINOMA).
Daunorubicin
Lymph Nodes
Hyperthermia, Induced
Vindesine
Immunohistochemistry
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Leukemia, Myeloid, Acute
Head and Neck Neoplasms
Soft tissue tumors or cancer arising from the mucosal surfaces of the LIP; oral cavity; PHARYNX; LARYNX; and cervical esophagus. Other sites included are the NOSE and PARANASAL SINUSES; SALIVARY GLANDS; THYROID GLAND and PARATHYROID GLANDS; and MELANOMA and non-melanoma skin cancers of the head and neck. (from Holland et al., Cancer Medicine, 4th ed, p1651)
Feasibility Studies
Immunotherapy
Predictive Value of Tests
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
Neoplasms, Second Primary
Abnormal growths of tissue that follow a previous neoplasm but are not metastases of the latter. The second neoplasm may have the same or different histological type and can occur in the same or different organs as the previous neoplasm but in all cases arises from an independent oncogenic event. The development of the second neoplasm may or may not be related to the treatment for the previous neoplasm since genetic risk or predisposing factors may actually be the cause.
Neoplasm, Residual
Seminoma
A radiosensitive, malignant neoplasm of the testis, thought to be derived from primordial germ cells of the sexually undifferentiated embryonic gonad. There are three variants: classical (typical), the most common type; anaplastic; and spermatocytic. The classical seminoma is composed of fairly well differentiated sheets or cords of uniform polygonal or round cells (seminoma cells), each cell having abundant clear cytoplasm, distinct cell membranes, a centrally placed round nucleus, and one or more nucleoli. In the female, a grossly and histologically identical neoplasm, known as dysgerminoma, occurs. (Dorland, 27th ed)
Lymph Node Excision
Cranial Irradiation
Platinum
Platinum. A heavy, soft, whitish metal, resembling tin, atomic number 78, atomic weight 195.09, symbol Pt. (From Dorland, 28th ed) It is used in manufacturing equipment for laboratory and industrial use. It occurs as a black powder (platinum black) and as a spongy substance (spongy platinum) and may have been known in Pliny's time as "alutiae".
Receptors, Progesterone
Specific proteins found in or on cells of progesterone target tissues that specifically combine with progesterone. The cytosol progesterone-receptor complex then associates with the nucleic acids to initiate protein synthesis. There are two kinds of progesterone receptors, A and B. Both are induced by estrogen and have short half-lives.
Antibody Formation
Risk Factors
Maintenance Chemotherapy
Cancer Vaccines
Age Factors
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Arthritis, Experimental
Vaccines, Subunit
Pilot Projects
Soft Tissue Neoplasms
Apoptosis
One of the mechanisms by which CELL DEATH occurs (compare with NECROSIS and AUTOPHAGOCYTOSIS). Apoptosis is the mechanism responsible for the physiological deletion of cells and appears to be intrinsically programmed. It is characterized by distinctive morphologic changes in the nucleus and cytoplasm, chromatin cleavage at regularly spaced sites, and the endonucleolytic cleavage of genomic DNA; (DNA FRAGMENTATION); at internucleosomal sites. This mode of cell death serves as a balance to mitosis in regulating the size of animal tissues and in mediating pathologic processes associated with tumor growth.
Melanoma
A malignant neoplasm derived from cells that are capable of forming melanin, which may occur in the skin of any part of the body, in the eye, or, rarely, in the mucous membranes of the genitalia, anus, oral cavity, or other sites. It occurs mostly in adults and may originate de novo or from a pigmented nevus or malignant lentigo. Melanomas frequently metastasize widely, and the regional lymph nodes, liver, lungs, and brain are likely to be involved. The incidence of malignant skin melanomas is rising rapidly in all parts of the world. (Stedman, 25th ed; from Rook et al., Textbook of Dermatology, 4th ed, p2445)
Immunoglobulin G
Aromatase Inhibitors
Tomography, X-Ray Computed
Bone Marrow Transplantation
Prednisolone
Antibodies, Monoclonal, Murine-Derived
Fatal Outcome
Mastectomy, Segmental
Gastrectomy
Mesna
Lymphoma, Large B-Cell, Diffuse
Malignant lymphoma composed of large B lymphoid cells whose nuclear size can exceed normal macrophage nuclei, or more than twice the size of a normal lymphocyte. The pattern is predominantly diffuse. Most of these lymphomas represent the malignant counterpart of B-lymphocytes at midstage in the process of differentiation.
Floxuridine
An antineoplastic antimetabolite that is metabolized to fluorouracil when administered by rapid injection; when administered by slow, continuous, intra-arterial infusion, it is converted to floxuridine monophosphate. It has been used to treat hepatic metastases of gastrointestinal adenocarcinomas and for palliation in malignant neoplasms of the liver and gastrointestinal tract.
Central Nervous System Neoplasms
Clinical Trials, Phase II as Topic
Works about studies that are usually controlled to assess the effectiveness and dosage (if appropriate) of diagnostic, therapeutic, or prophylactic drugs, devices, or techniques. These studies are performed on several hundred volunteers, including a limited number of patients with the target disease or disorder, and last about two years. This concept includes phase II studies conducted in both the U.S. and in other countries.
Vaccination
Premenopause
Nimustine
Antineoplastic agent especially effective against malignant brain tumors. The resistance which brain tumor cells acquire to the initial effectiveness of this drug can be partially overcome by the simultaneous use of membrane-modifying agents such as reserpine, calcium antagonists such as nicardipine or verapamil, or the calmodulin inhibitor, trifluoperazine. The drug has also been used in combination with other antineoplastic agents or with radiotherapy for the treatment of various neoplasms.
Gene Expression Regulation, Neoplastic
Treatment Failure
Random Allocation
Mitomycins
Cohort Studies
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.
Risk Assessment
Injections, Subcutaneous
Dysgerminoma
A malignant ovarian neoplasm, thought to be derived from primordial germ cells of the sexually undifferentiated embryonic gonad. It is the counterpart of the classical seminoma of the testis, to which it is both grossly and histologically identical. Dysgerminomas comprise 16% of all germ cell tumors but are rare before the age of 10, although nearly 50% occur before the age of 20. They are generally considered of low-grade malignancy but may spread if the tumor extends through its capsule and involves lymph nodes or blood vessels. (Dorland, 27th ed; DeVita Jr et al., Cancer: Principles & Practice of Oncology, 3d ed, p1646)
Dose Fractionation
Glioblastoma
A malignant form of astrocytoma histologically characterized by pleomorphism of cells, nuclear atypia, microhemorrhage, and necrosis. They may arise in any region of the central nervous system, with a predilection for the cerebral hemispheres, basal ganglia, and commissural pathways. Clinical presentation most frequently occurs in the fifth or sixth decade of life with focal neurologic signs or seizures.
Drug Combinations
Immunity, Mucosal
Nonsusceptibility to the pathogenic effects of foreign microorganisms or antigenic substances as a result of antibody secretions of the mucous membranes. Mucosal epithelia in the gastrointestinal, respiratory, and reproductive tracts produce a form of IgA (IMMUNOGLOBULIN A, SECRETORY) that serves to protect these ports of entry into the body.
Mucositis
An INFLAMMATION of the MUCOSA with burning or tingling sensation. It is characterized by atrophy of the squamous EPITHELIUM, vascular damage, inflammatory infiltration, and ulceration. It usually occurs at the mucous lining of the MOUTH, the GASTROINTESTINAL TRACT or the airway due to chemical irritations, CHEMOTHERAPY, or radiation therapy (RADIOTHERAPY).
Serum sErbB1 and epidermal growth factor levels as tumor biomarkers in women with stage III or IV epithelial ovarian cancer. (1/4884)
Epithelial ovarian cancer (EOC) has a high mortality rate, which is due primarily to the fact that early clinical symptoms are vague and nonspecific; hence, this disease often goes undetected and untreated until in its advanced stages. Sensitive and reliable methods for detecting earlier stages of EOC are, therefore, urgently needed. Epidermal growth factor (EGF) is a ligand for EGF receptor (ErbB1); this receptor is the product of the c-erbB1 proto-oncogene. ErbB1 overexpression is common in human ovarian carcinoma-derived cell lines and tumors, in which overexpression is thought to play a critical role in tumor etiology and progression. Furthermore, ErbB1 overexpression is associated with disease recurrence and decreased patient survival. Recently, we have developed an acridinium-linked immunosorbent assay that detects a approximately 110-kDa soluble analogue of ErbB1, ie., sErbB1, in serum samples from healthy men and women (A. T. Baron, et al., J. Immunol. Methods, 219: 23-43, 1998). Here, we demonstrate that serum p110 sErbB1 levels are significantly lower in EOC patients with stage III or IV disease prior to (P < 0.0001) and shortly after (P < 0.0001) cytoreductive staging laparotomy than in healthy women of similar ages, whereas EGF levels are significantly higher than those of age-matched healthy women only in serum samples collected shortly after tumor debulking surgery (P < 0.0001). We observe that the preoperative serum sErbB1 concentration range of advanced stage EOC patients barely overlaps with the serum sErbB1 concentration range of healthy women. In addition, we show that serum sErbB1 and EGF levels changed temporally for some EOC patients who were surgically debulked of tumor and who provided a second serum sample during the course of combination chemotherapy. Finally, we observe a significant positive association between sErbB1 and EGF levels only in serum samples of EOC patients collected prior to cytoreductive surgery (correlation coefficient = 0.61968; P = 0.0027). These data suggest that epithelial ovarian tumors concomitantly affect serum sErbB1 and EGF levels. In conclusion, these data indicate that serum sErbB1 and EGF (postoperative only) levels are significantly different between EOC patients and healthy women and that altered and/or changing serum sErbB1 and EGF levels may provide important diagnostic and/or prognostic information useful for the management of patients with EOC. (+info)Multimodality therapy for locally advanced and limited stage IV breast cancer: the impact of effective non-cross-resistance late-consolidation chemotherapy. (2/4884)
To determine the effectiveness of non-cross-resistant late-consolidation chemotherapy in locally advanced breast cancer (LABC) and stage IV breast cancer, we review our experience with two regimens. Between 1985 and 1991, we enrolled 56 patients with LABC, who were treated with a doxorubicin-based adjuvant regimen, followed by a late-consolidation non-cross-resistant regimen containing methotrexate, 5-fluorouracil, cisplatin, and cyclophosphamide. Between 1985 and 1996, a total of 45 patients with limited stage IV breast cancer underwent surgical excision of all evaluable disease, making them metastatic (stage IV) with no evaluable disease. Surgery was followed by a doxorubicin-containing regimen and then a late-consolidation non-cross-resistant regimen, which was either methotrexate, 5-fluorouracil, cisplatinum, and cyclophosphamide or 5-fluorouracil, mitomycin, etoposide, and cisplatin. Twenty-four patients with limited bone metastases that were unresectable were treated with a doxorubicin-containing regimen, radiation therapy to all sites of disease, and then one of the two late non-cross-resistant regimens. With a median follow-up of 84 months, 78% of patients with LABC are alive, and 68% are free of disease. After a median follow-up of 44 months, 53% of patients with stage IV with no evaluable disease are alive and free of disease. The use of non-cross-resistant late-consolidation chemotherapy is an effective strategy in the treatment of patients with LABC and selected patients with limited stage IV breast cancer. (+info)Necrosis correlates with high vascular density and focal macrophage infiltration in invasive carcinoma of the breast. (3/4884)
Necrosis is a common feature of invasive carcinoma of the breast and is caused by chronic ischaemia leading to infarction. Although necrosis was previously assumed to be due to a generally poor blood supply in the tumour, in this study we show that it is present in tumours with focal areas of high vascular density situated away from the actual sites of necrosis. This may account, in part, for the previous observation that necrosis is linked to poor prognosis in this disease. Highly angiogenic tumours often display blood vessel shunting from one tumour area to another, which further exacerbates ischaemia and the formation of tumour necrosis. We have recently demonstrated that high focal microphage infiltration into breast tumours is significantly associated with increased tumour angiogenesis and poor prognosis and that the macrophages accumulate in poorly vascularized, hypoxic areas within breast tumours. In order to investigate the interactions of macrophages with chronic ischaemia (as reflected by the presence of necrosis) and angiogenesis in breast tumours, we quantified the levels of these three biological parameters in a series of 109 consecutive invasive breast carcinomas. We found that the degree of tumour necrosis was correlated with both microphage infiltration (Mann-Whitney U, P-value = 0.0009; chi-square, P-value = 0.01) and angiogenesis (Mann-Whitney U P-value = 0.0008, chi square P-value = 0.03). It was also observed that necrosis was a feature of tumours possessing an aggressive phenotype, i.e. high tumour grade (chi-square, P-value < 0.001), larger size (Mann-Whitney U, P-value = 0.003) and low oestrogen receptor status (Mann-Whitney U, P-value = 0.008; chi-square, P-value < 0.008). We suggest, therefore, that aggressive tumours rapidly outgrow their vascular supply in certain areas, leading to areas of prolonged hypoxia within the tumour and, subsequently, to necrosis. This, in turn, may attract macrophages into the tumour, which then contribute to the angiogenic process, giving rise to an association between high levels of angiogenesis and extensive necrosis. (+info)Metastasis stage, adjuvant treatment, and residual tumor are prognostic factors for medulloblastoma in children: conclusions from the Children's Cancer Group 921 randomized phase III study. (4/4884)
PURPOSE: From 1986 to 1992, "eight-drugs-in-one-day" (8-in-1) chemotherapy both before and after radiation therapy (XRT) (54 Gy tumor/36 Gy neuraxis) was compared with vincristine, lomustine (CCNU), and prednisone (VCP) after XRT in children with untreated, high-stage medulloblastoma (MB). PATIENTS AND METHODS: Two hundred three eligible patients with an institutional diagnosis of MB were stratified by local invasion and metastatic stage (Chang T/M) and randomized to therapy. Median time at risk from study entry was 7.0 years. RESULTS: Survival and progression-free survival (PFS) +/- SE at 7 years were 55%+/-5% and 54%+/-5%, respectively. VCP was superior to 8-in-1 chemotherapy, with 5-year PFS rates of 63%+/-5% versus 45%+/-5%, respectively (P = .006). Upon central neuropathology review, 188 patients were confirmed as having MB and were the subjects for analyses of prognostic factors. Children aged 1.5 to younger than 3 years had inferior 5-year estimates of PFS, compared with children 3 years old or older (P = .0014; 32%+/-10% v 58%+/-4%, respectively). For MB patients 3 years of age or older, the prognostic effect of tumor spread (MO v M1 v M2+) on PFS was powerful (P = .0006); 5-year PFS rates were 70%+/-5%, 57%+/-10%, and 40%+/-8%, respectively. PFS distributions at 5 years for patients with M0 tumors with less than 1.5 cm2 of residual tumor, versus > or = 1.5 cm2 of residual tumor by scan, were significantly different (P = .023; 78%+/-6% v 54%+/-11%, respectively). CONCLUSION: VCP plus XRT is a superior adjuvant combination compared with 8-in-1 chemotherapy plus XRT. For patients with M0 tumors, residual tumor bulk (not extent of resection) is a predictor for PFS. Patients with M0 tumors, > or = 3 years with < or = 1.5 cm2 residual tumor, had a 78%+/-6% 5-year PFS rate. Children younger than 3 years old who received a reduced XRT dosage had the lowest survival rate. (+info)Pamidronate reduces skeletal morbidity in women with advanced breast cancer and lytic bone lesions: a randomized, placebo-controlled trial. Protocol 18 Aredia Breast Cancer Study Group. (5/4884)
PURPOSE: To assess whether pamidronate can reduce the frequency of skeletal morbidity in women with lytic bone metastases from breast cancer treated with hormone therapy. PATIENTS AND METHODS: Three hundred seventy-two women with breast cancer who had at least one lytic bone lesion and who were receiving hormonal therapy were randomized to receive 90 mg of pamidronate or placebo as a 2-hour intravenous infusion given in double-blind fashion every 4 weeks for 24 cycles. Patients were evaluated for skeletal complications: pathologic fractures, spinal cord compression, irradiation of or surgery on bone, or hypercalcemia. The skeletal morbidity rate (the ratio of the number of skeletal complications to the time on trial) was the primary efficacy variable. Bone pain, use of analgesics, quality of life, performance status, bone tumor response, and biochemical parameters were also evaluated. RESULTS: One hundred eighty-two patients who received pamidronate and 189 who received placebo were assessable. The skeletal morbidity rate was significantly reduced at 12, 18, and 24 cycles in patients treated with 90 mg of pamidronate (P = .028, .023, and .008, respectively). At 24 cycles, the proportion of patients having had any skeletal complication was 56% in the pamidronate group and 67% in the placebo group (P = .027). The time to the first skeletal complication was longer for patients receiving pamidronate than for those given placebo (P = .049). There was no statistical difference in survival or in objective bone response rate. Pamidronate was well tolerated. CONCLUSION: Treatment with 90 mg of pamidronate as a 2-hour intravenous infusion every 4 weeks in addition to hormonal therapy significantly reduces skeletal morbidity from osteolytic metastases. (+info)Combined irinotecan and oxaliplatin plus granulocyte colony-stimulating factor in patients with advanced fluoropyrimidine/leucovorin-pretreated colorectal cancer. (6/4884)
PURPOSE: To evaluate the efficacy and tolerance of combined irinotecan and oxaliplatin in patients with advanced colorectal cancer pretreated with leucovorin-modulated fluoropyrimidines. PATIENTS AND METHODS: Thirty-six patients with metastatic colorectal cancer, who progressed while receiving or within 6 months after discontinuing palliative chemotherapy with fluoropyrimidines/leucovorin, were enrolled onto this study. Treatment consisted of oxaliplatin 85 mg/m2 on days 1 + 15 and irinotecan 80 mg/m2 on days 1 + 8 + 15 every 4 weeks. Depending on the absolute neutrophil counts (ANC) on the day of scheduled chemotherapeutic drug administration, a 5-day course of granulocyte colony-stimulating factor (G-CSF) 5 microg/kg/d was given. RESULTS: The overall response rate was 42% for all 36 assessable patients (95% confidence interval, 26% to 59%), including two complete remissions (6%). Thirteen additional patients (36%) had stable disease, and only eight (22%) progressed. The median time to treatment failure was 7.5 months (range, 1 to 13.5+ months). After a median follow-up time of 14 months, 19 patients (53%) are still alive. Hematologic toxicity was commonly observed, although according to the ANC-adapted use of G-CSF (in 31 patients during 81 of 174 courses), it was generally mild: grade 3 and 4 granulocytopenia occurred in only five and two cases, respectively. The most frequent nonhematologic adverse reactions were nausea/emesis and diarrhea, which were rated severe in 17% and 19%, respectively. CONCLUSION: Our data suggest that the combination of irinotecan and oxaliplatin with or without G-CSF has substantial antitumor activity in patients with progressive fluoropyrimidine/leucovorin-pretreated colorectal cancer. Overall toxicity was modest, with gastrointestinal symptoms constituting the dose-limiting side effects. Further evaluation of this regimen seems warranted. (+info)Multi-institutional melanoma lymphatic mapping experience: the prognostic value of sentinel lymph node status in 612 stage I or II melanoma patients. (7/4884)
PURPOSE: To compare the effect of pathologic sentinel lymph node (SLN) status with that of other known prognostic factors on recurrence and survival in patients with stage I or II cutaneous melanoma. PATIENTS AND METHODS: We reviewed the records of 612 patients with primary cutaneous melanoma who underwent lymphatic mapping and SLN biopsy between January 1991 and May 1995 to determine the effects of tumor thickness, ulceration, Clark level, location, sex, and SLN pathologic status on disease-free and disease-specific survival. RESULTS: In the 580 patients in whom lymphatic mapping and SLN biopsy were successful, the SLN was positive by conventional histology in 85 patients (15%) but negative in 495 patients (85%). SLN status was the most significant prognostic factor with respect to disease-free and disease-specific survival by univariate and multiple covariate analyses. Although tumor thickness and ulceration influenced survival in SLN-negative patients, they provided no additional prognostic information in SLN-positive patients. CONCLUSION: Lymphatic mapping and SLN biopsy is highly accurate in staging nodal basins at risk for regional metastases in primary melanoma patients and identifies those who may benefit from earlier lymphadenectomy. Furthermore, pathologic status of the SLN in these patients with clinically negative nodes is the most important prognostic factor for recurrence. The information from SLN biopsy is particularly helpful in establishing stratification criteria for future adjuvant trials. (+info)Neoadjuvant chemotherapy for operable breast carcinoma larger than 3 cm: a unicentre randomized trial with a 124-month median follow-up. Institut Bergonie Bordeaux Groupe Sein (IBBGS). (8/4884)
BACKGROUND: Neoadjuvant chemotherapy improves overall survival and renders possible breast-conserving treatment in locally advanced breast cancer. It was necessary for this method to be evaluated in operable breast tumors too large to be treated immediately by conserving surgery. Initial results of this randomized trial were published in Annals of Oncology (1991). PATIENTS AND METHODS: Women with T2 > 3 cm or T3 N0-1 M0 breast tumors were treated by either initial mastectomy followed by adjuvant chemotherapy, or neoadjuvant chemotherapy followed by adjusted locoregional treatment. Chemotherapy was the same in the two arms. The prognostic and predictive factors of response to chemotherapy were analyzed. RESULTS: Conserving treatments were performed in 63% at the end of neoadjuvant chemotherapy and this rate had decreased to 45% at the median follow-up of 124 months. Survivals are identical in the two treatment groups. Initial clinical tumor size < 40 mm, IHC-ER < 10% and Mib1 > 40% are predictive of tumor response to chemotherapy by uni- and multivariate analyses. For outcome prediction, c-erb-B2 > 0% is the independent prognostic factor for overall and metastasis-free survivals. CONCLUSION: Breast-conserving therapy can be performed in more than half of all cases without alteration of survival, despite a non-negligible rate of local recurrences. (+info)
ERCC1 as a biomarker for bladder cancer patients likely to benefit from adjuvant chemotherapy | BMC Cancer | Full Text
Comparison of Postoperative Adjuvant Chemotherapy With/Without Rh-endostatin on Non-small Cell Lung Cancer in PhaseⅠB - Full...
