Cytotoxic Treatment in Patients with Malignant Carcinoid Tumors: Response to streptozocin-alone or in combination with 5-FU

Thirty-one patients with malignant carcinoid tumors were treated with streptozocin-alone (n=7) or in combination with FU (n=24). The responses to treatment were followed by the determination of tumor markers, urinary 5-HIAA, serum PP, HCG-a and -β subunits, as well as determination of the size of li...

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Veröffentlicht in:Acta oncologica 1987, Vol.26 (6), p.429-432
Hauptverfasser: Öberg, K., Norheim, I., Lundqvist, G., Wide, L.
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container_end_page 432
container_issue 6
container_start_page 429
container_title Acta oncologica
container_volume 26
creator Öberg, K.
Norheim, I.
Lundqvist, G.
Wide, L.
description Thirty-one patients with malignant carcinoid tumors were treated with streptozocin-alone (n=7) or in combination with FU (n=24). The responses to treatment were followed by the determination of tumor markers, urinary 5-HIAA, serum PP, HCG-a and -β subunits, as well as determination of the size of liver metastases on computerized tomography or ultrasonography. Three patients (9.7%) showed objective responses with a mean remission time of 2.7 months. Eighteen patients (58%) showed stable disease, whereas ten patients (32.3%) showed progressive disease directly from the start of therapy. A good correlation was found between the changes in tumor markers and tumor size, although the changes occurred earlier in the markers than in the size. Estimated median survival from the time of histologically verified carcinoid tumor was 41 months and from start of therapy 22 months. Our data indicate that combination treatment with streptozocin and 5-fluorouracil is of little value for patients with malignant carcinoid tumors.
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The responses to treatment were followed by the determination of tumor markers, urinary 5-HIAA, serum PP, HCG-a and -β subunits, as well as determination of the size of liver metastases on computerized tomography or ultrasonography. Three patients (9.7%) showed objective responses with a mean remission time of 2.7 months. Eighteen patients (58%) showed stable disease, whereas ten patients (32.3%) showed progressive disease directly from the start of therapy. A good correlation was found between the changes in tumor markers and tumor size, although the changes occurred earlier in the markers than in the size. Estimated median survival from the time of histologically verified carcinoid tumor was 41 months and from start of therapy 22 months. Our data indicate that combination treatment with streptozocin and 5-fluorouracil is of little value for patients with malignant carcinoid tumors.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic agents</subject><subject>Antineoplastic Combined Chemotherapy Protocols - adverse effects</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Carcinoid Tumor - drug therapy</subject><subject>Carcinoid Tumor - mortality</subject><subject>Chemotherapy</subject><subject>Chorionic Gonadotropin - blood</subject><subject>Female</subject><subject>Fluorouracil - administration &amp; dosage</subject><subject>Humans</subject><subject>Hydroxyindoleacetic Acid - urine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pharmacology. Drug treatments</subject><subject>Streptozocin - administration &amp; dosage</subject><subject>Streptozocin - therapeutic use</subject><issn>0284-186X</issn><issn>1651-226X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLAzEUhYMotT5-gAshC7ejeTSTGV1J8QWKIhW6G24ziY3MJCVJ8fXnTWlxI7i6F853DvcehI4oOeWU1GeEVSNalZUkNaVcUraFhrQUtGCsnG6j4UovMjDdRXsxvhFCGJdigAZsJKjgZIi-x5_JJ_9hFZ4EDanXLmHr8BMkm9eI322a4wfo7KuDLI0hKOu8bfFk2fsQz_GzjgvvosbJ45iCXiT_5TNTQOedxj6s4pTvZ9blTO_WiaK4fjlAOwa6qA83cx-9XF9NxrfF_ePN3fjyvlCcC1bolo0q3VaEt4ypNn86ElBKbgAIramEthXaVEwIockMKjOrjeSloZwYSSnwfUTXuSr4GIM2zSLYHsJnQ0mz6rH502P2HK89i-Ws1-2vY1Nc1k82OkQFnQnglI2_mMz3ybrO2MUas8740MNcQ5fmCoJu3vwyuPz2P0f8ALXpjnQ</recordid><startdate>1987</startdate><enddate>1987</enddate><creator>Öberg, K.</creator><creator>Norheim, I.