cis-Platinum and 5-fluorouracil as initial therapy in advanced epidermoid cancers of the head and neck
A total of 44 patients with previously untreated Stage IV squamous cell carcinomas of the head and neck were treated with a combination of cis‐platinum (100 mg/sq m) and 96‐hour infusion of 5‐fluorouracil (5‐FU) (1,000 mg/sq m/day) in two courses or with cis‐platinum (100 mg/sq m) and 120‐hour infus...
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Veröffentlicht in: | Head & neck surgery (New York, N.Y.) N.Y.), 1982-05, Vol.4 (5), p.370-373 |
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creator | Weaver, Arthur Fleming, Susan Vandenberg, Henry Drelichman, Anibal Jacobs, John Kinzie, Jeannie Loh, John J.-K. Al-Sarraf, Muhyi |
description | A total of 44 patients with previously untreated Stage IV squamous cell carcinomas of the head and neck were treated with a combination of cis‐platinum (100 mg/sq m) and 96‐hour infusion of 5‐fluorouracil (5‐FU) (1,000 mg/sq m/day) in two courses or with cis‐platinum (100 mg/sq m) and 120‐hour infusion of 5‐FU (1,000 mg/sq m/day) in three courses. In the 26 patients receiving the two course regimen, the tumor response rate was 88.5%. In five of the 26 patients complete disappearance of the tumor was achieved; partial remission was obtained in 18 of 26 patients. The main side effects were nausea and vomiting (70%), leukopenia (27%), and mild‐to‐moderate renal toxicity (27%). In the 18 patients who received the three course regimen of 5‐FU and cis‐platinum, there were 11 (61%) complete responses, 6 (33%) partial responses, and 1 (6%) minimal response. The incidence of complete response was increased with each course given. No added toxicity was observed with surgery or radiotherapy. |
doi_str_mv | 10.1002/hed.2890040504 |
format | Article |
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In the 26 patients receiving the two course regimen, the tumor response rate was 88.5%. In five of the 26 patients complete disappearance of the tumor was achieved; partial remission was obtained in 18 of 26 patients. The main side effects were nausea and vomiting (70%), leukopenia (27%), and mild‐to‐moderate renal toxicity (27%). In the 18 patients who received the three course regimen of 5‐FU and cis‐platinum, there were 11 (61%) complete responses, 6 (33%) partial responses, and 1 (6%) minimal response. The incidence of complete response was increased with each course given. No added toxicity was observed with surgery or radiotherapy.</description><identifier>ISSN: 0148-6403</identifier><identifier>EISSN: 1930-2398</identifier><identifier>DOI: 10.1002/hed.2890040504</identifier><identifier>PMID: 7201459</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; Carcinoma, Squamous Cell - drug therapy ; Cisplatin - adverse effects ; Cisplatin - therapeutic use ; Drug Therapy, Combination ; Female ; Fluorouracil - adverse effects ; Fluorouracil - therapeutic use ; Head and Neck Neoplasms - drug therapy ; Humans ; Male ; Middle Aged</subject><ispartof>Head & neck surgery (New York, N.Y.), 1982-05, Vol.4 (5), p.370-373</ispartof><rights>Copyright © 1982 Wiley Periodicals, Inc., A Wiley Company</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4734-48c67c3ee9560bc0535ca1c005de5577bc40a564111628fe44868333dc3a16c13</citedby><cites>FETCH-LOGICAL-c4734-48c67c3ee9560bc0535ca1c005de5577bc40a564111628fe44868333dc3a16c13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.2890040504$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.2890040504$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7201459$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weaver, Arthur</creatorcontrib><creatorcontrib>Fleming, Susan</creatorcontrib><creatorcontrib>Vandenberg, Henry</creatorcontrib><creatorcontrib>Drelichman, Anibal</creatorcontrib><creatorcontrib>Jacobs, John</creatorcontrib><creatorcontrib>Kinzie, Jeannie</creatorcontrib><creatorcontrib>Loh, John J.-K.</creatorcontrib><creatorcontrib>Al-Sarraf, Muhyi</creatorcontrib><title>cis-Platinum and 5-fluorouracil as initial therapy in advanced epidermoid cancers of the head and neck</title><title>Head & neck surgery (New York, N.Y.)</title><addtitle>Head Neck</addtitle><description>A total of 44 patients with previously untreated Stage IV squamous cell carcinomas of the head and neck were treated with a combination of cis‐platinum (100 mg/sq m) and 96‐hour infusion of 5‐fluorouracil (5‐FU) (1,000 mg/sq m/day) in two courses or with cis‐platinum (100 mg/sq m) and 120‐hour infusion of 5‐FU (1,000 mg/sq m/day) in three courses. In the 26 patients receiving the two course regimen, the tumor response rate was 88.5%. In five of the 26 patients complete disappearance of the tumor was achieved; partial remission was obtained in 18 of 26 patients. The main side effects were nausea and vomiting (70%), leukopenia (27%), and mild‐to‐moderate renal toxicity (27%). In the 18 patients who received the three course regimen of 5‐FU and cis‐platinum, there were 11 (61%) complete responses, 6 (33%) partial responses, and 1 (6%) minimal response. The incidence of complete response was increased with each course given. No added toxicity was observed with surgery or radiotherapy.