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Optimizing adjuvant chemotherapy in early-stage breast cancer.<...
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Assessing brain volume changes in older women with breast cancer receiving adjuvant chemotherapy: a brain magnetic resonance...
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RePub, Erasmus University Repository:
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P-glycoprotein as an intermediate end point of drug resistance to neoadjuvant chemotherapy in locally advanced gastric cancer. ...
Timing and patterns of recurrences and deaths from prostate cancer following adjuvant pelvic radiotherapy for pathologic stage...
Shiroda (capecitabine) can be used for adjuvant chemotherapy after breast cancer surgery?
S-1 Versus S-1 Plus Cisplatin as an Adjuvant Chemotherapy to Treat Gastric Cancer
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Elderly Colon Cancer Patients Benefit From Adjuvant Chemotherapy | Cancer Network | The Oncology Journal
Estimating regimen-specific costs of chemotherapy for breast cancer: Observational cohort study<...
Symptoms of breast cancer - Irelands Health Service
Introduction - Irelands Health Service
胃癌根治术后辅助治疗的临床分析 Clinical Analysis of Postoperative Adjuvant Therapy in Gastric Cancer
Clinical research of capecitabine in the adjuvant chemotherapy of postoperative liver cancer. - AdisInsight
Lentinula edodes mycelia extract plus adjuvant chemotherapy for breast cancer patients: Results of a randomized study on host...
Prospectively randomized trial of postoperative adjuvant chemotherapy in patients with high-risk colon cancer<...
Completion of therapy by medicare patients with stage III colon cancer<...
Changing pattern of pulmonary metastases with adjuvant chemotherapy in patients with osteosarcoma: results from the...
An increase in the neutrophil-to-lymphocyte ratio during adjuvant chemotherapy indicates a poor prognosis in patients with...
Adjuvant cisplatin-based chemotherapy for resected NSCLC: one size fits all?
Influence of more extensive radiotherapy and adjuvant chemotherapy on long-term outcome of early-stage Hodgkins disease: a...
Influence of more extensive radiotherapy and adjuvant chemotherapy on long-term outcome of early-stage Hodgkins disease: a...
Mismatch repair status in the prediction of benefit from adjuvant fluorouracil chemotherapy in colorectal cancer | Gut
GSTP1 and MTHFR polymorphisms are related with toxicity in breast cancer adjuvant anthracycline-based treatment
Oncotype DX Predicts Recurrence Risk in Stage II and Stage III Colon Cancer - UNM Comprehensive Cancer Center
The impact of lymph node dissection and adjuvant chemotherapy on survival: A nationwide cohort study of patients with clinical...
Three Months of Oxaliplatin-Based Adjuvant Therapy Noninferior to 6 Months in Stage III Colon Cancer
Sequential adjuvant chemotherapy and radiotherapy in endometrial cancer - Results from two randomised studies
Gene Polymorphisms in Cyclophosphamide Metabolism Pathway, Treatment-Related Toxicity, and Disease-Free Survival in SWOG 8897...
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How I treat colorectal cancer. I. Prevention and adjuvant treatment]. - Semantic Scholar
Circulating tumor DNA analysis detects minimal residual disease and predicts recurrence in patients with stage II colon cancer ...
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Adjuvant therapy - Wikipedia
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Dermatologic adverse effects of breast cancer chemotherapy: a longitudinal prospective observational study with a review of...
Addition of Algenpantucel-L Immunotherapy to Standard Adjuvant Therapy for Pancreatic Cancer: A Phase 2 Study<...
The Trolley Problem in Oncology: when to pull the lever of adjuvant chemotherapy? - Cancer Knowledge Network
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Adjuvant nivolumab superior to ipilimumab in surgically resected stage III/IV melanoma
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NCT00936364 Clinical Trial - National Cancer Institute
Tagrisso extended disease-free survival regardless of prior adjuvant chemotherapy in early-stage EGFR-mutated lung cancer
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Re: [MOL] chemotherapy for Stage III colon cancer /REPLY [00784]
Chemotherapy Regimens - The Purple Society
Cholangiocarcinoma
Adjuvant chemotherapy and radiation therapyEdit. If the tumor can be removed surgically, people may receive adjuvant ... Adjuvant chemotherapy appears to be ineffective in people with completely resected tumors.[75] The role of combined ... then adjuvant therapy with radiation and possibly chemotherapy is generally recommended based on the available data.[76] ... "Is postoperative adjuvant chemotherapy useful for gallbladder carcinoma? A phase III multicenter prospective randomized ...
Neoadjuvant therapy
Adjuvant chemotherapy Deen, SS; Priest, AN; McLean, MA; Gill, AB; Brodie, C; Crawford, R; Latimer, J; Baldwin, P; Earl, HM; ... Adjuvant and Neoadjuvant Therapy for Breast Cancer (as defined by the US National Institutes of Health (NIH) Valentini, ... chemotherapy, immunotherapy or hormone therapy) or radiation therapy is commonly used in cancers that are locally advanced, and ... "Diffusion kurtosis MRI as a predictive biomarker of response to neoadjuvant chemotherapy in high grade serous ovarian cancer". ...
Breast cancer
Drugs used after and in addition to surgery are called adjuvant therapy. Chemotherapy or other types of therapy prior to ... Chemotherapy. Chemotherapy is predominantly used for cases of breast cancer in stages 2-4, and is particularly beneficial in ... "Trastuzumab plus adjuvant chemotherapy for operable HER2-positive breast cancer". N. Engl. J. Med. 353 (16): 1673-84. doi: ... Modern chemotherapy developed after World War II.[160]. Prominent women who died of breast cancer include Anne of Austria, the ...
Immature teratoma
January 2016). "Is adjuvant chemotherapy indicated in ovarian immature teratomas? A combined data analysis from the Malignant ... Tay SK, Tan LK (January 2000). "Experience of a 2-day BEP regimen in postsurgical adjuvant chemotherapy of ovarian germ cell ... In adult women postoperative adjuvant chemotherapy is standard except for stage I /grade 1 disease. In pediatric patients, ... However, these results antedate the use of multi-agent chemotherapy. With the advent of multiagent chemotherapy after surgical ...
Gilbert Wheeler Beebe
Hughes, F. A., Higgins, G., & Beebe, G. W. (1966). Present status of surgical adjuvant lung-cancer chemotherapy. JAMA, 196(4), ... Present status of surgical adjuvant lung-cancer chemotherapy. Bronchogenic carcinoma: factors in survival. Linkage of Wartime ...
Chemotherapy
Adjuvant chemotherapy is given after a local treatment (radiotherapy or surgery). It can be used when there is little evidence ... Intensification chemotherapy is identical to consolidation chemotherapy but a different drug than the induction chemotherapy is ... Chemotherapy. A woman being treated with docetaxel chemotherapy for breast cancer. Cold mittens and wine coolers are placed on ... The term chemotherapy[edit]. The word chemotherapy without a modifier usually refers to cancer treatment, but its historical ...
Lung cancer
Adjuvant chemotherapy refers to the use of chemotherapy after apparently curative surgery to improve the outcome. In NSCLC, ... Chemotherapy[edit]. The chemotherapy regimen depends on the tumor type.[6] Small-cell lung carcinoma (SCLC), even relatively ... If stage II or III disease is confirmed, adjuvant chemotherapy (including or not including postoperative radiotherapy) improves ... Chemotherapy may be combined with palliative care in the treatment of the NSCLC. In advanced cases, appropriate chemotherapy ...
Cervical cancer
Falcetta FS, Medeiros LR, Edelweiss MI, Pohlmann PR, Stein AT, Rosa DD (November 2016). "Adjuvant platinum-based chemotherapy ... "Adjuvant chemotherapy after concurrent chemoradiation for locally advanced cervical cancer". The Cochrane Database of ... which then usually requires adjuvant radiation therapy), or cisplatin chemotherapy followed by hysterectomy. When cisplatin is ... In addition, chemotherapy can be used to treat cervical cancer, and has been found to be more effective than radiation alone. ...
Triple-negative breast cancer
Standard treatment is surgery with adjuvant chemotherapy and radiotherapy. As a variation, neoadjuvant chemotherapy is very ... This makes it particularly complicated to find the optimal chemotherapy. Adding a taxane to the chemotherapy appears to improve ... TNBCs are generally very susceptible to chemotherapy. In some cases, however, early complete response does not correlate with ... BRCA1-related triple-negative breast cancer appear to be particularly susceptible to chemotherapy, including platinum-based ...
Platinum-based antineoplastic
the cure rate was improved from 10% to 85%. Similarly, the addition of cisplatin to adjuvant chemotherapy led to a marked ... These drugs are used to treat almost half of people receiving chemotherapy for cancer. In this form of chemotherapy, commonly ... "Adjuvant platinum-based chemotherapy for early stage cervical cancer". The Cochrane Database of Systematic Reviews. 11: ... Oun R, Moussa YE, Wheate NJ (2018). "The side effects of platinum-based chemotherapy drugs: a review for chemists". Dalton ...
Cancer pharmacogenomics
October 2005). "Trastuzumab after adjuvant chemotherapy in HER2-positive breast cancer". The New England Journal of Medicine. ... August 2010). "Trastuzumab in combination with chemotherapy versus chemotherapy alone for treatment of HER2-positive advanced ... Drugs used for chemotherapy are too toxic to give to healthy individuals, which makes it difficult to perform genetic studies ... Then, in 2005, it was shown that trastuzumab is effective as an adjuvant treatment in women with early-stage breast cancer. ...
Pseudomyxoma peritonei
Systemic chemotherapy may be administered as additional or adjuvant treatment. Due to the increased availability of new ... some patients have experienced stability in tumor growth with systemic chemotherapy. Systemic chemotherapy is generally ... Chemotherapy (typically utilising the chemotherapeutic agent Mitomycin C) may be infused directly into the abdominal cavity ... Some surgeons also apply early post-operative intraperitonial chemotherapy (EPIC), adjunct to surgical cytoreduction and HIPEC ...
Breast cancer classification
2005). "Trastuzumab plus adjuvant chemotherapy for operable HER2+ breast cancer". N Engl J Med. 353: 1673-1684. doi:10.1056/ ... Albain, K. S.; Paik, S.; Van't Veer, L. (2009). "Prediction of adjuvant chemotherapy benefit in endocrine responsive, early ... The choice of established chemotherapy medications, if chemotherapy is needed, may also be affected by DNA assays that predict ... Adjuvant! is based on US cohorts and presents colored bar charts that display information that may assist in decisions ...
Mixed Müllerian tumor
February 2013). "Adjuvant radiotherapy and/or chemotherapy after surgery for uterine carcinosarcoma". The Cochrane Database of ... who were treated with combination chemotherapy including Ifosfamide, were at lower risk of disease progression and death than ...
Solitary fibrous tumor
Adjuvant chemotherapy and/or radiotherapy in malignant SFT remains controversial. SFT was first mentioned in the scientific ...
Sandra M. Swain
"Trastuzumab plus adjuvant chemotherapy for operable HER2-positive breast cancer". The New England Journal of Medicine. 353 (16 ... adjuvant treatment of breast cancer, the treatments of metastatic HER2+ breast cancer, cardiotoxicity, as well as health care ... the National Surgical Adjuvant Breast and Bowel Project (NSABP), and the National Accreditation Program for Breast Centers. ...
Eric Winer
Adjuvant chemotherapy in older women with early-stage breast cancer. New England Journal of Medicine. 2009;360:2055-2065. Sikov ... Adjuvant Paclitaxel and Trastuzumab for Node-Negative, HER2-Positive Breast Cancer. New England Journal of Medicine. 2015;372: ... Estrogen-Receptor Status and Outcomes of Modern Chemotherapy for Patients with Node-Positive Breast Cancer. JAMA. 2006;295:1658 ... assessing the use of aspirin as adjuvant therapy for node-positive breast cancer patients. Winer has authored over 250 ...
Rak żołądka człowieka, wolna encyklopedia
Adjuvant chemotherapy for gastric cancer with S-1, an oral fluoropyrimidine. „N Engl J Med". 357 (18), s. 1810-1820, Nov 2007. ... Preoperative systemic chemotherapy followed by adjuvant postoperative intraperitoneal therapy for gastric cancer: a University ... Trastuzumab in combination with chemotherapy versus chemotherapy alone for treatment of HER2-positive advanced gastric or ... Pilot study of postoperative adjuvant chemoradiation for advanced gastric cancer: adjuvant 5-FU/cisplatin and chemoradiation ...
Health care system in Japan
Sakuramoto (1 November 2007). "Adjuvant chemotherapy for gastric cancer with S-1, an oral fluoropyrimidine". NEJM. 357 (18): ... in Japan for most cancers while overall survival tend to be longer in the US due to the more aggressive use of chemotherapy in ... cancer is better in Japan than the US in both patients treated with surgery alone and surgery followed by chemotherapy. Japan ...
ERCC1
September 2006). "DNA repair by ERCC1 in non-small-cell lung cancer and cisplatin-based adjuvant chemotherapy". The New England ... ERCC1-positive NSCLC tumors do not benefit from adjuvant platinum chemotherapy. However, ERCC1-negative NSCLC tumors, ... derive substantial benefit from adjuvant cisplatin-based chemotherapy. High ERCC1 is thus a negative predictive marker, ... Olaussen KA, Mountzios G, Soria JC (July 2007). "ERCC1 as a risk stratifier in platinum-based chemotherapy for nonsmall-cell ...
Trastuzumab
2005). "Trastuzumab plus adjuvant chemotherapy for operable HER2-positive breast cancer". New England Journal of Medicine. 353 ... 2005). "Trastuzumab after adjuvant chemotherapy in HER2-positive breast cancer". New England Journal of Medicine. 353 (16): ... 2006). "Adjuvant docetaxel or vinorelbine with or without trastuzumab for breast cancer". N Engl J Med. 354 (8): 809-20. doi: ... It may be used by itself or together with other chemotherapy medication. Trastuzumab is given by slow injection into a vein and ...
Ovarian cancer
They are treated with surgery and adjuvant platinum chemotherapy or radiation. Yolk sac tumors, formerly called endodermal ... Most germ-cell cancers have a better prognosis than other subtypes and are more sensitive to chemotherapy. They are more likely ... Clear-cell ovarian carcinomas do not typically respond well to chemotherapy and may be related to endometriosis. They represent ... Treatment usually includes some combination of surgery, radiation therapy, and chemotherapy. Outcomes depend on the extent of ...
Uterine clear-cell carcinoma
Stanojevic Z, Djordjevic B, Todorovska I, Lilic V, Zivadinovic R, Dunjic O (2008). "Risk factors and adjuvant chemotherapy in ... If the tumor has spread surgery is cytoreductive followed by radiation therapy and/or chemotherapy. The five years survival was ...
Fallopian tube cancer
Surgical treatments are typically followed by adjuvant, usually platinum-based, chemotherapy. Radiation therapy has been ... "Cisplatin-based combination chemotherapy in carcinoma of the fallopian tube". Gynecol Oncol. UCSF. "Gynecologic Cancer: ... the patients with advanced stage disease survived 5 years with a surgical approach followed by cisplatinum-based chemotherapy. ...