</creator><creator>Lundqvist, G.</creator><creator>Wide, L.</creator><general>Informa UK Ltd</general><general>Taylor &amp; Francis</general><scope>IQODW</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>1987</creationdate><title>Cytotoxic Treatment in Patients with Malignant Carcinoid Tumors: Response to streptozocin-alone or in combination with 5-FU</title><author>Öberg, K. ; Norheim, I. ; Lundqvist, G. ; Wide, L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3352-ed248ed803d22cd91145a673faa01917add5ef82555e0ba8fb9f736f130f711a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antineoplastic agents</topic><topic>Antineoplastic Combined Chemotherapy Protocols - adverse effects</topic><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Carcinoid Tumor - drug therapy</topic><topic>Carcinoid Tumor - mortality</topic><topic>Chemotherapy</topic><topic>Chorionic Gonadotropin - blood</topic><topic>Female</topic><topic>Fluorouracil - administration &amp; dosage</topic><topic>Humans</topic><topic>Hydroxyindoleacetic Acid - urine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pharmacology. Drug treatments</topic><topic>Streptozocin - administration &amp; dosage</topic><topic>Streptozocin - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Öberg, K.</creatorcontrib><creatorcontrib>Norheim, I.</creatorcontrib><creatorcontrib>Lundqvist, G.</creatorcontrib><creatorcontrib>Wide, L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Acta oncologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Öberg, K.</au><au>Norheim, I.</au><au>Lundqvist, G.</au><au>Wide, L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cytotoxic Treatment in Patients with Malignant Carcinoid Tumors: Response to streptozocin-alone or in combination with 5-FU</atitle><jtitle>Acta oncologica</jtitle><addtitle>Acta Oncol</addtitle><date>1987</date><risdate>1987</risdate><volume>26</volume><issue>6</issue><spage>429</spage><epage>432</epage><pages>429-432</pages><issn>0284-186X</issn><eissn>1651-226X</eissn><coden>ACTOEL</coden><abstract>Thirty-one patients with malignant carcinoid tumors were treated with streptozocin-alone (n=7) or in combination with FU (n=24). The responses to treatment were followed by the determination of tumor markers, urinary 5-HIAA, serum PP, HCG-a and -β subunits, as well as determination of the size of liver metastases on computerized tomography or ultrasonography. Three patients (9.7%) showed objective responses with a mean remission time of 2.7 months. Eighteen patients (58%) showed stable disease, whereas ten patients (32.3%) showed progressive disease directly from the start of therapy. A good correlation was found between the changes in tumor markers and tumor size, although the changes occurred earlier in the markers than in the size. Estimated median survival from the time of histologically verified carcinoid tumor was 41 months and from start of therapy 22 months. Our data indicate that combination treatment with streptozocin and 5-fluorouracil is of little value for patients with malignant carcinoid tumors.</abstract><cop>Basingstoke</cop><pub>Informa UK Ltd</pub><pmid>2451530</pmid><doi>10.3109/02841868709113712</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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ispartof Acta oncologica, 1987, Vol.26 (6), p.429-432
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source MEDLINE; Taylor & Francis:Master (3349 titles); EZB-FREE-00999 freely available EZB journals
subjects Adult
Aged
Aged, 80 and over
Antineoplastic agents
Antineoplastic Combined Chemotherapy Protocols - adverse effects
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Carcinoid Tumor - drug therapy
Carcinoid Tumor - mortality
Chemotherapy
Chorionic Gonadotropin - blood
Female
Fluorouracil - administration & dosage
Humans
Hydroxyindoleacetic Acid - urine
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Streptozocin - administration & dosage
Streptozocin - therapeutic use
title Cytotoxic Treatment in Patients with Malignant Carcinoid Tumors: Response to streptozocin-alone or in combination with 5-FU
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