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      Respuesta completa a quimioterapia en 2 pacientes con tumores malignos no seminomatosos de testículo diseminados

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          Abstract

          Se reportan los casos de 2 pacientes diagnosticados con tumores malignos no seminomatosos de testículo (coriocarcinoma y carcinoma embrionario) que al momento de su diagnóstico presentaban enfermedad diseminada y que fueron tratados en el Hospital Provincial de Oncología "María Curie" de Camagüey con esquema de poliquimioterapia que incluye cisplatino, bleomicin, vinblastina y adriamicina. En ambos casos se obtuvo una respuesta completa que se mantiene en uno a los 48 meses y en otro a los 45 meses después de finalizado el tratamiento.

          Translated abstract

          The cases of 2 patients who were diagnosed non-seminomatous malignant testicular tumors (choriocarcinoma and embrionary carcinoma) and that on being diagnosed presented disseminated disease and were treated at "Maria Curie" Provincial Oncology Hospital of Camagüey with polychemotherapy scheme including cisplatin, bleomycin, vinblastine and adriamycin, were reported. A complete response was obtained in both cases. It was mantained in one of them at 48 months and in the other at 45 months after concluding the treatment.

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          Impact of the Treating Institution on Survival of Patients With "Poor-Prognosis" Metastatic Nonseminoma

          L Collette (1999)
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            Chemotherapy of disseminated testicular cancer. A random prospective study.

            Seventy-eight patients with disseminated testicular cancer were entered on a random prospective study evaluating three separate remission induction arms. Therapy with cis-diamminedichloroplatinum (20 mg/M2 for five consecutive days every three weeks for 3-4 courses) and bleomycin (30 units intravenous push weekly for 12 consecutive weeks) was constant. Patients were allocated at random to one of the following induction regimens (in combination with platinum plus bleomycin): (1) vinblastine 0.4 mg/kg every three weeks for four courses; (2) vinblastine 0.3 mg/kg every three weeks for four courses; or (3) vinblastine 0.2 mg/kg plus Adriamycin 50 mg/M2 every three weeks for four courses. All patients received maintenance therapy with vinblastine 0.3 mg/kg once a month for 20 months (total therapy two years) unless progressive disease intervened. The incidence of granulocytopenic fever and sepsis was highest with regimen 1, as 9 patients (35%) developed granulocytopenic fever requiring hospitalization and antibiotics; only 4 (15%) patients on regimen 2 developed granulocytopenic fever. No patients on regimen 2 had documented sepsis. Fifty-three patients (68%) achieved complete remission and an additional 11 patients were rendered free of disease with surgical resection of residual localized disease. Fifty-three patients (68%) remain alive and continuously free of disease from 15+ to 39+ months. There was no difference in the complete remission rate or disease-free status with the higher dosage of vinblastine (regimen 1) during remission induction therapy compared to the less toxic lower dosage of vinblastine (regimen 2). This suggests that dosage reduction of vinblastine to 0.3 mg/kg can produce equivalent therapeutic results with diminished toxicity, and we no longer recommend the 0.4 mg/kg vinblastine dosage.
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              Cancer: Principles and Practice of Oncology

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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                med
                Revista Cubana de Medicina
                Rev cubana med
                ECIMED (Ciudad de la Habana )
                1561-302X
                December 2002
                : 41
                : 6
                : 0
                Affiliations
                [1 ] Hospital Provincial de Oncología María Curie Cuba
                Article
                S0034-75232002000600011
                bb934bdd-4c37-44f9-8362-c276d3acf859

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Cuba

                Self URI (journal page): http://scielo.sld.cu/scielo.php?script=sci_serial&pid=0034-7523&lng=en
                Categories
                MEDICINE, GENERAL & INTERNAL
                MEDICINE, LEGAL
                MEDICINE, RESEARCH & EXPERIMENTAL

                Social law,Medicine,Internal medicine
                BLEOMYCIN,BLEOMICINA,DEXORRUBICINA,QUIMIOTERAPIA COMBINADA,METASTASIS DEL NEOPLASMA,TESTICULAR NEOPLASMS,VINBLASTINE,DOXORUBICIN,DRUG THERAPY, COMBINATION,NEOPLASM METASTASIS,NEOPLASMAS TESTICULARES,VINBLASTINA

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