Gynecologic cancer disparities in the United States
For later stages, adjuvant chemotherapy has been shown to improve patient survival. Lymphadenectomy and lymph node chemotherapy ... "Trends in surgery and chemotherapy for women diagnosed with ovarian cancer in the United States, J Clin Oncol, 21 (18) (2003), ... Wright, J.D.; Doan, T.; McBride, R.; Jacobson, J.S.; Hershman, D.L. (2008). "Variability in chemotherapy delivery for elderly ... Zeimet, A.G.; Reimer, D.; Concin, N.; Braun, S.; Marth, C. (2008). "Primary chemotherapy and maintenance therapy in epithelial ...
Carmofur
Yamamoto M, Arii S, Sugahara K, Tobe T (Mar 1996). "Adjuvant oral chemotherapy to prevent recurrence after curative resection ... Carmofur has also been used as adjuvant chemotherapy for curatively resected colorectal cancer patients in China, Japan, and ... Baehring JM, Fulbright RK (May 2008). "Delayed leukoencephalopathy with stroke-like presentation in chemotherapy recipients". J ... "An Individual Patient Data Meta-analysis of Adjuvant Therapy with Carmofur in Patients with Curatively Resected Colon Cancer". ...
Multidrug-resistant tuberculosis
"Arginine as an adjuvant to chemotherapy improves clinical outcome in active tuberculosis". European Respiratory Journal. 21 (3 ... Most such patients require adjuvant surgery for any hope of a cure. MDR-TB is widespread in Somalia, where 8.7% of newly ... Antimicrobial Agents and Chemotherapy. 53 (8): 3181-9. doi:10.1128/AAC.01577-08. PMC 2715638. PMID 19451293. Gillespie, S. H. ( ... Antimicrobial Agents and Chemotherapy. 38 (9): 2054-8. doi:10.1128/AAC.38.9.2054. PMC 284683. PMID 7811018. "FDA Press Release ...
肺癌 - 维基百科,自由的百科全书
He J, Shen J, Yang C, Jiang L, Liang W, Shi X, Xu X, He J. Adjuvant Chemotherapy for the Completely Resected Stage IB Nonsmall ... Adjuvant chemotherapy for resected early-stage non-small cell lung cancer. The Cochrane Database of Systematic Reviews. March ... 辅助化疗(英语:Adjuvant therapy)是指在進行根除型手术後再实施化疗,目的是提高疗效。对于非小细胞肺癌,手术过程中会在病灶旁淋巴结取样以辅助分期。如果确定其为肺癌II或III期
Gynecologic oncology
Higher tumour grades may benefit from adjuvant treatment such as platinum-based chemotherapy. Optimal debulking is used to ... Platinum-based chemotherapy is paramount to treatment of epithelial ovarian cancer. Carboplatin tends to fare better than ... There is a lack of randomized controlled trials comparing outcomes between chemotherapy and optimal debulking, so the current ... Interval debulking surgery may be employed half way through chemotherapy following primary surgery if tumour remains above 1 cm ...
Index of HIV/AIDS-related articles
... adjuvant - administration - Adult AIDS Clinical Trials Group (AACTG) - adverse drug reaction - aerosolized - AETC - ... chemotherapy - Chlamydia - chronic idiopathic demyelinating polyneuropathy (CIPD) - Circumoral paresthesia - clade - clinical ...
Radiation therapy
... is synergistic with chemotherapy, and has been used before, during, and after chemotherapy in susceptible ... Preventive (adjuvant) doses are typically around 45-60 Gy in 1.8-2 Gy fractions (for breast, head, and neck cancers.) Many ... It may also be used as part of adjuvant therapy, to prevent tumor recurrence after surgery to remove a primary malignant tumor ... This is most commonly seen in the treatment of breast cancer with wide local excision or mastectomy followed by adjuvant ...
سرطان پروستات - ویکیپدیا، دانشنامهٔ آزاد
Active surveillance, surgery, radiation therapy, hormone therapy, chemotherapy[2]. Prognosis. 5-year survival rate 99% (US)[4] ... "Expression of X-linked inhibitor of apoptosis protein in human prostate cancer specimens with and without neo-adjuvant hormonal ... Systemic chemotherapy for prostate cancer was first studied in the 1970s. The initial regimen of cyclophosphamide and 5- ... Cryotherapy (the process of freezing the tumor), hormonal therapy, and chemotherapy may also be offered if initial treatment ...
Glucagon-like peptide-2
... osteoporosis and as adjuvant therapy during cancer chemotherapy. ...
Analgesic
Adjuvant analgesics, also called atypical analgesics, include nefopam, orphenadrine, pregabalin, gabapentin, cyclobenzaprine, ... Refractory chemotherapy-induced nausea and vomiting; anorexia; neuropathic pain.. Dizziness, euphoria, paranoia, somnolence, ... The use of adjuvant analgesics is an important and growing part of the pain-control field and new discoveries are made ... Main article: analgesic adjuvant. Drugs that have been introduced for uses other than analgesics are also used in pain ...
Non-small-cell lung carcinoma
... neoadjuvant chemotherapy) and post-operatively (adjuvant chemotherapy). ... "Chemotherapy with cetuximab versus chemotherapy alone for chemotherapy-naive advanced non-small cell lung cancer". The Cochrane ... Certain people that are deemed to be higher risk may also receive adjuvant (ancillary) chemotherapy after initial surgery or ... however a wide variety of chemotherapy options exist.[41][42] These agents include both traditional chemotherapies like ...
Mastocytoma
Vinblastine and CCNU are common chemotherapy agents used to treat mast cell tumors. Toceranib and masitinib, examples of ... factors associated with outcome in dogs with multiple cutaneous mast cell tumors treated with surgery with and without adjuvant ... such as radiation therapy or chemotherapy, may be necessary. Prednisone is often used to shrink the remaining tumor portion. H2 ...
Cancer
Chemotherapy. Chemotherapy is the treatment of cancer with one or more cytotoxic anti-neoplastic drugs (chemotherapeutic agents ... Bagri A, Kouros-Mehr H, Leong KG, Plowman GD (March 2010). "Use of anti-VEGF adjuvant therapy in cancer: challenges and ... The efficacy of chemotherapy depends on the type of cancer and the stage. In combination with surgery, chemotherapy has proven ... The effectiveness of chemotherapy is often limited by its toxicity to other tissues in the body. Even when chemotherapy does ...
Cancer vaccine
Do not randomize antigen plus adjuvant versus adjuvant alone. The goal is to establish clinical benefit of the immunotherapy (i ... One alternative is to target patients with residual disease after surgery, radiotherapy or chemotherapy that does not harm the ... The adjuvant may have a low-level clinical effect that skews the trial, increasing the chances of a false negative. ... Selection of the appropriate adjuvant to activate antigen-presenting cells to stimulate immune responses, is required. Bacillus ...
Հակաբիոտիկներ - Վիքիպեդիա՝ ազատ հանրագիտարան
99,0 99,1 «The introduction of 'chemotherapy' using arsphenamine - the first magic bullet»։ Journal of the Royal Society of ... 143,0 143,1 143,2 143,3 «Antibiotic adjuvants: diverse strategies for controlling drug-resistant pathogens»։ Chemical Biology ... 144,0 144,1 «Bacteriophage therapy»։ Antimicrobial Agents and Chemotherapy 45 (3): 649-59։ March 2001։ PMC 90351։ PMID 11181338 ... 80,0 80,1 «The growing burden of antimicrobial resistance»։ The Journal of Antimicrobial Chemotherapy։ 62 Suppl 1 (Supplement 1 ...
Քաղցկեղ - Վիքիպեդիա՝ ազատ հանրագիտարան
Lind M.J. M.J. (2008)։ «Principles of cytotoxic chemotherapy»։ Medicine 36 (1): 19-23։ doi:10.1016/j.mpmed.2007.10.003 ... Use of anti-VEGF adjuvant therapy in cancer: challenges and rationale»։ Trends in Molecular Medicine 16 (3): 122-32։ March 2010 ... The present and future management of malignant brain tumours: surgery, radiotherapy, chemotherapy»։ Journal of Neurology, ... 2011 Focused Update of 2009 American Society of Clinical Oncology Clinical Practice Guideline Update on Chemotherapy for Stage ...
真菌 - 维基百科,自由的百科全书
Antimicrobial Agents and Chemotherapy. September 2006, 50 (9): 3160-1. PMC 1563524 . PMID 16940118. doi:10.1128/AAC.00563-06.. ... Adjuvant)使用[210],產於香菇的香菇多糖也在日本等國被用在癌症
Tüdőrák - Wikipédia
1977). „Intensive chemotherapy of small cell bronchogenic carcinoma". Cancer Treatment Reports 61 (3), 349-354. o. PMID 194691 ... Adjuvant vinorelbine plus cisplatin has an acceptable level of toxicity and prolongs disease-free and overall survival among ... September). „Adjuvant vinorelbine plus cisplatin versus observation in patients with completely resected stage IB-IIIA non- ... small-cell lung cancer (Adjuvant Navelbine International Trialist Association [ANITA]): a randomised controlled trial". Lancet ...
Targeted therapy of lung cancer
"Cancer Care Ontario and American Society of Clinical Oncology adjuvant chemotherapy and adjuvant radiation therapy for stages I ... Most previous chemotherapy drugs for cancer were (relatively) nonselective in their activity. Although their exact mechanisms ... Additionally, SCLC's are typically much more sensitive to chemotherapy and/or radiation therapy than are NSCLC's. Therefore, ... and chemotherapy with or without radiotherapy for SCLC.[6][7] ... compared with etoposide plus carboplatin in chemotherapy-naive ...
Colorectal cancer
Just as for chemotherapy, radiotherapy can be used in the neoadjuvant and adjuvant setting for some stages of rectal cancer. ... ChemotherapyEdit. In both cancer of the colon and rectum, chemotherapy may be used in addition to surgery in certain cases. The ... In Stage I colon cancer, no chemotherapy is offered, and surgery is the definitive treatment. The role of chemotherapy in Stage ... Typically in this setting, a number of different chemotherapy medications may be used.[19] Chemotherapy drugs for this ...
Skrandžio adenokarcinoma - Vikipedija
Adjuvant capecitabine plus oxaiplatin for gastric cancer after D2 gastrectomy CLASSIC: 5 zear follow-up of an open label, ... Perioperative chemotherapy versus surgery alone for resectable gastroesophageal cancer. N Engl J Med. 2006 Jul 6;355(1):11-20. ...
Analgesic
AdjuvantsEdit. Main article: analgesic adjuvant. Certain drugs that have been introduced for uses other than analgesics are ... Refractory chemotherapy-induced nausea and vomiting; anorexia; neuropathic pain.. Dizziness, euphoria, paranoia, somnolence, ... Adjuvant analgesics, also called atypical analgesics, include orphenadrine, mexiletine, pregabalin, gabapentin, cyclobenzaprine ...
Wikipedia:WikiProject Medicine/Cochrane/Cochrane Review List/Musculoskeletal, Oral, Skin and Sensory
De-intensified adjuvant (chemo)radiotherapy versus standard adjuvant chemoradiotherapy post transoral minimally invasive ... Corticosteroids for adult patients with advanced cancer who have nausea and vomiting (not related to chemotherapy, radiotherapy ... Chemotherapy as an adjunct to radiotherapy in locally advanced nasopharyngeal carcinoma PMID 17054200 https://doi.org/10.1002/ ... Done Erythropoietin as an adjuvant treatment with (chemo) radiation therapy for head and neck cancer PMID 19588382 https://doi. ...
Sistem imun bahasa Indonesia, ensiklopedia bebas
Singh M, O'Hagan D (1999). "Advances in vaccine adjuvants". Nat Biotechnol. 17 (11): 1075-81. PMID 10545912.. ... "Immunogenic Chemotherapy Sensitizes Tumors to Checkpoint Blockade Therapy". Immunity. 44 (2): 343-354. doi:10.1016/j.immuni. ... "Breakdown of pulmonary host defense in the immunocompromised host: cancer chemotherapy". Proc Am Thorac Soc. 2 (5): 445-8. ... "Chemotherapy-induced immunogenic modulation of tumor cells enhances killing by cytotoxic T lymphocytes and is distinct from ...
Rak pluća - Википедија
2007). „The rationale for adjuvant chemotherapy in stage I non-small cell lung cancer". Journal of Thoracic Oncology. 2 (5): ... Le Chevalier, T (2010). „Adjuvant chemotherapy for resectable non-small-cell lung cancer: where is it going?". Annals of ... Wakelee, HA; Schiller JH; Gandara DR (2006). „Current status of adjuvant chemotherapy for stage IB non-small-cell lung cancer: ... 1977). „Intensive chemotherapy of small cell bronchogenic carcinoma". Cancer Treatment Reports. 61 (3): 349-354. PMID 194691.. ...
Mastectomy
people with a tumor larger than 5 cm (2 inches) that doesn't shrink very much with neoadjuvant chemotherapy ... the availability of adjuvant radiation, and the willingness of the patient to accept higher rates of tumor recurrences after ... an analysis of surgical techniques used in an international trial of adjuvant treatment among 4,700 females with early breast ... this time the doctor will explain the results and talk about further treatment if needed such as radiation and chemotherapy. ...
Tamoxifen
Vehmanen L, Elomaa I, Blomqvist C, Saarto T (February 2006). "Tamoxifen treatment after adjuvant chemotherapy has opposite ... Bruce A. Chabner; Dan L. Longo (7 December 2011). Cancer Chemotherapy and Biotherapy: Principles and Practice. Lippincott ... Nagar S (2010). "Pharmacokinetics of anti-cancer drugs used in breast cancer chemotherapy". Advances in Experimental Medicine ... 1980 saw the publication of the first trial to show that tamoxifen given in addition to chemotherapy improved survival for ...
Nabiximols
Adjuvant use was safe and effective in 3 trials for cancer pain, however the drug failed to meet its primary endpoint for this ... crossover pilot trial with extension using an oral mucosal cannabinoid extract for treatment of chemotherapy-induced ...
Breast implant
"Adjuvant breast disease: an evaluation of 100 symptomatic women with breast implants or silicone fluid injections." The Keio ... treated successfully by simple removal of the implant and the capsule surrounding the implant without the need for chemotherapy ... especially in women who received adjuvant external radiation therapy.[55] Moreover, besides breast reconstruction, breast ...
Docetaxel
... (DTX or DXL), sold under the brand name Taxotere among others, is a chemotherapy medication used to treat a number of ... Many more side effects have been reported for conjunctive and adjuvant treatment with docetaxel as well as rare post-marketing ... Docetaxel is a cytotoxic chemotherapeutic agent.[9][22] As with all chemotherapy, adverse effects are common, and many side ... Koren G, Carey N, Gagnon R, Maxwell C, Nulman I, Senikas V (March 2013). "Cancer chemotherapy and pregnancy". J Obstet Gynaecol ...
Pancreatic cancer
Chemotherapy[edit]. After surgery, adjuvant chemotherapy with gemcitabine or 5-FU can be offered if the person is sufficiently ... This was the first chemotherapy drug approved by the FDA primarily for a nonsurvival clinical trial endpoint.[75] Chemotherapy ... Chemotherapy and, to a lesser extent, radiotherapy are likely to be offered to most people, whether or not surgery is possible ... Tejani MA, Saif MW (2014). "Pancreatic neuroendocrine tumors: Does chemotherapy work?". Journal of the Pancreas. 15 (2): 132-4 ...
Adjuvant chemotherapy | pathology | Britannica
Chemotherapy: Adjuvant chemotherapy is the use of drugs to eradicate or suppress residual disease after surgery or irradiation ... Adjuvant chemotherapy reduces the rate of recurrence of… ... In therapeutics: Chemotherapy. Adjuvant chemotherapy is the use ... Other articles where Adjuvant chemotherapy is discussed: therapeutics: ...
Adjuvant Bidirectional Chemotherapy Using an Intraperitoneal Port
... Paul H. Sugarbaker and Lana Bijelic ... I. Vergote, F. Amant, K. Leunen et al., "Intraperitoneal chemotherapy in patients with advanced ovarian cancer: the con view," ... E. L. Trimble, S. Thompson, M. C. Christian, and L. Minasian, "Intraperitoneal chemotherapy for women with epithelial ovarian ... P. Jacquet and P. H. Sugarbaker, "Effects of postoperative intraperitoneal chemotherapy on peritoneal wound healing and ...
Neoadjuvant and adjuvant chemotherapy in pancreatic cancer | SpringerLink
Pancreatic cancer Neoadjuvant chemotherapy Adjuvant chemotherapy Evidence-based medicine Transcriptomics Precision medicine ... Adjuvant combined radiation and chemotherapy following curative resection. Arch Surg 120(8):899-903CrossRefGoogle Scholar ... Adjuvant chemotherapy with gemcitabine and capecitabine in unselected patients can double 5-year overall survival to around 30 ... The aim of this article was to summarize existing evidence on neoadjuvant and adjuvant chemotherapy in PDAC with a focus on ...
Psychiatric morbidity and physical toxicity associated with adjuvant chemotherapy after mastectomy. | The BMJ
Connected Prehabilitation Program During Neo Adjuvant Chemotherapy - Tabular View - ClinicalTrials.gov
Connected Prehabilitation Program During Neo Adjuvant Chemotherapy (TRAINING). The safety and scientific validity of this study ... Patient with neo adjuvant chemotherapy (min 3 cycles, max 6 cycles),. *Capability to perform a cardiopulmonary exercise test ( ... Connected Prehabilitation Program During Neo Adjuvant Chemotherapy Official Title ICMJE Multicenter Randomized Study Comparing ... Neo Adjuvant Chemotherapy for Patients Managed for Ovarian Cancer With or Without a Connected Prehabilitation Program ...
Psychoneuroimmunology-Based Stress Management during Adjuvant Chemotherapy for Early Breast Cancer
J. A. Broeckel, P. B. Jacobsen, L. Balducci, J. Horton, and G. H. Lyman, "Quality of life after adjuvant chemotherapy for ... Psychoneuroimmunology-Based Stress Management during Adjuvant Chemotherapy for Early Breast Cancer. Jo Lynne W. Robins,1 Nancy ... In a randomized trial of women with early stage breast cancer undergoing adjuvant chemotherapy, two stress management ... in comparison to a usual care control group among women receiving adjuvant chemotherapy for stages I-IIIA breast cancer. We ...
Adjuvant Chemotherapy for Stage II Colon Cancer | Cancer.Net
... developed evidence-based recommendations for adjuvant chemotherapy for stage II colon cancer. This guide for patients is based ... Adjuvant Chemotherapy for Stage II Colon Cancer. August 16, 2004. To help doctors give their patients the best possible care, ... Adjuvant chemotherapy for stage II colon cancer may lower the risk of the cancer coming back, but is also associated with ... Adjuvant therapy is additional treatment given after surgery to reduce the risk that the cancer will come back. Chemotherapy is ...
