Adriamycin, Cisplatin, Ifosfamide and Paclitaxel Combination as Front-line Chemotherapy for Locally Advanced and Metastatic Angiosarcoma. Analysis of Three Case Reports and Review of the Literature

Angiosarcoma represents 1 to 2% of soft tissue tumors. It originates from endothelial cells of small blood vessels and may affect a variety of organs, including the retroperitoneum, skeletal muscle, subcutis, liver, heart and breast. The outcome of angiosarcoma is poor for those patients in whom agg...

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Veröffentlicht in:Anticancer research 2008-09, Vol.28 (5B), p.3041-3045
Hauptverfasser: ASMANE, Irène, LITIQUE, Valère, HEYMANN, Steve, MARCELLIN, Luc, METIVIER, Anne-Cécile, DUCLOS, Brigitte, BERGERAT, Jean-Pierre, KURTZ, Jean-Emmanuel
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container_end_page 3045
container_issue 5B
container_start_page 3041
container_title Anticancer research
container_volume 28
creator ASMANE, Irène
LITIQUE, Valère
HEYMANN, Steve
MARCELLIN, Luc
METIVIER, Anne-Cécile
DUCLOS, Brigitte
BERGERAT, Jean-Pierre
KURTZ, Jean-Emmanuel
description Angiosarcoma represents 1 to 2% of soft tissue tumors. It originates from endothelial cells of small blood vessels and may affect a variety of organs, including the retroperitoneum, skeletal muscle, subcutis, liver, heart and breast. The outcome of angiosarcoma is poor for those patients in whom aggressive surgery cannot be considered. Chemotherapy, generally consisting of the combination of anthracyclines and ifosfamide, has little, but consistent effect. We report three cases of angiosarcoma in which first-line chemotherapy with adriamycin 40 mg/m 2 day 1, ifosfamide 3 g/m 2 day 1-2, cisplatin 35 mg/m 2 day 1-2 and paclitaxel 175 mg/m 2 day 3 led to clinically meaningful responses. The clinical relevance of incorporating paclitaxel in conventional soft tissue chemotherapy schedules in the light of both literature data and our experience is discussed. We emphasize the need for designing trials specifically dedicated to angiosarcomas, as this rare and severe condition may be a target for new antiangiogenic drugs.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adult
Aged
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Bone Neoplasms - drug therapy
Breast Neoplasms - drug therapy
Cisplatin - administration & dosage
Doxorubicin - administration & dosage
Female
Hemangiosarcoma - drug therapy
Humans
Ifosfamide - administration & dosage
Lumbar Vertebrae
Male
Medical sciences
Middle Aged
Paclitaxel - administration & dosage
Soft Tissue Neoplasms - drug therapy
Tumors
Young Adult
title Adriamycin, Cisplatin, Ifosfamide and Paclitaxel Combination as Front-line Chemotherapy for Locally Advanced and Metastatic Angiosarcoma. Analysis of Three Case Reports and Review of the Literature
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