</description><subject>Adult</subject><subject>Aged</subject><subject>Carcinoma, Squamous Cell - drug therapy</subject><subject>Cisplatin - adverse effects</subject><subject>Cisplatin - therapeutic use</subject><subject>Drug Therapy, Combination</subject><subject>Female</subject><subject>Fluorouracil - adverse effects</subject><subject>Fluorouracil - therapeutic use</subject><subject>Head and Neck Neoplasms - drug therapy</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><issn>0148-6403</issn><issn>1930-2398</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1982</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLAzEUhYMotVa37oT8gdRk8ppZSu1DKOpCcRnSJENj50UyVfvvnTpVceXqcu855-NyALgkeEwwTq7Xzo6TNMOYYY7ZERiSjGKU0Cw9BkNMWIoEw_QUnMX4ijFniZADMJBJJ_FsCHLjI3osdOurbQl1ZSFHebGtQ70N2vgC6gh95VuvC9iuXdDNrtuhtm-6Ms5C13jrQll7C83-EiKs870Trp22X8DKmc05OMl1Ed3FYY7A82z6NFmg5cP8bnKzRIZJyhBLjZCGOpdxgVcGc8qNJqb72zrOpVwZhjUXjBAikjR3jKUipZRaQzURhtARGPdcE-oYg8tVE3ypw04RrPZ9qa4v9dtXF7jqA812VXbSt_1QUKdnvf7uC7f7h6YW09s_bNRnfWzdx09Wh40SkkquXu7narYgnCeMqBn9BObzhOE</recordid><startdate>198205</startdate><enddate>198205</enddate><creator>Weaver, Arthur</creator><creator>Fleming, Susan</creator><creator>Vandenberg, Henry</creator><creator>Drelichman, Anibal</creator><creator>Jacobs, John</creator><creator>Kinzie, Jeannie</creator><creator>Loh, John J.-K.</creator><creator>Al-Sarraf, Muhyi</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>198205</creationdate><title>cis-Platinum and 5-fluorouracil as initial therapy in advanced epidermoid cancers of the head and neck</title><author>Weaver, Arthur ; Fleming, Susan ; Vandenberg, Henry ; Drelichman, Anibal ; Jacobs, John ; Kinzie, Jeannie ; Loh, John J.-K. ; Al-Sarraf, Muhyi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4734-48c67c3ee9560bc0535ca1c005de5577bc40a564111628fe44868333dc3a16c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1982</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Carcinoma, Squamous Cell - drug therapy</topic><topic>Cisplatin - adverse effects</topic><topic>Cisplatin - therapeutic use</topic><topic>Drug Therapy, Combination</topic><topic>Female</topic><topic>Fluorouracil - adverse effects</topic><topic>Fluorouracil - therapeutic use</topic><topic>Head and Neck Neoplasms - drug therapy</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><toplevel>online_resources</toplevel><creatorcontrib>Weaver, Arthur</creatorcontrib><creatorcontrib>Fleming, Susan</creatorcontrib><creatorcontrib>Vandenberg, Henry</creatorcontrib><creatorcontrib>Drelichman, Anibal</creatorcontrib><creatorcontrib>Jacobs, John</creatorcontrib><creatorcontrib>Kinzie, Jeannie</creatorcontrib><creatorcontrib>Loh, John J.-K.</creatorcontrib><creatorcontrib>Al-Sarraf, Muhyi</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Head & neck surgery (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weaver, Arthur</au><au>Fleming, Susan</au><au>Vandenberg, Henry</au><au>Drelichman, Anibal</au><au>Jacobs, John</au><au>Kinzie, Jeannie</au><au>Loh, John J.-K.</au><au>Al-Sarraf, Muhyi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>cis-Platinum and 5-fluorouracil as initial therapy in advanced epidermoid cancers of the head and neck</atitle><jtitle>Head & neck surgery (New York, N.Y.)</jtitle><addtitle>Head Neck</addtitle><date>1982-05</date><risdate>1982</risdate><volume>4</volume><issue>5</issue><spage>370</spage><epage>373</epage><pages>370-373</pages><issn>0148-6403</issn><eissn>1930-2398</eissn><abstract>A total of 44 patients with previously untreated Stage IV squamous cell carcinomas of the head and neck were treated with a combination of cis‐platinum (100 mg/sq m) and 96‐hour infusion of 5‐fluorouracil (5‐FU) (1,000 mg/sq m/day) in two courses or with cis‐platinum (100 mg/sq m) and 120‐hour infusion of 5‐FU (1,000 mg/sq m/day) in three courses. In the 26 patients receiving the two course regimen, the tumor response rate was 88.5%. In five of the 26 patients complete disappearance of the tumor was achieved; partial remission was obtained in 18 of 26 patients. The main side effects were nausea and vomiting (70%), leukopenia (27%), and mild‐to‐moderate renal toxicity (27%). In the 18 patients who received the three course regimen of 5‐FU and cis‐platinum, there were 11 (61%) complete responses, 6 (33%) partial responses, and 1 (6%) minimal response. The incidence of complete response was increased with each course given. No added toxicity was observed with surgery or radiotherapy.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>7201459</pmid><doi>10.1002/hed.2890040504</doi><tpages>4</tpages></addata></record> |
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source | MEDLINE; Wiley Online Library All Journals |
subjects | Adult Aged Carcinoma, Squamous Cell - drug therapy Cisplatin - adverse effects Cisplatin - therapeutic use Drug Therapy, Combination Female Fluorouracil - adverse effects Fluorouracil - therapeutic use Head and Neck Neoplasms - drug therapy Humans Male Middle Aged |
title | cis-Platinum and 5-fluorouracil as initial therapy in advanced epidermoid cancers of the head and neck |
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