Adjuvant chemotherapy improves survival in early-stage ovarian cancer
... information on adjuvant chemotherapy but do not address which patients can be spared unnecessary adjuvant chemotherapy. He ... either adjuvant chemotherapy immediately after surgery for early-stage ovarian cancer or no immediate adjuvant chemotherapy. ( ... observed benefit of adjuvant chemotherapy primarily in nonoptimally staged patients suggests a benefit of adjuvant chemotherapy ... optimal staging was not associated with any survival benefit in patients who received adjuvant chemotherapy. Adjuvant ...
What is the role of adjuvant chemotherapy in non-small cell lung cancer (NSCLC)?
A meta-analysis concluded that adjuvant cisplatin-based therapy improved survival in resected stage IB, II, and III NSCLC. The ... Adjuvant chemotherapy has been extensively explored in NSCLC.{ref210} ... Adjuvant chemotherapy has been extensively explored in NSCLC. [210] A meta-analysis concluded that adjuvant cisplatin-based ... Outcomes After Adjuvant Platinum-based Chemotherapy in Elderly NSCLC Patients with T4 Disease. Ann Surg Oncol. 2012 Nov 1. [ ...
NAC Sparing Mastectomy After Neo-adjuvant Chemotherapy - Full Text View - ClinicalTrials.gov
NAC Sparing Mastectomy After Neo-adjuvant Chemotherapy. The safety and scientific validity of this study is the responsibility ... Nipple Areolar-complex Sparing Mastectomy After Neo-adjuvant Chemotherapy: Evaluation of Local Oncologic Safety in a Cohort ... with or without treatment with neo-adjuvant chemotherapy, the selection of patients for NAC-sparing mastectomy has been made on ... one with tumor size after neoadjuvant chemotherapy and one with tumor size before neoadjuvant chemotherapy as balancing ...
Connected Prehabilitation Program During Neo Adjuvant Chemotherapy - Full Text View - ClinicalTrials.gov
Connected Prehabilitation Program During Neo Adjuvant Chemotherapy (TRAINING). The safety and scientific validity of this study ... Patient with neo adjuvant chemotherapy (min 3 cycles, max 6 cycles),. *Capability to perform a cardiopulmonary exercise test ( ... Multicenter Randomized Study Comparing Neo Adjuvant Chemotherapy for Patients Managed for Ovarian Cancer With or Without a ...
Adjuvant chemotherapy: an autoethnography | SpringerLink
Adjuvant chemotherapy is given after surgery for early stage cancer. It aims to cure. Though potentially toxic, it has ... Adjuvant chemotherapy is given after surgery for early stage cancer. It aims to cure. Though potentially toxic, it has ... But as I lived the ordeal of adjuvant chemotherapy, I felt a growing urge to capture that experience as data and subject it to ... In sum, the lived-body strangeness of adjuvant chemotherapy is aptly captured in Staceys notion of the abject. But in my own ...
Immunotherapy With Neo-adjuvant Chemotherapy for OVarian Cancer - Full Text View - ClinicalTrials.gov
Experimental: ARM A Durvalumab/chemotherapy association Drug: ARM A Durvalumab/chemotherapy association NEO-ADJUVANT Cycle 1 : ... Cycle 1 : chemotherapy alone (day1) Cycle 2 : chemotherapy + durvalumab (day1) Cycle 3 : chemotherapy + durvalumab (day1) ... Cycle 1 : chemotherapy alone (day1) Cycle 2 : chemotherapy + durvalumab + tremelimumab (day1) Cycle 3 : chemotherapy + ... Immunotherapy With Neo-adjuvant Chemotherapy for OVarian Cancer (INeOV). The safety and scientific validity of this study is ...
Survival outcomes in glioblastoma multiforme, including the impact of adjuvant chemotherapy
Recent developments in adjuvant chemotherapy have regenerated enthusiasm for the treatment of this tumor. Ongoing translational ... Survival outcomes in glioblastoma multiforme, including the impact of adjuvant chemotherapy Expert Rev Neurother. 2005 Sep;5(5 ... Recent developments in adjuvant chemotherapy have regenerated enthusiasm for the treatment of this tumor. Ongoing translational ...
Trastuzumab after adjuvant chemotherapy in HER2-positive breast cancer
One year of treatment with trastuzumab after adjuvant chemotherapy significantly improves disease-free survival among women ... Trastuzumab after adjuvant chemotherapy in HER2-positive breast cancer N Engl J Med. 2005 Oct 20;353(16):1659-72. doi: 10.1056/ ... Conclusions: One year of treatment with trastuzumab after adjuvant chemotherapy significantly improves disease-free survival ... breast cancer who had completed locoregional therapy and at least four cycles of neoadjuvant or adjuvant chemotherapy. ...
Adjuvant and Neoadjuvant Chemotherapy
... that means you will be receiving both chemotherapy and surgery. Learn more... ... If your cancer treatment plan includes adjuvant or neoadjuvant chemotherapy, ... When are Neoadjuvant Chemotherapy and Adjuvant Chemotherapy Used?. Adjuvant chemotherapy and neoadjuvant chemotherapy are ... Side Effects of Adjuvant and Neoadjuvant Chemotherapies. The side effects of adjuvant and neoadjuvant chemotherapy are the same ...
Adjuvant Chemotherapy for CCA
Regardless, lets just carry on with the surgery part, and lets talk about adjuvant therapy. Teresa, do you give any adjuvant ... We know that the recurrence of the disease is so high that I try to give adjuvant treatment if I can to all the patients after ... In regard to other efforts that were then regarding chemotherapy, the 1 that was referred to again by Dr Zhu is the 1 of Dr ... I have to say that certain perplexity was brought up in regard to the use of adjuvant therapy for biliary cancer. Of that we ...
Obesity as an adverse prognostic factor for patients receiving adjuvant chemotherapy for breast cancer. - PubMed - NCBI
Obesity as an adverse prognostic factor for patients receiving adjuvant chemotherapy for breast cancer.. Bastarrachea J1, ... To determine whether obesity is an independent prognostic factor among women receiving adjuvant chemotherapy for lymph node- ... an indicator of poor prognosis for patients with primary breast cancer even after the administration of adjuvant chemotherapy. ... with stages II and III primary breast cancer who were treated using three consecutive postoperative adjuvant chemotherapy ...
Medline ®
Abstract for Reference
109 of 'Adjuvant chemotherapy for resected stage II colon cancer'
... phenotype to predict benefit from adjuvant chemotherapy of colon cancer by 5-fluorouracil and leucovorin (FL) alone or with ... CONCLUSION: Our observations indicate that MSI status and p53 expression may influence the impact of oxaliplatin on adjuvant ... A Cox proportional hazards model was specifically designed to evaluate the interaction between chemotherapy and these genetic ... while the interaction of MSI with chemotherapy could not be determined in the absence of relapse in the MSI group treated with ...
Medline ®
Abstract for Reference
18 of 'Adjuvant chemotherapy for resected stage II colon cancer'
PURPOSE: Fluorouracil plus leucovorin (FU + LV) adjuvant chemotherapy reduced the risk of recurrence and death across all time ... Analysis From Modern-Era Adjuvant Studies in the Adjuvant Colon Cancer End Points (ACCENT) Database. ... PATIENTS AND METHODS: A total of 12,233 patients enrolled to the randomized trials C-07, C-08, N0147, MOSAIC (Adjuvant ... CONCLUSIONS: These analyses support the addition of oxaliplatin to fluoropyrimidine-based adjuvant therapy in patients with ...
Chemotherapy, Adjuvant | Harvard Catalyst Profiles | Harvard Catalyst
Adjuvant" by people in Harvard Catalyst Profiles by year, and whether "Chemotherapy, Adjuvant" was a major or minor topic of ... Adjuvant chemotherapy is commonly used in the therapy of cancer and can be administered before or after the primary treatment. ... Peng C, Ho J, Bai HX, Huang Y, Huang RY, Yang L. Adjuvant radiotherapy and chemotherapy in early-stage diffuse large B cell ... "Chemotherapy, Adjuvant" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH (Medical ...
Neo-Adjuvant Chemotherapy in Locally Advanced Gastric Cancer
A Phase II Study of Neo-Adjuvant Chemotherapy in Locally Advanced Gastric Cancer. Trial Phase:. Phase 2. Minimum Age:. 18 Years ... A Phase II Study of Neo-Adjuvant Chemotherapy in Locally Advanced Gastric Cancer ... Patients must not have received any prior chemotherapy or hormonal therapy for the. treatment of gastric cancer.. Karnofsky ... of any other cancer therapy, including cytotoxic chemotherapy, hormonal therapy, and. immunotherapy.. Active infection that in ...
Cancer Treatment: Drugs During Adjuvant Chemotherapy May Not Work | Science 2.0
... known as adjuvant chemotherapy, may not be benefiting from these drugs. ... "Adjuvant chemotherapy is a well established, but ineffective treatment in ER+ breast cancer patients aged 40 years or less . ... Article: Efficacy of adjuvant chemotherapy according to hormone receptor status in young breast cancer patients, Jos A. van ... known as adjuvant chemotherapy, may not be benefiting from these drugs. This is especially true if their tumors respond to ...
Efficacy of concurrent chemoradiotherapy plus adjuvant chemotherapy on advanced cervical cancer.
Chemotherapy, Adjuvant. Cisplatin / adverse effects, therapeutic use. Diarrhea / chemically induced, etiology. Dose ... Ten days after radiation therapy, TP regimen was administered as adjuvant chemotherapy.. RESULTS: For the experimental and ... CONCLUSION: Concurrent chemoradiotherapy plus adjuvant chemotherapy for advanced cervical cancer can improve short-term and ... This study aimed to explore the efficacy of concurrent chemoradiotherapy plus adjuvant chemotherapy on and the treatment ...
Adjuvant cisplatin-based chemotherapy for resected NSCLC: one size fits all?
IIIA non-small-cell lung cancer includes adjuvant chemotherapy based on the results of randomized trials using cisplatin ... A recent meta-analysis (Lung Adjuvant Cisplatin Evaluation) showed no surv ... However, long-term results of the International Adjuvant Lung Cancer Trial evaluating adjuvant cisplatin-based chemotherapy in ... Chemotherapy, Adjuvant / methods. Cisplatin / administration & dosage. Humans. Lung Neoplasms / drug therapy*, pathology. ...
Prognostic nutritional index before adjuvant chemotherapy predicts che | TCRM
We conducted a retrospective review of data from 106 patients who had received adjuvant chemotherapy. The adjuvant chemotherapy ... The PNI before adjuvant chemotherapy influenced the treatment compliance with the planned chemotherapy in the OT group, but not ... it is important to identify risk factors for the continuation of adjuvant chemotherapy. In this study, we analyzed chemotherapy ... The RFS of patients with a PNI ,50 before adjuvant chemotherapy was significantly poorer than that of the patients with a PNI ≥ ...
NRF2 Pathway Activation and Adjuvant Chemotherapy Benefit in Lung Squamous Cell Carcinoma. | Sigma-Aldrich
NRF2 Pathway Activation and Adjuvant Chemotherapy Benefit in Lung Squamous Cell Carcinoma.. [David W Cescon, Desmond She, ... However, improved survival with adjuvant chemotherapy in the JBR.10-randomized trial appears limited to patients with the WT ... the clinical relevance of these findings and assessed whether NRF2 activation predicts benefit from adjuvant chemotherapy in ... A gene expression signature of NRF2 pathway activation is associated with benefit from adjuvant cisplatin/vinorelbine in SCC. ...
Appropriate duration of postoperative oral adjuvant chemotherapy with HCFU for colorectal cancer]. | Sigma-Aldrich
Cancer & chemotherapy 2004-1-31 [Appropriate duration of postoperative oral adjuvant chemotherapy with HCFU for colorectal ... We conducted a joint study of different duration of drug administration for oral adjuvant chemotherapy using camphor (HCFU) ... It appears that oral adjuvant chemotherapy with HCFU is more effective when administered for 2 years than for 6 months. ...
Adjuvant Chemotherapy for Brain Tumors Delivered via a Novel Intra-Cavity Moldable Polymer Matrix
IntroductionPolymer-based delivery systems offer innovative intra-cavity administration of drugs, with the potential to better target micro-deposits of cancer cells in brain parenchyma beyond the resected cavity. Here we evaluate clinical utility, toxicity and sustained drug release capability of a novel formulation of poly(lactic-co-glycolic acid) (PLGA)/poly(ethylene glycol) (PEG) microparticles. MethodsPLGA/PEG microparticle-based matrices were molded around an ex vivo brain pseudo-resection cavity and analyzed using magnetic resonance imaging and computerized tomography. In vitro toxicity of the polymer was assessed using tumor and endothelial cells and drug release from trichostatin A-, etoposide- and methotrexate-loaded matrices was determined. To verify activity of released agents, tumor cells were seeded onto drug-loaded matrices and viability assessed. ResultsPLGA/PEG matrices can be molded around a pseudo-resection cavity wall with no polymer-related artifact on clinical scans. The polymer
Adjuvant Chemotherapy | Breast Cancer Care | Mercy Health
What is adjuvant chemotherapy? Learn about this cancer treatment, including who may be a candidate and what to expect from the ... Adjuvant chemotherapy for breast cancer. Adjuvant chemotherapy is commonly used for breast cancer when:. *Cells have migrated ... What is adjuvant chemotherapy?. Adjuvant chemotherapy is a cancer treatment that combines different healing therapies to ... What types of cancer is adjuvant chemotherapy used for?. Adjuvant chemotherapy is mainly used for cancers in the following body ...
Anthracycline-based chemotherapyRegimensRadiotherapyReceive adjuvant chemotherapyWomen who received adjuvant chemotherapyTumorFluorouracilTherapyPlatinum-based chemotherapyOverall survivalColorectalResectionGastric cancerPostoperative adjuvant chemotherapyEfficacyImmediate adjuvant chemotherapyColon cancerEarly Breast CancerToxicityClinicalBreastSystemic chemotherapyCyclesCancerRisk of recurrenceSurgeryImproves survivalRelapseReceipt of adjuvant chemotherapyMethodsCyclophosphamideSignificantlyRegimenCapecitabineResponse to neoadjuvantFacilitate decision making on aConclusionsNSCLCDisease-Free SurvivalPatients with upper tract urothelialSurvival rateBenefit of neoadjuvantRecurrence rateImpact of adjuvant
Anthracycline-based chemotherapy12
- Overall, 81% of women received anthracycline-based chemotherapy. (ascopost.com)
- Although anthracycline-based chemotherapy has produced a modest improvement in DFS and OS over CMF (cyclophosphamide/methotrexate/fluorouracil) polychemotherapy regimens ( 1 ), this benefit seems to be largely confined to the subset of patients with amplification of the erb-B2/neu or topoisomerase II α genes or overexpression of the corresponding proteins ( 2 - 6 ). (aacrjournals.org)
- Background: Use of anthracycline-based chemotherapy in patients with early breast cancer (EBC) has been well established but is often associated with cardiotoxicity. (uni-muenchen.de)
- A total of 47 breast cancer patients who were scheduled to receive postoperative adjuvant anthracycline‑based chemotherapy, i.e., 5‑fluorouracil (5‑FU) + cyclophosphamide + epirubicin (FEC regimen), 5‑FU + cyclophosphamide + doxorubicin/pirarubicin (FAC regimen), cyclophosphamide + doxorubicin/pirarubicin (AC regimen) and cyclophosphamide + epirubicin (EC regimen), were entered in the study. (spandidos-publications.com)
- Thus, LEM appears to be a useful oral adjuvant for patients receiving anthracycline‑based chemotherapy. (spandidos-publications.com)
- However, patients on anthracycline-based chemotherapy experience fatigue and a decrease in their activity and daily quality of life (QOL), and these problems may be difficult to control ( 9 - 11 ). (spandidos-publications.com)
- Moreover, although the host immune function of breast cancer patients on chemotherapy affects the recurrence rate ( 12 ), anthracycline-based chemotherapy is reported to adversely affect immune function ( 13 ). (spandidos-publications.com)
- Accordingly, there is a need for treatments that can maintain and/or improve the QOL and immune function of breast cancer patients receiving anthracycline-based chemotherapy. (spandidos-publications.com)
- The study included 187 patients with TNBC, 178 of whom were treated with adjuvant chemotherapy (164 had anthracycline-based chemotherapy). (linkos.cz)
- High BCL2 expression predicted poor outcome in TNBC treated with adjuvant anthracycline-based chemotherapy. (linkos.cz)
- BCL2 protein was found as an independent predictor of outcome in basal-like TNBC treated with adjuvant anthracycline-based chemotherapy (Bouchalova et al. (linkos.cz)
- This is the first study showing BCL11A copy number status as independent predictor of outcome in TNBC treated with anthracycline-based chemotherapy. (linkos.cz)
Regimens10
- The standard of care for resected stage II - IIIA non-small-cell lung cancer includes adjuvant chemotherapy based on the results of randomized trials using cisplatin regimens. (biomedsearch.com)
- Participants in the control arm will receive one of the protocol specified platinum based chemotherapy regimens for 4 cycles. (centerwatch.com)
- This is based on the high rate of systemic failure-the major cause of mortality following local treatment modalities-the high response proportion to modern combination regimens, and the possibility that chemotherapy may allow organ preservation. (springer.com)
- To identify factors predictive of sensitivity to taxane-based regimens in patients with breast cancer, we analyzed immunohistochemical markers in primary tumors of patients randomized to a taxane-based or a taxane-free adjuvant regimen. (aacrjournals.org)
- Furthermore, there is no data on staging procedures prior to the surgical resection or type of chemotherapy regimens used. (iaslc.org)
- High BCL2 expression predicted poor relapse free survival (RFS) in patients treated with adjuvant anthracycline-based regimens (log-rank p = 0.035, hazard ratio, HR 2.37, 95% CI 1.04-5.41) and a trend to poor overall survival (OS) (log-rank p = 0.085). (linkos.cz)
- The co-authors of this article conducted a systematic review to investigate the long-term effects of commonly used breast cancer adjuvant chemotherapy regimens on PN (8). (deepdyve.com)
- In another phase III clinical trial, the prevalence of persisting PN was reported as part of the toxicity profile of the investigational chemotherapy regimens (10). (deepdyve.com)
- Most used regimens of chemotherapy in included studies were CMF (cyclophosphamide, methotrexate, and fluorouracil) or anthracycline-based. (biomedcentral.com)
- The objective of this study was to determine whether BCL11A status predicts outcome in TNBC patients treated with adjuvant anthracycline-based regimens. (linkos.cz)
Radiotherapy10
- Peng C, Ho J, Bai HX, Huang Y, Huang RY, Yang L. Adjuvant radiotherapy and chemotherapy in early-stage diffuse large B cell lymphoma of head and neck with extranodal involvement. (harvard.edu)
- Women under the age of forty with breast cancer who are given drugs in addition to lumpectomies or radiotherapy, known as adjuvant chemotherapy, may not be benefiting from these drugs. (science20.com)
- Adjuvant radiotherapy improves lymph node-field control in patients at high risk of relapse after therapeutic lymphadenectomy for metastatic melanoma, an Australian-New Zealand study has confirmed. (amazonaws.com)
- Two randomised clinical trials (NSGO-EC-9501/EORTC-55991 and MaNGO ILIADE-III) were undertaken to clarify if sequential combination of chemotherapy and radiotherapy improves progression-free survival (PFS) in high-risk endometrial cancer. (diva-portal.org)
- 534 evaluable) with operated endometrial cancer International Federation of Obstetrics and Gynaecology (FIGO) stage I-III with no residual tumour andprognostic factors implying high-risk were randomly allocated to adjuvant radiotherapy with or without sequential chemotherapy. (diva-portal.org)
- A remaining question for future studies is if addition of radiotherapy to chemotherapy improves the results. (diva-portal.org)
- Patients with primary, high-grade soft tissue sarcoma of the extremities will undergo treatment of their primary tumor with either amputation or limb-sparing surgery and radiotherapy, and then be randomized to either observation or adjuvant treatment with doxorubicin and ifosfamide with mesna (with G-CSF) for five cycles beginning post-operatively. (bioportfolio.com)
- Strategies to mitigate the increased local recurrence after breast-conserving therapy in tumours downsized by [neoadjuvant chemotherapy] should be considered-e.g., careful tumour localisation, detailed pathological assessment, and appropriate radiotherapy. (ascopost.com)
- The purpose of the present study is to assess the feasibility and the potential impact of adjuvant radiotherapy (RT) in a series of patients treated in one institution. (biomedcentral.com)
- Due to this pattern, the addition of radiotherapy appears as a logical adjuvant treatment aiming to decrease loco-regional recurrence and improve survival. (biomedcentral.com)
Receive adjuvant chemotherapy7
- This recommendation is based on the results of clinical trials, which show that patients who receive adjuvant chemotherapy have about a 4% to 5% greater chance of survival at five years after surgery, compared with patients who did not receive adjuvant chemotherapy. (cancer.net)
- Moreover, the authors found that among patients who did not receive adjuvant chemotherapy, optimal staging was associated with a statistically significant improvement in overall and recurrence-free survival. (innovations-report.com)
- Or, she may receive adjuvant chemotherapy after breast surgery to kill any cancer cells that may have been too small to detect during surgery to keep them from growing and spreading. (rockymountaincancercenters.com)
- Likewise, many patients receive adjuvant chemotherapy (and its associated toxicities) and relapse and die despite it. (amazonaws.com)
- These patients may also receive adjuvant chemotherapy-additional treatment administered after cystectomy. (cancerconnect.com)
- Problems with attention and symptom distress are common clinical features reported by women who receive adjuvant chemotherapy for breast cancer. (mdpi.com)
- A total of 27 studies (14 cross-sectional, 8 both cross-sectional and prospective, and 5 prospective) were included in the analyses, involving 1562 breast cancer patients who had undergone adjuvant chemotherapy and 2799 controls that included breast cancer patients who did not receive adjuvant chemotherapy. (frontiersin.org)
Women who received adjuvant chemotherapy4
- At 5 years, women who received adjuvant chemotherapy had a 9% greater overall survival and an 11% greater recurrence-free survival than women who did not receive immediate adjuvant therapy. (innovations-report.com)
- The 5-year disease-free survival rates were 69% for women who received adjuvant chemotherapy and 57% for those who did not. (oncologynurseadvisor.com)
- The overall survival rate was 88% for women who received adjuvant chemotherapy and 76% for those who did not. (oncologynurseadvisor.com)
- Our sample consisted of 5003 women who received adjuvant chemotherapy. (springer.com)
Tumor23
- Following upfront resection, adjuvant chemotherapy has become mandatory to prevent early tumor recurrence. (springer.com)
- This finding suggests that adjuvant chemotherapy in early-stage ovarian cancer may work predominantly by affecting small-volume or microscopic tumor implants or metastases that remain unnoticed at the time of surgical staging," the authors write. (innovations-report.com)
- The NAC-PC cohort was then compared to NAC patients in terms of LDFS using two different matching criteria, one with tumor size after neoadjuvant chemotherapy and one with tumor size before neoadjuvant chemotherapy as balancing covariates. (clinicaltrials.gov)
- Recent developments in adjuvant chemotherapy have regenerated enthusiasm for the treatment of this tumor. (nih.gov)
- Neoadjuvant chemotherapy is delivered before surgery with the goal of shrinking a tumor or stopping the spread of cancer to make surgery less invasive and more effective. (rockymountaincancercenters.com)
- For example, a woman with invasive breast cancer or a very large tumor may undergo neoadjuvant chemotherapy to shrink a tumor before breast surgery so a lumpectomy (surgery to remove only the cancer and surrounding tissue) can be performed instead of a mastectomy (removal of the entire breast). (rockymountaincancercenters.com)
- PATIENTS AND METHODS: A total of 12,233 patients enrolled to the randomized trials C-07, C-08, N0147, MOSAIC (Adjuvant Treatment of Colon Cancer), and XELOXA (Adjuvant XELOX) were pooled to examine the impact of oxaliplatin and tumor-specific factors on the time course of recurrence and death. (uptodate.com)
- Young patients with breast cancer are currently advised to undergo courses of chemotherapy as well as removal of the tumor and/or entire breast. (science20.com)
- Tumor stage currently is the benchmark standard use for identifying patients who would benefit from adjuvant treatment. (biomedsearch.com)
- Adjuvant chemotherapy given to patients following underwent radical surgery for locally advanced upper tract urothelial carcinoma was associated with a significantly decreased risk of tumor recurrence. (renalandurologynews.com)
- RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. (bioportfolio.com)
- I came to the following conclusion in 1994: If we assume first that cancer growth is well behaved, i.e., all cancer cells in the tumor divide once and only once during a doubling time, and second that the chemotherapy drug used is 100% effective, i.e., it kills every cell that tries to divide, then therapy duration should be one doubling time. (omicsonline.org)
- Based on my estimates in 1994 of tumor behavior and drug 5-FU (5-Fluorouracil) effectiveness, I calculated chemotherapy should ideally be used longer than 2 years. (omicsonline.org)
- For Stage II/III rectal cancer patients, extremely early to start PAC not only might be effectively prolonging the survival, but indeed decrease the tumor-related recurrence risk, increase the quality of life and decrease chemotherapy-associated adverse reactions. (scirp.org)
- The prevalence of circulating tumor cells (CTCs) in patients with human epidermal growth factor receptor 2 negative, hormone receptor-positive early breast cancer after adjuvant chemotherapy was compared between anthracycline-free and anthracycline-containing treatment cohorts within the Simultaneous Study of Docetaxel Based Anthracycline Free Adjuvant Treatment Evaluation, as well as Life Style Intervention Strategies (SUCCESS) C trial and showed no significant difference. (uni-muenchen.de)
- Given the proven prognostic value of circulating tumor cells (CTCs) in EBC, we compared the prevalence of CTCs after chemotherapy between both treatment arms for a preliminary efficacy assessment. (uni-muenchen.de)
- This study demonstrates the efficacy of focal, periocular 2-DG as an adjunct to carboplatin chemotherapy to decrease both intratumoral hypoxia and tumor burden. (arvojournals.org)
- DENVER - The use of adjuvant chemotherapy in early-stage non-small cell lung cancer (NSCLC) patients improves overall survival (OS) and 5-year OS in patients with tumor sizes ranging from 3.1 - 7 cm. (iaslc.org)
- In the univariate analysis, the 5-year OS for patients not receiving adjuvant chemotherapy was inversely related to tumor size, decreasing from 55% in 3.1-3.9 cm to 44% in 6-7 cm. (iaslc.org)
- The multivariate analysis, which took into account various characteristics (i.e. age, histology, type of surgery) also demonstrated benefit from adjuvant chemotherapy for all patient groups, with HR for mortality inversely related to the tumor size, ranging from 0.77 in 3.1-3.9 cm to 0.63 in 6-7 cm patient groups. (iaslc.org)
- However, our data suggest that there is a benefit from adjuvant chemotherapy in patients with completely resected stage T2N0M0 NSCLC regardless of tumor size. (iaslc.org)
- Assuming similar biases for the use of chemotherapy in all tumor size subgroups, the elimination of patients with early surgical mortality and the confirmed benefit from adjuvant chemotherapy in multivariable analysis, our study suggests that the postulated benefit from adjuvant chemotherapy in patients with stage T2N0M0 NSCLC may be extended to 3.1-3.9 cm tumor size. (iaslc.org)
- Fresh-frozen tumor tissues were collected from 148 patients with TNBC stage I-III (123 out of them were treated by anthracycline-based adjuvant chemotherapy). (linkos.cz)
Fluorouracil18
- Adjuvant chemotherapy with gemcitabine and capecitabine in unselected patients can double 5-year overall survival to around 30% compared to mono-chemotherapy with either 5-fluorouracil with folinic acid or gemcitabine. (springer.com)
- Adjuvant chemotherapy for colon cancer usually includes a drug called fluorouracil (5-FU). (cancer.net)
- 735 patients with lymph node-positive primary breast cancer who were treated using three consecutive fluorouracil-doxorubicin-cyclophosphamide-containing adjuvant chemotherapy protocols and for whom complete data on weight, height, standard prognostic factors, and outcome were available. (nih.gov)
- BACKGROUND: The aim was to determine the values of p53 tumour expression and microsatellite instability (MSI) phenotype to predict benefit from adjuvant chemotherapy of colon cancer by 5-fluorouracil and leucovorin (FL) alone or with oxaliplatin (FOLFOX). (uptodate.com)
- PURPOSE: Fluorouracil plus leucovorin (FU + LV) adjuvant chemotherapy reduced the risk of recurrence and death across all time points in a pooled analysis of 20,898 patients with colon cancer from 18 randomized studies. (uptodate.com)
- Adjuvant HIPEC consisted of fluorouracil (400 mg/m(2)) and leucovorin (20 mg/m(2)) delivered intravenously followed by intraperitoneal delivery of oxaliplatin (460 mg/m(2)) for 30 min at 42 degrees C, delivered simultaneously or within 5-8 weeks after primary tumour resection. (rug.nl)
- ROCHESTER, Minnesota Fluorouracil (5-FU)-based chemotherapy after surgery can be given safely to selected elderly patients with stage II/III colon cancer, and these patients derive the same benefits from the treatment as do their younger counterparts, according to results of a pooled analysis of seven clinical trials. (cancernetwork.com)
- A randomised study of tailored toxicity-based dosage of fluorouracil-epirubicin-cyclophosphamide chemotherapy for early breast cancer (SBG 2000-1). (bioportfolio.com)
- In a separate prospective study from 2007 to 2008 the single-cell gel electrophoresis (comet) assay was used to measure DNA damage in response to in vivo exposure to 5-fluorouracil (5FU) and compared with subsequent response to chemotherapy. (bl.uk)
- Additional survival benefit from chemotherapy seems to be stage-specific: although patients with stage III (lymph-node positive) colon cancer enjoy a 10% absolute increase in 5-year survival after 6 months of fluorouracil-based chemotherapy, this same benefit has not been convincingly demonstrated in patients with stage II (node-negative) disease. (pubmedcentralcanada.ca)
- All patients in the chemotherapy group received 30 doses of fluorouracil (370 mg/m 2 intravenously [IV]), either in six 5-d courses every 4 wk or once/wk for 30 wk. (annals.org)
- In the first 3 y of the trial, chemotherapy patients were also randomized to receive either high-dose (175 mg) or low-dose (25 mg) L-folinic acid IV combined with fluorouracil, plus levamisole (50 mg) or placebo 3 times daily for 3 d every 2 wk for 12 courses. (annals.org)
- In the last 6 y of the trial, all chemotherapy patients received fluorouracil plus low-dose folinic acid. (annals.org)
- Some retrospective studies have shown a lack of benefit of 5-fluorouracil (5-FU) adjuvant chemotherapy in patients with mismatch repair (MMR) deficient colorectal cancer. (bmj.com)
- We analyzed specimens from patients included in the Breast Cancer International Research Group (BCIRG) 001 trial, a randomized study which showed the superiority of docetaxel/doxorubicin/cyclophosphamide over fluorouracil/doxorubicin/cyclophosphamide as adjuvant therapy for node-positive operable breast cancer in terms of disease-free survival (DFS) and overall survival (OS). (aacrjournals.org)
- The Breast Cancer International Research Group (BCIRG) 001 trial compared the standard fluorouracil-doxorubicin-cyclophosphamide (FAC) regimen to the docetaxel-doxorubicin-cyclophosphamide (TAC) regimen as adjuvant chemotherapy in 1,491 patients with axillary node-positive breast cancer. (aacrjournals.org)
- Clinical trials suggest that use of 5-fluorouracil-based chemotherapy has a low survival benefit with a gain of only a few percent in absolute risk. (esmo.org)
- Chemotherapy consisted of bolus cisplatin 70 mg/m(2) and a 96-hour infusion of fluorouracil 1,000 mg/m(2)/d every 3 weeks for four cycles, with the first and second cycles given concurrent to RT. (uni-bonn.de)
Therapy54
- Adjuvant therapy is additional treatment given after surgery to reduce the risk that the cancer will come back. (cancer.net)
- however, definitive data are lacking on the effectiveness of adjuvant therapy, and there is no information available about which patients may benefit the most. (innovations-report.com)
- Selecting only high-risk patients for additional treatment can narrow the use of chemotherapy, and this approach should be used until such time as a randomized trial can demonstrate that good prognosis, early-stage patients benefit from such therapy," he writes. (innovations-report.com)
- [ 210 ] A meta-analysis concluded that adjuvant cisplatin-based therapy improved survival in resected stage IB, II, and III NSCLC. (medscape.com)
- This study will also allow to explore the feasibility of a salvage therapy personalized according to the results of interval surgery and type of previous neo-adjuvant therapy. (clinicaltrials.gov)
- This international, multicenter, randomized trial compared one or two years of trastuzumab given every three weeks with observation in patients with HER2-positive and either node-negative or node-positive breast cancer who had completed locoregional therapy and at least four cycles of neoadjuvant or adjuvant chemotherapy. (nih.gov)
- Regardless, let's just carry on with the surgery part, and let's talk about adjuvant therapy. (onclive.com)
- Teresa, do you give any adjuvant therapy for cholangiocarcinoma? (onclive.com)
- CONCLUSIONS: These analyses support the addition of oxaliplatin to fluoropyrimidine-based adjuvant therapy in patients with stage III disease and underscore the need for adequate surveillance of patients with colon cancer during the first 3 years after adjuvant therapy. (uptodate.com)
- Adjuvant chemotherapy is commonly used in the therapy of cancer and can be administered before or after the primary treatment. (harvard.edu)
- Adjuvant endocrine therapy in postmenopausal women: making treatment choices based on the magnitude of benefit. (harvard.edu)
- Patients must not have received any prior chemotherapy or hormonal therapy for the treatment of gastric cancer. (knowcancer.com)
- Concurrent administration of any other cancer therapy, including cytotoxic chemotherapy, hormonal therapy, and immunotherapy. (knowcancer.com)
- Ten days after radiation therapy, TP regimen was administered as adjuvant chemotherapy. (biomedsearch.com)
- Depending on the type of cancer, what stage the cancer is in and your overall health, your doctor may recommend chemotherapy in combination with radiation, surgery, hormone therapy, immunotherapy or targeted therapy. (mercy.com)
- If you are in a later stage where the cancer has spread to other body parts or the lymph nodes, adjuvant therapy may be more successful. (mercy.com)
- There's been a lot of discussion in the past few years about how much and how long adjuvant therapy should continue. (bcaction.org)
- On Thursday, there was a presentation about another study that looked at the optimal length of time on adjuvant therapy-this time regarding adjuvant endocrine therapy for hormone receptor positive postmenopausal women. (bcaction.org)
- He pointed out, however, that elderly patients with stage II/III colon cancer are less likely than younger patients to be offered or to receive adjuvant chemo-therapy. (cancernetwork.com)
- Alison Birtle and Surena Matin join Ashish Kamat for an educational session on the highly debated question of "should we use neoadjuvant or adjuvant therapy when it comes to upper tract urothelial carcinoma? (urotoday.com)
- In this case, "Should we use neoadjuvant or adjuvant therapy when it comes to upper tract urothelial carcinoma? (urotoday.com)
- This therapy became known as metronomic chemotherapy. (omicsonline.org)
- Stage II (basically node-negative) colon cancer is usually not given adjuvant therapy while stage III (node positive) colon cancer has higher risk of relapse and is usually given adjuvant therapy. (omicsonline.org)
- On the other hand, there is no strong data to support adjuvant therapy (AC), as of yet - though, there are indicators to suggest it may be effective. (urotoday.com)
- For patients who will receive adjuvant therapy, I think this does represent the new standard of care," she commented. (ascopost.com)
- For Stage II/III rectal cancer patients, curative resection is the primary treatment, prescribing of postoperative adjuvant chemotherapy (PAC) is regarded as a standard therapy. (scirp.org)
- Aebi recommended that physicians prescribe adjuvant chemotherapy for patients with isolated local and regional recurrence of breast cancer, especially if the recurrence is ER-negative and therefore not sensitive to endocrine therapy. (oncologynurseadvisor.com)
- These results indicate that cisplatin is most promising for the partner of S-1 as adjuvant therapy that may reduce recurrence and improve survival of stage III gastric cancer. (ovid.com)
- However, the occurrence of delay in the delivery of adjuvant therapy and its impact on prognosis is not well understood. (springer.com)
- To date, there are limited recommendations about the role of NSM in patients receiving aggressive adjuvant therapy. (aacrjournals.org)
- The purpose of this investigation is to determine whether NSM in the setting of neo-adjuvant or adjuvant chemotherapy and/or radiation therapy increased the risks for wound complications. (aacrjournals.org)
- Multiple data points including neo-adjuvant or adjuvant chemotherapy and/or radiation therapy, obesity, smoking history, and type of reconstructive surgery were examined in detail. (aacrjournals.org)
- Of the 76 NSMs, 27 breasts received neo-adjuvant(20) or adjuvant chemotherapy and/or radiation(7) therapy. (aacrjournals.org)
- The complications were seen in 11 in the non adjuvant treated setting (14%) and 9 (33%) in the adjuvant therapy setting. (aacrjournals.org)
- Our results show there is a significant risk of wound complication associated with neo-adjuvant and adjuvant chemotherapy and radiation therapy in the setting of nipple sparing mastectomy. (aacrjournals.org)
- Suggested improvements for the DA include: sequential presentation of treatment options (eg, no treatment vs 1 drug, 1 drug vs 2 drugs) to enhance patient understanding of the difference between combination and single therapy, diagrams to help patients understand the rationale for chemotherapy to prevent a recurrence and inbuilt checks on patient understanding of baseline risk of recurrence and net benefit of chemotherapy. (bmj.com)
- A meta-analysis reported in The Lancet Oncology by the Early Breast Cancer Trialists' Collaborative Group indicates that neoadjuvant chemotherapy is associated with a higher local recurrence risk vs the same chemotherapy given postoperatively after breast-conserving therapy. (ascopost.com)
- There were no significant differences between neoadjuvant chemotherapy and adjuvant therapy for 15-year distant recurrence (38.2% vs 38.0%, RR = 1.02, P = .66), breast cancer mortality (34.4% vs 33.7%, RR = 1.06, P = .31), or all-cause mortality (40.9% vs 41.2%, RR = 1.04, P = .45). (ascopost.com)
- The investigators concluded: "Tumours downsized by [neoadjuvant chemotherapy] might have higher local recurrence after breast-conserving therapy than might tumours of the same dimensions in women who have not received [neoadjuvant chemotherapy]. (ascopost.com)
- Yi-Long Wu, MD, FACS, Tenured Professor of the Lung Cancer Institute at Guangdong Provincial People's Hospital and Academy of Medical Sciences in Guangzhou, China, and a principal investigator in the ADAURA Phase III trial, said: "The overwhelming disease-free survival benefit in patients in ADAURA already supported the role of Tagrisso as a pioneering therapy in the adjuvant treatment of EGFR-mutated non-small cell lung cancer. (astrazeneca.se)
- Of the 12 cases of AML/MDS in chemotherapy-treated patients, 8 patients had received anthracycline-containing therapy. (ascopost.com)
- The aim of adjuvant therapy is to eradicate residual micrometastasis thus improving the cure rate in early stage. (esmo.org)
- Identification of the highest-risk subset for adjuvant therapy still needs improvement. (esmo.org)
- The multiinstitutional osteosarcoma study (MIOS), a randomized trial of adjuvant therapy for osteosarcoma with a concurrent control group, registered 113 patients from June 1982 to August 1984. (uni-bonn.de)
- Six months of oxaliplatin-based chemotherapy has been the standard adjuvant therapy for stage III colon cancer since 2004. (ecancer.org)
- Neither targeted therapy, nor predictors for chemotherapy sensitivity are available for triple-negative breast cancer (TNBC). (linkos.cz)
- In line with the published data, adjuvant S-1 therapy has a tolerable toxicity profile among local patients who have undergone curative resection for gastric cancer. (hkmj.org)
- For gastric cancer patients in whom adjuvant S-1 therapy is planned, close monitoring of those who have identifiable risk factors may enable early recognition of adverse events during therapy. (hkmj.org)
- 3) reported on the prevalence and severity of long-term patient-reported PN in a cross-sectional study among patients who were within six and 24 months of completing adjuvant taxane therapy and in a small prospective study in patients initiating taxane therapy with longitudinal assessment up to 12 months after completing therapy. (deepdyve.com)
- To determine whether the addition of cisplatin-based chemotherapy (CT) to pelvic radiation therapy (RT) will improve the survival of early-stage, high-risk patients with cervical carcinoma. (uni-bonn.de)
- BCL11A copy number status could facilitate decision making on adjuvant therapy. (linkos.cz)
- In patients with BCL11A deletion other types of adjuvant therapy should be considered. (linkos.cz)
- citation needed] This systemic therapy (chemotherapy, immunotherapy or hormone therapy) or radiation therapy is commonly used in cancers that are locally advanced, and clinicians plan an operation at a later stage, such as pancreatic cancer. (wikipedia.org)
- Treatment may consist of some combination of surgery, chemotherapy, and radiation therapy. (wikipedia.org)
Platinum-based chemotherapy5
- In the Adjuvant ChemoTherapy in Ovarian Neoplasm (ACTION) trial, a team of researchers from the European Organisation for Research and Treatment of Cancer (EORTC) randomly assigned 448 patients from across Europe to either adjuvant platinum-based chemotherapy or observation following surgery. (innovations-report.com)
- The adjuvant chemotherapy consisted of an oral tegafur agent (OT) or platinum-based chemotherapy (PB). (dovepress.com)
- Preclinical data suggest these tumors may be resistant to platinum-based chemotherapy. (sigmaaldrich.com)
- Adjuvant platinum-based chemotherapy improves survival in patients with non-small cell lung cancer, but benefits only a minority of those treated. (aacrjournals.org)
- Adjuvant platinum-based chemotherapy is a standard of care for patients with completely resected stage II to IIIA non-small cell lung cancer (NSCLC), with an absolute 5-year survival benefit of 4% to 15% in several randomized trials and meta-analyses ( 1-7 ). (aacrjournals.org)
Overall survival17
- At 5 years, there was no statistically significant difference in overall survival between patients who were treated with adjuvant chemotherapy and patients who were in the observation group. (innovations-report.com)
- Similar to the ICON1 trial, the combined analysis found that 5-year overall survival was 8% greater in the adjuvant chemotherapy arm than in the observation arm. (innovations-report.com)
- An adjuvant chemotherapy regimen improved overall survival in early-stage pancreatic cancer patients, in the large phase III European ESPAC-4 study reported at the 2016 ASCO Annual Meeting. (ascopost.com)
- 1 Further, there was an early trend toward improved overall survival with adjuvant chemotherapy. (ascopost.com)
- Small studies of systemic chemotherapy show a tantalizing hint of benefit in disease-free survival and overall survival, so we set out to explore this in a larger study," Dr. Birtle told listeners. (ascopost.com)
- We sought to determine the overall survival benefit of chemotherapy among patients with stage II colon cancer having poor prognostic features. (pubmedcentralcanada.ca)
- Among Medicare patients identified with stage II colon cancer, either with or without poor prognostic features, adjuvant chemotherapy did not substantially improve overall survival. (pubmedcentralcanada.ca)
- Chemotherapy after surgery, known as adjuvant chemotherapy, led to higher rates of disease-free and overall survival for women with isolated local or regional recurrence of breast cancer. (oncologynurseadvisor.com)
- Also, for this group, the overall survival was 79% for those who received chemotherapy and 69% for those who did not. (oncologynurseadvisor.com)
- The ER-positive patients had an overall survival of 94% for those who received chemotherapy and 80% for those who did not. (oncologynurseadvisor.com)
- Aim of our meta-analysis (MA): To assess the capacity of MSI status to predict the efficacy of adjuvant CT in terms of Overall Survival (OS) or Relapse Free Survival (RFS) in CRC, to study whenever possible the interaction between MSI status and prescription or not of CT. (aacrjournals.org)
- Specifically, the manuscript describes the effectiveness of chemotherapy in improving overall survival after surgical resection in patients with stage II disease with no poor prognostic features, stage II disease with any poor prognostic features, and stage III disease. (esmo.org)
- Exploratory analysis of the use of adjuvant chemotherapy in early-stage patients showed improved overall survival for patients whose tumors were ≥ 4 cm. (iaslc.org)
- The results published in the Journal of Thoracic Oncology , the official journal of the International Association for the Study of Lung Cancer (IASLC), demonstrated that adjuvant chemotherapy was associated with improved median overall survival (OS) and 5-year OS compared to the observation group in both univariate (one variable) and multivariable (multiple variables) analyses. (iaslc.org)
- Probability of death in pT4 patients receiving chemotherapy was lower compared to non-recipients (3-year overall survival 91% vs. 73%, HR 0.43, 95% CI 0.28-0.66). (eur.nl)
- PURPOSE: A phase III trial (Cancer and Leukemia Group B CALGB-49907) was conducted to test whether older patients with early-stage breast cancer would have equivalent relapse-free and overall survival with capecitabine compared with standard chemotherapy. (druglib.com)
- CONCLUSION: Standard chemotherapy was superior to capecitabine in improving relapse-free and overall survival for older women with early-stage breast cancer. (druglib.com)
Colorectal10
- Appropriate duration of postoperative oral adjuvant chemotherapy with HCFU for colorectal cancer]. (sigmaaldrich.com)
- We conducted a joint study of different duration of drug administration for oral adjuvant chemotherapy using camphor (HCFU) with patients having advanced colorectal cancer who underwent curative resection. (sigmaaldrich.com)
- Surveillance Epidemiology, and End Results Program (SEER) show that only 48% of patients aged 65 to 74 years received adjuvant chemotherapy for node-positive colorectal cancer, and only 24% of those patients aged 80 to 84. (cancernetwork.com)
- Benefit from 5-FU adjuvant chemotherapy depends on the MMR status of tumours in patients with colorectal cancer. (bmj.com)
- Microsatellite instability status to predict efficacy of 5FU based adjuvant chemotherapy for colorectal cancer. (aacrjournals.org)
- Material and Methods: Studies (full articles) were identified by an electronic search using online PubMed, with a set of keywords used simultaneously (colorectal neoplasm, chemotherapy, microsatellite instability, prognosis). (aacrjournals.org)
- Objectives To develop a computerised decision aid (DA) to inform the decision process on adjuvant chemotherapy in patients with stage II colorectal cancer, and examine perceived usefulness, acceptability and areas for improvement of the DA. (bmj.com)
- 1 , 2 One key issue for people who have undergone surgical resection of colorectal cancer is the decision about whether or not to have adjuvant chemotherapy, which is typically either 5-FU or capecitabine, given alone or in combination with oxaliplatin. (bmj.com)
- The use of adjuvant chemotherapy in stage II colorectal cancer remains controversial in the oncology community. (esmo.org)
- In this study, an inverse association was seen with chemotherapy and total Functional Assessment of Cancer Treatment (FACT)-General, FACT-Colorectal, physical, emotional, and functional well-being among patients with stage II colon cancer. (oncologynurseadvisor.com)
Resection10
- In those patients who achieved a complete surgical resection at interval debulking surgery, adjuvant treatment will include 3 cycles of durvalumab + chemotherapy and then a follow-up period. (clinicaltrials.gov)
- Adjuvant chemotherapy after the complete resection of non-small-cell lung cancer (NSCLC) is now the standard of care. (dovepress.com)
- Patients with clinical or pathological T4N0-2M0-stage tumours or perforated colon cancer were randomly assigned (1:1), with a web-based randomisation application, before resection of the primary tumotm to adjuvant HIPEC followed by routine adjuvant systemic chemotherapy (experimental group) or to adjuvant systemic chemotherapy alone (control group). (rug.nl)
- Expression was compared with histopathological evidence of response to chemotherapy after surgical resection. (bl.uk)
- Adjuvant chemotherapy is typically considered for patients with stage II colon cancer characterized by poor prognostic features, including obstruction, perforation, emergent admission, T4 stage, resection of fewer than 12 lymph nodes, and poor histology. (pubmedcentralcanada.ca)
- 3239 patients 23 to 86 years of age (median age 63 y, 61% men) with complete colon (71% of patients) or rectal (29%) cancer resection and an uncertain indication for adjuvant chemotherapy (as determined by consultation between attending physician and patient). (annals.org)
- Several studies have found that patients with stage II and III NSCLC that had adjuvant chemotherapy following complete surgical resection lived longer than those that had surgery without chemotherapy. (iaslc.org)
- However, in early-stage NSCLC patients there currently is not enough evidence to support the use of chemotherapy following complete resection, even though stage I lung cancer recurs either locally or at distant sites in roughly a third of early-stage patients. (iaslc.org)
- A group of investigators analyzed a large cohort of patients (25,267) with pathologic stage T2N0M0 NSCLC, diagnosed from 2004 to 2011, and who underwent complete (R0) resection to evaluate the role of adjuvant chemotherapy in early-stage patients. (iaslc.org)
- Patients with stage II-IIIC gastric adenocarcinoma who had undergone curative resection and who had received S-1 adjuvant chemotherapy were included in the study. (hkmj.org)
Gastric cancer6
- The aim of this study is to evaluate the laparoscopic method in gastric cancer staging before surgery in patients undergoing Neo-adjuvant chemotherapy. (degruyter.com)
- Therefore, further investigation of more effective treatments is urgently needed.Several trials have been reported about adjuvant S1-combined chemotherapy for stage III gastric cancer. (ovid.com)
- The aim of this study was to clarify the risk factors for discontinuing tegafur/gimeracil/oteracil potassium (S-1) adjuvant chemotherapy following gastrectomy in patients with gastric cancer. (jcancer.org)
- We retrospectively investigated patients with curatively-resected gastric cancer who received S-1 adjuvant chemotherapy. (jcancer.org)
- These results suggest that assessing renal function to avoid initial overdose of S-1, together with the early management of side effects, may support the continuation of S-1 adjuvant chemotherapy in patients with gastric cancer. (jcancer.org)
- The use of adjuvant chemotherapy with S-1 (tegafur, gimeracil, and oteracil potassium) has been shown to improve the outcome of patients with gastric cancer. (hkmj.org)
Postoperative adjuvant chemotherapy3
- Retrospective review of the clinical characteristics and clinical course of 735 patients with stages II and III primary breast cancer who were treated using three consecutive postoperative adjuvant chemotherapy protocols. (nih.gov)
- To estimate the safety of the extremely early PAC, we evaluated the first post chemotherapy adverse reactions and defecation ability, and analyzed the variance laboratory indexes around the first postoperative adjuvant chemotherapy. (scirp.org)
- An increasing proportion of patients with early-stage breast cancer are treated with taxanes as postoperative adjuvant chemotherapy. (spandidos-publications.com)
Efficacy13
- We investigated its efficacy and safety after excision of early-stage breast cancer and completion of chemotherapy. (nih.gov)
- Efficacy of concurrent chemoradiotherapy plus adjuvant chemotherapy on advanced cervical cancer. (biomedsearch.com)
- This study aimed to explore the efficacy of concurrent chemoradiotherapy plus adjuvant chemotherapy on and the treatment compliance of the patients with advanced cervical squamous cell carcinoma. (biomedsearch.com)
- We aimed to determine the efficacy of adjuvant hyperthermic intraperitoneal chemotherapy (HIPEC) in patients with locally advanced colon cancer. (rug.nl)
- Certain models suggest that increasing the dose of this chemotherapy may enhance its efficacy. (bcaction.org)
- ASCO GU 2020: The Efficacy of Two Cycles of Neoadjuvant Chemotherapy for Upper Tract Urothelial Carcinoma Patients. (urotoday.com)
- This randomized, active-controlled, multicenter, open-label, Phase III study is designed to investigate the efficacy and safety of alectinib compared with platinum-based in the adjuvant setting. (centerwatch.com)
- Although its medical efficacy is undeniable, the negative effects of adjuvant chemotherapy on cognitive functioning have been reported by some breast cancer patients, even years after treatment in some cases ( 3 - 9 ). (frontiersin.org)
- Some physicians prescribe chemotherapy for these patients after their recurrent tumors have been completely removed by surgery, but the efficacy of this treatment has not been studied until now. (oncologynurseadvisor.com)
- They reported adjuvant XELOX provides superior efficacy to surgery alone. (ovid.com)
- MSI status, classified as MSI-high (MSI-H) or microsatellite stable (MSS) which also includes MSI-low, is considered a prognostic factor in CRC, but its ability to predict adjuvant chemotherapy (CT) efficacy is still controversial. (aacrjournals.org)
- Sobrero said: "While overall there are minor differences in efficacy between three and six months, high risk patients should receive six months of chemotherapy and CAPOX should be preferred over FOLFOX. (ecancer.org)
- In this study we investigate the feasibility and efficacy of this regimen in a neo-adjuvant setting. (eur.nl)
Immediate adjuvant chemotherapy5
- In a second trial, the International Collaborative Ovarian Neoplasm (ICON1) study, collaborators randomly assigned 477 patients to receive either adjuvant chemotherapy immediately after surgery for early-stage ovarian cancer or no immediate adjuvant chemotherapy. (innovations-report.com)
- Results from a recent Phase III clinical trial suggest that patients with invasive bladder cancer may benefit from treatment with immediate adjuvant chemotherapy. (cancerconnect.com)
- While, based on these factors, researchers can't draw a definitive conclusion about the survival advantage of immediate adjuvant chemotherapy for treatment of bladder cancer, the evidence of a benefit may prove more useful when combined with data from similar studies. (cancerconnect.com)
- Preliminary analysis of the study indicated a significant event-free survival advantage favoring immediate adjuvant chemotherapy, (P less than .001). (uni-bonn.de)
- However, patients relapsing after treatment with surgery alone experienced a significantly longer interval to further disease progression (P less than .01) and improved survival after relapse (P = .01) when compared with patients who relapsed after treatment with immediate adjuvant chemotherapy. (uni-bonn.de)
Colon cancer23
- To help doctors give their patients the best possible care, the American Society of Clinical Oncology (ASCO) developed evidence-based recommendations for adjuvant chemotherapy for stage II colon cancer. (cancer.net)
- Chemotherapy after surgery is not recommended for routine use in patients with stage II colon cancer. (cancer.net)
- Adjuvant chemotherapy for stage II colon cancer may lower the risk of the cancer coming back, but is also associated with potentially serious side effects. (cancer.net)
- To learn more about adjuvant chemotherapy for colon cancer, talk with your doctor about the stage of your cancer, your medical history, your overall health, and the risks and benefits of adjuvant treatment, including the potential side effects. (cancer.net)
- CONCLUSION: Our observations indicate that MSI status and p53 expression may influence the impact of oxaliplatin on adjuvant treatment of stage III colon cancer patients. (uptodate.com)
- Impact of Patient Factors on Recurrence Risk and Time Dependency of Oxaliplatin Benefit in Patients With Colon Cancer: Analysis From Modern-Era Adjuvant Studies in the Adjuvant Colon Cancer End Points (ACCENT) Database. (uptodate.com)
- Patients with breast cancer may have adjuvant chemotherapy for as long as nine months, while patients with colon cancer may only need six months. (mercy.com)
- Interpretation In patients with T4 or perforated colon cancer, treatment with adjuvant HIPEC with oxaliplatin did not improve peritoneal metastasis-free survival at 18 months. (rug.nl)
- Currently, treatment with 5-FU plus leucovorin for 6 to 8 months is standard adjuvant treatment for patients with stage III colon cancer. (cancernetwork.com)
- How long should Adjuvant Chemotherapy be given in Early Stage Colon Cancer? (omicsonline.org)
- In May 2011, I published an editorial discussing my personal use of low dose, long term adjuvant chemotherapy for stage IIIc colon cancer in 1994-1997[ 1 ]. (omicsonline.org)
- Thus this simple reasoning results in the conclusion that in order to be effective for all or nearly all cases, adjuvant chemotherapy for early stage colon cancer must be essentially nontoxic and used for over 2 years. (omicsonline.org)
- In particular I will discuss here a reexamination of a long ago determined cancer therapeutic notion, i.e., the intensity and optimal duration of adjuvant chemotherapy after detection of early stage colon cancer. (omicsonline.org)
- Despite its uncertain impact on survival, adjuvant chemotherapy administration is common, with one study identifying chemotherapy receipt among 27% of younger Medicare beneficiaries with stage II colon cancer. (pubmedcentralcanada.ca)
- The authors conclude that the lack of benefit from chemotherapy must be considered in treatment decisions in patients over 65 years with colon cancer, with any possible survival benefit likely to be less than 2% at 5 years. (esmo.org)
- Recurrence, survival, and quality of life (QOL) is not improved with adjuvant chemotherapy in most patients with stage II colon cancer, according to the results of a study published in Supportive Care in Cancer . (oncologynurseadvisor.com)
- In this study, stage II colon cancer patients who received chemotherapy treatment were more likely to have poor QoL, recurrence, and all-cause mortality after 24 months compared to those who did not receive chemotherapy. (oncologynurseadvisor.com)
- ESMO 2017: Debate on duration of colon cancer adjuvant chemotherapy takes centre stage at ESMO 2017. (ecancer.org)
- The debate on whether to shorten adjuvant chemotherapy for colon cancer from six to three months takes centre stage today in a special session at the ESMO 2017 Congress in Madrid. (ecancer.org)
- Is three months of chemotherapy enough in the adjuvant treatment of colon cancer? (ecancer.org)
- A total of 4,940 of 10,935 patients with stage II colon cancer were identified as high risk, of whom 790 (16%) patients received adjuvant chemotherapy. (eur.nl)
- In high-risk stage II colon cancer, adjuvant chemotherapy was associated with higher survival in pT4 only. (eur.nl)
- To prevent unnecessary chemotherapy-induced toxicity, further refinement of patient subgroups within stage II colon cancer who could benefit from adjuvant chemotherapy seems indicated. (eur.nl)
Early Breast Cancer9
- Wednesday's General Session included a presentation on a large meta-analysis of 21,000 women in 16 randomized trials looking at early breast cancer and the use of adjuvant chemotherapy. (bcaction.org)
- Adjuvant chemotherapy with anthracycline and taxane-based combinations for early breast cancer is known to reduce the risk of death from breast cancer by about one-third. (bcaction.org)
- In another presentation Wednesday morning, Dr. Wolfgang Janni from the University of Ulm presented on the results of the SUCCESS trial on the use of adjuvant bisphosphonate treatment in high risk early breast cancer patients. (bcaction.org)
- The researchers found that there was no significant difference in either DFS or OS between patients, irrespective of menopausal status, that received 2 or 5 years of zoledronate after adjuvant chemo for early breast cancer. (bcaction.org)
- NICE has said that Oncotype DX is recommended to help make decisions about chemotherapy after surgery in some people with oestrogen receptor positive (ER+), lymph node negative (LN−) and human epidermal growth factor receptor 2 negative (HER2−) early breast cancer. (nice.org.uk)
- Neoadjuvant chemotherapy was associated with a higher local recurrence rate in patients with early breast cancer. (ascopost.com)
- The meta-analysis included patient-level data from 4,756 women from 10 randomized trials in early breast cancer that were started before 2005 and compared neoadjuvant chemotherapy with the same chemotherapy given postoperatively. (ascopost.com)
- 1. Denduluri N: Risk of acute myeloid leukemia and myelodysplastic syndrome after adjuvant chemotherapy for early breast cancer in the community setting. (ascopost.com)
- We hypothesized that combination of data on genetic biomarkers with data from traditional clinical and pathophysiological (clinicopathologic) factors using traditional Cox model or Support Vector Machine (SVM) method, a new machine learning method, may provide a better tool for prediction of benefits to chemotherapy for the treatment of early breast cancer than using either biomarker or clinicopathologic data alone. (queensu.ca)
Toxicity8
- Psychiatric morbidity and physical toxicity associated with adjuvant chemotherapy after mastectomy. (bmj.com)
- CONCLUSION: Concurrent chemoradiotherapy plus adjuvant chemotherapy for advanced cervical cancer can improve short-term and long-term survival and local control rates of patients, improve the quality of life, and the toxicity can be tolerated. (biomedsearch.com)
- Reasons for withholding adjuvant chemotherapy from elderly patients may include coexisting conditions, fear of toxicity, declining functional and mental status, and lack of social support, Dr. Sargent said, but "most people older than 75 are independent, and their life expectancy without cancer is 10 to 12 years. (cancernetwork.com)
- The similarity in toxicity, he said, "is important, given the fact that one arm received combination chemotherapy. (ascopost.com)
- This signature may enable more personalized approaches to the treatment of lung SCC, sparing chemotherapy toxicity and identifying patients for the evaluation of alternative therapeutic strategies. (aacrjournals.org)
- Drug Combination Chemotherapy with Hematologic Toxicity Attenuation and Urothelial Protection. (bioportfolio.com)
- Neuropathy is a common complication that could result in chemotherapy dose reduction, but there is no evidence that this toxicity is associated with a higher risk of recurrence or inferior survival (6). (deepdyve.com)
- We carried out an open, randomized, phase III, multicenter clinical trial to compare, in neo-adjuvant setting, the clinical response and toxicity of the combination chemotherapy cisplatin + 5-FU with the same combination plus s.c. recombinant interleukin-2 (rIL-2) in patients with advanced (stage III-IV) head and neck squamous-cell carcinoma (HNSCC). (eurekamag.com)
Clinical14
- The aim of this article was to summarize existing evidence on neoadjuvant and adjuvant chemotherapy in PDAC with a focus on high-level evidence based on randomized controlled phase III clinical trials. (springer.com)
- In the early 1990s, two large randomized clinical trials were initiated to compare survival between patients treated with adjuvant chemotherapy immediately after surgery for early-stage ovarian cancer and patients who received no additional treatments until clinically indicated. (innovations-report.com)
- We evaluated the clinical relevance of these findings and assessed whether NRF2 activation predicts benefit from adjuvant chemotherapy in SCC. (sigmaaldrich.com)
- Key eligibility criteria included age between 18 and 75 years, adequate clinical condition for HIPEC, and intention to start adjuvant systemic chemotherapy. (rug.nl)
- These interesting observations will require prospective validation, but the possibility of refining the prognosis of individual patients and influencing clinical decisions regarding the use of adjuvant chemotherapy is an exciting prospect and should be evaluated in well-designed, prospective clinical trials such as the CALGB trial previously mentioned. (amazonaws.com)
- Adjuvant chemotherapy should be considered a new standard of care," stated lead author Alison J. Birtle, MD , a clinical oncologist and Honorary Senior Lecturer at Rosemere Cancer Centre, Lancashire Teaching Hospitals, Preston, United Kingdom. (ascopost.com)
- Using this classifier, SCC patients with the activated signature treated in the JBR.10 clinical trial did not appear to derive benefit from chemotherapy. (aacrjournals.org)
- A total of 260 patients with stage II or III tumours received 5-FU adjuvant chemotherapy, according to standard clinical criteria and irrespective of their MMR status. (bmj.com)
- Among women randomized to receive neoadjuvant chemotherapy, 69% had a complete or partial clinical response. (ascopost.com)
- Consequently, a thorough investigation of the clinical benefits and survival of the use of adjuvant chemotherapy in early-stage patients is warranted in order to improve the current treatment recommendations. (iaslc.org)
- In low risk patients the difference was so minor that the clinical conclusion is that three months of oxaliplatin-based chemotherapy is as good as six months," said Van Cutsem. (ecancer.org)
- To develop a health economic model to assess the cost-effectiveness of these tests compared with clinical tools to guide the use of adjuvant chemotherapy in early-stage breast cancer from the perspective of the NHS and Personal Social Services. (whiterose.ac.uk)
- Only one completed randomised controlled trial (RCT) using a tumour profiling test in clinical practice was identified: Microarray In Node-negative Disease may Avoid ChemoTherapy (MINDACT) for MammaPrint. (whiterose.ac.uk)
- 3.4 (clinical intermediate risk), evidence surrounding pre- and post-test chemotherapy probabilities is subject to considerable uncertainty. (whiterose.ac.uk)
Breast38
- In a randomized trial of women with early stage breast cancer undergoing adjuvant chemotherapy, two stress management interventions, tai chi training and spiritual growth groups, were compared to a usual care control group, to evaluate psychosocial functioning, quality of life (QOL), and biological markers thought to reflect cancer- and treatment-specific mechanisms. (hindawi.com)
- Large operable T2-T3 breast cancer (BC), treated with neoadjuvant chemotherapy, may theoretically appear suitable for this surgical option, alternative to conventional mastectomy or breast conserving surgery in case of unfavorable size of the breast, when a good response to neoadjuvant chemotherapy has been achieved. (clinicaltrials.gov)
- Both the population of patients treated with neoadjuvant chemotherapy (NAC-PC and PC groups) were T2-T3 N0-N1 breast cancer. (clinicaltrials.gov)
- One year of treatment with trastuzumab after adjuvant chemotherapy significantly improves disease-free survival among women with HER2-positive breast cancer. (nih.gov)
- Adjuvant chemotherapy and neoadjuvant chemotherapy are frequently used in the treatment of breast, colon, lung, bladder, and prostate cancers. (rockymountaincancercenters.com)
- Obesity as an adverse prognostic factor for patients receiving adjuvant chemotherapy for breast cancer. (nih.gov)
- To determine whether obesity is an independent prognostic factor among women receiving adjuvant chemotherapy for lymph node-positive breast cancer and to determine how obesity relates to other commonly used prognostic indicators. (nih.gov)
- Obesity is an indicator of poor prognosis for patients with primary breast cancer even after the administration of adjuvant chemotherapy. (nih.gov)
- Evaluate your overall health - if you are otherwise healthy, you are more likely to benefit from adjuvant chemotherapy for breast cancer. (mercy.com)
- How you respond to treatment - if your doctor thinks you can tolerate the side effects associated with chemotherapy, he or she is more likely to recommend adjuvant chemotherapy as a part of your breast cancer treatment plan. (mercy.com)
- When successful, adjuvant chemotherapy reduces the risk of breast cancer recurrence by 35 percent for women under 50 and by 20 percent in women over 50 years old. (mercy.com)
- There are a variety of factors in play when evaluating the potential success of adjuvant chemotherapy for breast cancer treatment. (mercy.com)
- Dosing and the duration of adjuvant chemotherapy was a prominent theme in the first two days of the San Antonio Breast Cancer Symposium (SABCS). (bcaction.org)
- Adjuvant chemotherapy is a very common treatment for breast cancer patients-it's what patients are given after primary treatments, such as surgery or radiation. (bcaction.org)
- Retrospective studies have demonstrated a worse outcome in breast cancer patients not developing leukopenia during adjuvant chemotherapy. (bioportfolio.com)
- A meta-analysis was performed to quantify the magnitude and nature of the association between adjuvant chemotherapy and performance on a range of cognitive domains among breast cancer patients. (frontiersin.org)
- Results suggested that cognitive impairment is present among breast cancer patients irrespective of a history of chemotherapy. (frontiersin.org)
- Accurate understanding of the effects of chemotherapy is essential to enable informed decisions regarding treatment and to improve quality of life among breast cancer patients. (frontiersin.org)
- Adjuvant chemotherapy increases the survival rate in breast cancer patients and is currently administered to up to 60% of patients below the age of 60 years ( 2 ). (frontiersin.org)
- To support informed decision making, it is important to understand the magnitude and specific areas of cognitive impairment that breast cancer patients may experience after adjuvant chemotherapy. (frontiersin.org)
- An increasing number of studies have examined the effects of adjuvant chemotherapy for breast cancer on cognitive functioning ( 10 - 13 ). (frontiersin.org)
- The study involved the Breast International Group, the National Surgical Adjuvant Breast and Bowel Project, and the International Breast Cancer Study Group. (oncologynurseadvisor.com)
- The greatest benefit occurred in women with estrogen receptor (ER)-negative breast cancer, whose 5-year survival rate was 67% among those who received chemotherapy and 69% among those who did not. (oncologynurseadvisor.com)
- To investigate the timeliness of initiation of adjuvant chemotherapy following surgery for breast cancer, we used data from the Surveillance, Epidemiology, and End-Results (SEER)-Medicare database. (springer.com)
- Among women ≥ 65 years diagnosed between 1992 and 1999 with stages I-II breast cancer, we used linear regression and Cox proportional hazards models to investigate the time intervals between surgery and initiation of adjuvant chemotherapy, factors associated with delay, and the effect of delay on survival. (springer.com)
- Because taxanes exhibit incomplete cross-resistance with anthracyclines, and adjuvant anthracycline chemotherapy still leaves considerable residual risk of disease recurrence and death from breast cancer, multiple trials are addressing the value of incorporating taxanes, either sequentially or in combination with anthracyclines, in an effort to improve outcomes ( 8 , 9 ). (aacrjournals.org)
- She outlines the background and design of the trial, which is a large prospective trial, investigating the 70-gene signature MammaPrint to guide the use of adjuvant chemotherapy in breast cancer patients. (ecancer.org)
- Contradicting what some previous investigations have found, a study from The US Oncology Network found that adjuvant chemotherapy for breast cancer does not increase the risk of acute myeloid leukemia and myelodysplastic syndromes (AML/MDS), at least within the first 3 years of treatment. (ascopost.com)
- Anthracycline-based chemotherapies for breast cancer are known to adversely affect patients' quality of life (QOL) and immune function. (spandidos-publications.com)
- Effects of adjuvant chemotherapy on recurrence rate in T1abN0M0 triple-negative breast cancer: A meta-analysis. (physiciansweekly.com)
- Triple-negative breast cancer (TNBC) is known for its higher recurrence rate in short-term (3-5 years) follow-up and limited systemic therapeutic methods (chemotherapy). (physiciansweekly.com)
- Our main results showed that breast cancer recurrence rate in T1a/bN0 TNBC patients receiving chemotherapy was significantly lower than those without chemotherapy (OR 0.54, 95% CI 0.37-0.78, P = 0.001). (physiciansweekly.com)
- We evaluated the contribution of an epirubicin-based adjuvant chemotherapy on disease-free survival (DFS) in poor prognosis, node-negative breast cancer (BC) patients. (jle.com)
- Methods The National Surgical Adjuvant Breast and Bowel Project Protocol B-30 was a randomized trial comparing sequential doxorubicin (A) and cyclophosphamide (C) followed by docetaxel (T) (AC→T), concurrent ACT, or AT in women with node-positive, early-stage breast cancer. (deepdyve.com)
- Adjuvant chemotherapy (AC) improves survival among patients with operable breast cancer. (biomedcentral.com)
- Adjuvant chemotherapy (AC) is routinely recommended to most of breast cancer patients post surgeries. (biomedcentral.com)
- Clinically, 60-80% of breast cancer patients would ultimately receive AC, but the optimal time from surgery to the start of chemotherapy is unclear albeit clinicians have used chemotherapy in breast cancer for more than a half century. (biomedcentral.com)
- Quality of life of older patients with early-stage breast cancer receiving adjuvant chemotherapy: a companion study to cancer and leukemia group B 49907. (druglib.com)
Systemic chemotherapy4
- Individual tumour foci treated with laser hyperthermia were also coded for laser parameters including power settings, number of treatments, and concomitant administration of systemic chemotherapy (chemothermotherapy). (bmj.com)
- Laser settings, number of hyperthermia treatments, and the concomitant use of systemic chemotherapy (chemothermotherapy) were not associated with higher rates of vitreous relapse. (bmj.com)
- The study was done to test the hypothesis that adjacent use of lasers with systemic chemotherapy for treatment of retinoblastoma may reduce recurrence rates while also causing local side effects. (physiciansweekly.com)
- Systemic chemotherapy alone was used in 71 eyes while chemotherapy plus laser was used in 20 eyes. (physiciansweekly.com)
Cycles7
- This contrasted with the results of a Canadian study that showed significantly improved 5-year survival for stage IB and II patients treated with adjuvant cisplatin-vinorelbine for 4 cycles. (medscape.com)
- Patients with resected stage IB NSCLC should, therefore, be counseled about risks and benefits of adjuvant chemotherapy and may be offered either 4 cycles of platinum-based doublet chemotherapy, preferably cisplatin, or observation. (medscape.com)
- Some adjuvant chemotherapy is administered in a few treatment cycles while others are administered for up to 10 years. (rockymountaincancercenters.com)
- Zhang J, Huang Y, Sun Y, He A, Zhou Y, Hu H, Yao Y, Shen Z. Impact of chemotherapy cycles and intervals on outcomes of nonspinal Ewing sarcoma in adults: a real-world experience. (harvard.edu)
- In the PB group, the percentage of patients who completed the four planned cycles of chemotherapy was not correlated with the PNI. (dovepress.com)
- Within 90 days postsurgery, patients were randomized 1:1 to receive 4 cycles of gemcitabine-based chemotherapy or surveillance. (ascopost.com)
- Compliance was considered good: About 70% received all four planned cycles of chemotherapy. (ascopost.com)
Cancer51
- Intraperitoneal catheter outcomes in a phase III trial of intravenous versus intraperitoneal chemotherapy in optimal stage III ovarian and primary peritoneal cancer: a Gynecologic Oncology Group Study," Gynecologic Oncology , vol. 100, no. 1, pp. 27-32, 2006. (hindawi.com)
- Intraperitoneal chemotherapy in patients with advanced ovarian cancer: the con view," The Oncologist , vol. 13, no. 4, pp. 410-414, 2008. (hindawi.com)
- Adjuvant chemotherapy is additional treatment given after surgery to lower the risk of the cancer returning. (cancer.net)
- Chemotherapy is the use of drugs to treat cancer. (cancer.net)
- However, chemotherapy can damage healthy cells along with cancer cells. (cancer.net)
- In other words, patients who receive chemotherapy after surgery have a very small chance of reducing the risk of their cancer coming back compared with patients who do not receive the extra treatment. (cancer.net)
- Results from two large European studies suggest that adjuvant chemotherapy immediately after surgery for early-stage ovarian cancer can increase some patients chances of both overall and recurrence-free survival. (innovations-report.com)
- In an accompanying editorial, Robert C. Young, M.D., of the Fox Chase Cancer Center in Philadelphia, says that the trials add important information on adjuvant chemotherapy but do not address which patients can be spared unnecessary adjuvant chemotherapy. (innovations-report.com)
- What is the role of adjuvant chemotherapy in non-small cell lung cancer (NSCLC)? (medscape.com)
- Adjuvant chemotherapy is given after surgery for early stage cancer. (springer.com)
- The objective is mainly to explore the safety and feasibility in neo-adjuvant first-line ovarian cancer (including patients with primary peritoneal or fallopian tube adenocarcinoma) of various combinations of durvalumab with chemotherapy with or without tremelimumab. (clinicaltrials.gov)
- Chemotherapy is often used alongside surgery to treat cancer. (rockymountaincancercenters.com)
- If your cancer treatment plan includes adjuvant chemotherapy or neoadjuvant chemotherapy, that means you will be receiving both chemotherapy and surgery to treat your cancer. (rockymountaincancercenters.com)
- Chemotherapy is the use of powerful drugs to kill or slow the growth of cancer cells. (rockymountaincancercenters.com)
- Adjuvant chemotherapy is administered after surgery to kill any remaining cancer cells with the goal of reducing the chances of recurrence. (rockymountaincancercenters.com)
- If your cancer treatment plan includes neoadjuvant chemotherapy, you are likely to begin chemotherapy very quickly so that surgery can be performed. (rockymountaincancercenters.com)
- A research team of the European Organisation for Research and Treatment of Cancer (EORTC) selected patients from four EORTC-trials which were coordinated by Professor C.J.H. van de Velde from the Leiden University Medical Center, to study the effect of chemotherapy in young women. (science20.com)
- However, long-term results of the International Adjuvant Lung Cancer Trial evaluating adjuvant cisplatin-based chemotherapy in resected non-small-cell lung cancer indicated a possible late adjuvant chemotherapy-related over-mortality. (biomedsearch.com)
- Adjuvant chemotherapy is a cancer treatment that combines different healing therapies to maximize benefit for the patient. (mercy.com)
- The goal of adjuvant chemotherapy is to eliminate any remaining cancer cells that are not detected and may have traveled to other parts of the body. (mercy.com)
- What types of cancer is adjuvant chemotherapy used for? (mercy.com)
- Depending on the type of cancer, adjuvant chemotherapy will begin three to five weeks after surgery to remove the cancerous tissue. (mercy.com)
- Chemotherapy treatment length will vary based on the type of cancer you have. (mercy.com)
- Your Mercy Health cancer care team will evaluate your case to determine if you are a candidate for adjuvant chemotherapy. (mercy.com)
- Likelihood of your cancer recurring - if you have a type of cancer that is likely to recur, your doctor may strongly recommend adjuvant chemotherapy. (mercy.com)
- If you are in an early stage where the cancer has not spread, adjuvant chemotherapy may not be necessary. (mercy.com)
- Intraperitoneal chemotherapy (IP) is beneficial and tolerable, and physicians should present it as an option to women who have had successful cytoreductive surgery for their advanced epithelial ovarian cancer (EOC), according to initial results from the randomized phase II OV21/PETROC trial reported at the 2016 ASCO Annual Meeting. (onclive.com)
- This looked at women with advanced ovarian cancer, all of whom received primary chemotherapy before surgery, and in that group of women, we have not known what the best strategy is. (onclive.com)
- Those findings sparked controversy at the time and left both patients and doctors "scratching their heads," according to the Ovarian Cancer Research Fund, which advised patients, in a statement issued after GOG 252's findings were announced, not to "abandon IP chemotherapy. (onclive.com)
- The findings show that patients who can undergo surgery have a fighting chance of surviving this cancer with the combination of two commonly used chemotherapies. (ascopost.com)
- Based on a 5-year survival rate of 29% with this combination, he said, "Adjuvant gemcitabine with capecitabine is the standard of care for resected pancreatic cancer. (ascopost.com)
- Adjuvant gemcitabine with capecitabine is the next step change for resected pancreatic cancer," he said at an ASCO press briefing. (ascopost.com)
- ADJUVANT CHEMOTHERAPY achieved robust improvements in disease-free survival and metastasis-free survival compared with surveillance in the phase III POUT study of patients with upper tract urothelial cancer. (ascopost.com)
- Standard treatment for upper tract urothelial cancer is radical nephro-urectomy followed by surveillance, with chemotherapy given when needed. (ascopost.com)
- Because, in historical series, at least 10% of patients thought to have upper tract urothelial cancer turn out not to have cancer when the surgical specimen is biopsied, and another 10% to 15% have low-grade disease, there is a risk of overtreatment with neoadjuvant chemotherapy, which has also been proposed for this disease," she explained. (ascopost.com)
- In the phase III POUT trial, adjuvant chemotherapy significantly improved disease-free survival and metastasis-free survival compared with surveillance and chemotherapy given at relapse in patients with upper tract urothelial cancer. (ascopost.com)
- For patients with this type of cancer, the standard of care is treatment with chemotherapy. (mesothelioma.com)
- 1 - 10 The commonly cited Quick and Simple and Reliable (QUASAR) prospective trial reported a pooled relative risk (RR) of death of 0.82 (95% CI, 0.70 to 0.95) for patients with stage I to III colon and rectal cancer receiving chemotherapy compared with surgery alone. (pubmedcentralcanada.ca)
- Scher HI (1990) Chemotherapy for invasive bladder cancer: neo-adjuvant vs. adjuvant. (springer.com)
- Tannock I (1990) The current status of adjuvant chemotherapy for bladder cancer. (springer.com)
- 1987) Combination chemotherapy with cisplatin and methotrexate in advanced transitional cell cancer of the bladder. (springer.com)
- Conclusion: Addition of adjuvant chemotherapy to radiation improves progression-free survival in operated endometrial cancer patients with no residual tumour and a high-risk profile. (diva-portal.org)
- however, interviews showed that there was evidence of a lack of understanding of key information among some patients, in particular their baseline risk of recurrence, the net benefit of combination chemotherapy and the rationale for having chemotherapy when cancer had apparently gone. (bmj.com)
- In our institution, adjuvant RT is proposed to patients with resected extrahepatic biliary tract cancer presenting with unfavorable features. (biomedcentral.com)
- Results from an exploratory analysis of the positive ADAURA Phase III trial showed AstraZeneca's Tagrisso (osimertinib) extended disease-free survival (DFS) in patients with epidermal growth factor receptor-mutated (EGFRm) non-small cell lung cancer (NSCLC) regardless of prior adjuvant chemotherapy treatment or stage of disease, building on the unprecedented primary DFS results for Tagrisso in the adjuvant setting announced last year . (astrazeneca.se)
- Dave Fredrickson, Executive Vice President, Oncology Business Unit, said: "These new data show that Tagrisso provides transformative benefits independent of prior chemotherapy treatment, preventing lung cancer from returning while allowing patients to sustain their quality of life. (astrazeneca.se)
- Following the recent approval of Tagrisso in the US in the adjuvant setting, we continue to work urgently with regulatory authorities globally to bring this new standard of care to patients with early-stage lung cancer. (astrazeneca.se)
- In addition, significantly higher odds of cancer recurrence were seen among those patients who received chemotherapy. (oncologynurseadvisor.com)
- A randomized double‑blind study was conducted to evaluate the effectiveness of Lentinula edodes mycelia extract (LEM), which is an oral biological response modifier (BRM) medicine for cancer patients as such an adjuvant. (spandidos-publications.com)
- In gastrointestinal cancer patients undergoing chemotherapy, oral LEM exerted an inhibitory effect on the incidence of adverse events (AEs), such as chemotherapy-induced nausea, and also improved immune function, by increasing natural killer (NK) cell activity, resulting in improvement of the patients' QOL ( 20 , 21 ). (spandidos-publications.com)
- This study investigates the effectiveness of omega-3 fatty acids on the completion rate of adjuvant chemotherapy for biliary tract cancer (BTC). (bmj.com)
Risk of recurrence4
- When you think about disease that's so aggressive and has a high risk of recurrence, you want to give more aggressive chemotherapy. (onclive.com)
- Therefore, this study assessed prognostic value of these subtypes in additional patient cohorts along with associations with risk of recurrence and response to chemotherapy. (doaj.org)
- In conclusion, histological phenotypic subtypes are an effective prognostic classification in patients with stage III CRC that associates with risk of recurrence and response to FOLFOX adjuvant chemotherapy. (doaj.org)
- A variety of studies have shown that postoperative chemotherapy significantly improves the 5-year survival rate and reduces the risk of recurrence or metastasis. (scirp.org)
Surgery16
- Adjuvant chemotherapy is the use of drugs to eradicate or suppress residual disease after surgery or irradiation has been used to treat the tumour. (britannica.com)
- From January 2009 to May 2013, 422 BC patients were progressively accrued to NAC-sparing mastectomy, of which 361 invasive BC patients underwent NAC-sparing mastectomy as first treatment (NAC-group), whereas 61 T2-T3 invasive BC patients underwent surgery after primary chemotherapy (NAC-PC group). (clinicaltrials.gov)
- In arm A, the tremelimumab will be added to the durvalumab-chemotherapy combination at day 1 of cycle 2 before a salvage surgery. (clinicaltrials.gov)
- If your treatment plan includes adjuvant chemotherapy, you'll likely begin treatments within 30 days following surgery. (rockymountaincancercenters.com)
- We know that the recurrence of the disease is so high that I try to give adjuvant treatment if I can to all the patients after surgery. (onclive.com)
- Typically, chemotherapy is used after radiation and/or surgery. (mercy.com)
- Two randomized phase III trials in N2-positive patients (stage IIIA) failed to show any survival benefit for surgery following induction chemotherapy or chemoradiotherapy compared with chemoradiotherapy alone,3,4 thereby making the role of routine surgery in this subset of NSCLC questionable. (amazonaws.com)
- In all adjuvant settings, significant numbers of patients receive treatment who would have otherwise been cured by surgery alone. (amazonaws.com)
- She added that the use of neoadjuvant chemotherapy has increased in recent years, with approximately 40% of women with EOC receiving chemotherapy prior to surgery. (onclive.com)
- The aim of OV21/PETROC was to determine whether this group of patients, who typically undergo more chemotherapy after surgery, would benefit from having that chemotherapy delivered intraperitoneally. (onclive.com)
- In the UK, it is standard practice to treat oesophageal adenocarcinoma with neo-adjuvant chemotherapy (no radiation) and surgery. (bl.uk)
- Survival did not differ among patients who initiated chemotherapy within 1, 2, or 3 months after surgery. (springer.com)
- The addition of adjuvant or neoadjuvant chemotherapy to surgery revolutionises the treatment of high-grade non-metastatic osteosarcoma of the extremities. (fmshk.com.hk)
- This study evaluated a pool of periampullary tumors (ampulla, duodenum and distal bile duct cancers) and showed no benefit in adding adjuvant chemo-radiation to surgery. (biomedcentral.com)
- For patients treated with surgery alone or with surgery and adjuvant chemotherapy, the lungs were involved in more than 80% of the relapses. (uni-bonn.de)
- Patients relapsing after surgery alone tended to relapse earlier (P less than .01), had more pulmonary nodules (P less than .01), and had more frequent bilateral pulmonary involvement (P less than .01) than those treated with immediate postsurgical adjuvant chemotherapy. (uni-bonn.de)
Improves survival1
- 5-FU adjuvant chemotherapy improves survival in patients with MMR competent tumours but this benefit from chemotherapy cannot be extended to patients with MMR deficient tumours. (bmj.com)
Relapse11
- In multivariate analyses, p53 was confirmed as an independent factor predictive of benefit from FOLFOX (P = 0.03), while the interaction of MSI with chemotherapy could not be determined in the absence of relapse in the MSI group treated with FOLFOX. (uptodate.com)
- If the stage indicates relatively high risk of relapse, adjuvant chemotherapy is used for 6 or so months to reduce the probability of such relapse. (omicsonline.org)
- Ongoing research is evaluating the benefits of beginning adjuvant chemotherapy immediately following cystectomy or waiting until signs of relapse (deferred chemotherapy). (cancerconnect.com)
- a deferred-treatment group received six rounds of chemotherapy at signs of relapse. (cancerconnect.com)
- Vitreous relapse following primary chemotherapy for retinoblastoma: is adjuvant diode laser a risk factor? (bmj.com)
- To evaluate rates of vitreous relapse among retinoblastoma patients treated with primary chemotherapy and assess diode laser as a potential risk factor for relapse. (bmj.com)
- Eyes that developed vitreous relapse were coded with regard to Reese-Ellsworth Group, laterality, time to relapse, type of relapse (vitreous base or non-vitreous base relapse), treatments used (including adjuvant diode laser), and ocular preservation. (bmj.com)
- Mean time to relapse was 7.2 months after chemotherapy was completed. (bmj.com)
- Nearly one in seven eyes with retinoblastoma treated with primary chemotherapy may develop vitreous relapse. (bmj.com)
- Macular relapse rates were similar between groups: 22/71 (31%) eyes in the chemotherapy group and 9/20 (45%) eyes in the laser group (p=0.29). (physiciansweekly.com)
- Tumour profiling tests aim to identify whether or not women need chemotherapy owing to their risk of relapse. (whiterose.ac.uk)
Receipt of adjuvant chemotherapy1
- 10 LNs evaluated, no association between receipt of adjuvant chemotherapy and survival was observed. (eur.nl)
Methods2
- Conclusions Methods of measuring these biomarkers should be considered and developed to aid individualised treatment plans for patients with oesophageal adenocarcinoma and predict response to chemotherapy. (bl.uk)
- This study evaluated patient acceptability, perceived usefulness and understanding of a decision aid (DA) using mixed-methods at the point patients made their decision about whether or not to have adjuvant chemotherapy. (bmj.com)
Cyclophosphamide2
- 1985) Cyclophosphamide, doxorubicin and cisplatin chemotherapy for patients with locally advanced urothelial tumors with or without nodal metastases. (springer.com)
- 1989) Cisplatin, cyclophosphamide and doxorubicin chemotherapy for unresectable urothelial tumors: the M.D. Anderson experience. (springer.com)
Significantly5
- However, recurrence-free survival was statistically significantly improved, with 76% of patients treated with adjuvant chemotherapy surviving without a recurrence, compared with 68% of patients in the observation arm. (innovations-report.com)
- 50 before adjuvant chemotherapy was significantly poorer than that of the patients with a PNI ≥50. (dovepress.com)
- Furthermore, the immune subtype significantly associated with better response to FOLFOX compared to CAPOX adjuvant chemotherapy in stage III patients (p = 0.013). (doaj.org)
- Chemotherapy was significantly superior to surveillance in subgroups of nodal involvement, planned type of chemotherapy, microscopic margin, and disease stage (with a similar hazard ratio for benefit seen across all subgroups). (ascopost.com)
- Conclusion: Among MSI-H patients compared with MSS, adjuvant CT was associated with a significantly better survival. (aacrjournals.org)
Regimen2
- The study found that women who received part of their adjuvant chemotherapy regimen using the IP approach had nearly a 19% reduction in progressive disease, compared with their counterparts whose chemotherapy was delivered only intravenously. (onclive.com)
- 1985) Cisplatin, methotrexate, and vinblastine (CMV): An effective chemotherapy regimen for metastatic transitional cell carcinoma of the urinary tract, a northern California Oncology Group study. (springer.com)
Capecitabine2
- So I treat my patients with capecitabine, and if a patient is within advanced disease, meaning more lymph nodes affected, probably I treat the patient with gemcitabine-based chemotherapy with no randomized data. (onclive.com)
- The quality of life (QoL) substudy tested whether capecitabine treatment would be associated with a better QoL than standard chemotherapy. (druglib.com)
Response to neoadjuvant1
- The absence of BCL2 expression in prechemotherapy samples is associated with a higher probability of pathological complete response to neoadjuvant doxorubicin-based chemotherapy. (linkos.cz)
Facilitate decision making on a1
- BCL2 expression could facilitate decision making on adjuvant treatment in TNBC patients. (linkos.cz)
Conclusions2
- Conclusions Patients found the DA acceptable and useful in supporting their decision about whether or not to have adjuvant chemotherapy. (bmj.com)
- Conclusions: The comparable prevalence of CTCs at the time of last chemotherapy cycle may indicate that anthracycline-free chemotherapy is equally effective to anthracycline-containing chemotherapy in HER2-negative, hormone receptor-positive EBC. (uni-muenchen.de)
NSCLC2
- Adjuvant chemotherapy has been extensively explored in NSCLC. (medscape.com)
- Adjuvant cisplatin-based chemotherapy for resected NSCLC: one size fits all? (biomedsearch.com)
Disease-Free Survival3
- Adjuvant chemotherapy improves disease-free survival and metastasis-free survival. (ascopost.com)
- For the primary endpoint of 3-year disease-free survival rate, chemotherapy had a strong benefit: 71% in the chemotherapy group vs 54% in the surveillance group, representing a 51% improvement that was statistically significant (P = .001). (ascopost.com)
- For patients with ER-positive disease, the 5-year disease-free survival was 70% for those who received chemotherapy and 69% for those who did not. (oncologynurseadvisor.com)
Patients with upper tract urothelial2
- Dr. Birtle is the Chief Investigator of the POUT study and presents the side of adjuvant chemotherapy for the standard of care in patients with upper tract urothelial carcinoma. (urotoday.com)
- I think adjuvant chemotherapy should be the standard of care for many patients with upper tract urothelial carcinomas. (urotoday.com)
Survival rate1
- The team will determine if the benefits of receiving treatment outweighs the survival rate without adjuvant chemotherapy. (mercy.com)
Benefit of neoadjuvant2
- In response to questions about choosing neoadjuvant or adjuvant chemotherapy now, Dr. Neoptolemos stated that the benefit of neoadjuvant chemotherapy has not been established in randomized studies. (ascopost.com)
- In this paper, the literature is reviewed to explore the existence of any comparative benefit of neoadjuvant over adjuvant chemotherapy for this disease entity. (fmshk.com.hk)
Recurrence rate2
- This meta-analysis aimed to compare short-term recurrence rate between patients receiving adjuvant chemotherapy or not for this population. (physiciansweekly.com)
- Our results revealed that adjuvant chemotherapy reduced recurrence rate for T1mi/a/bN0 TNBC, especially for T1bN0. (physiciansweekly.com)
Impact of adjuvant2
- Impact of adjuvant chemotherapy on oncologic outcmoes following radical nephroureterectomy for patients with pT3anyM0 upper tract urothelial carcinoma: A retrospective cohort study. (renalandurologynews.com)
- Thus, given the small number and the retrospective nature of published single institution studies, the impact of adjuvant RT has not been yet clarified. (biomedcentral.com)