J.S. Abbatucci, N. Boulier, A.M. Mandard, A. Tanguy, J. Wyplosz
{"title":"Treatment of soft tissue sarcomas","authors":"J.S. Abbatucci, N. Boulier, A.M. Mandard, A. Tanguy, J. Wyplosz","doi":"10.1016/0014-2964(81)90255-3","DOIUrl":"https://doi.org/10.1016/0014-2964(81)90255-3","url":null,"abstract":"<div><p>The results obtained in the treatment of <em>45</em> cases of soft tissue sarcomas are presented. All cases were reviewed and classified according to the modern criteria of malignancy. The treatment schedule comprised: <em>(1)</em> Preoperative irradiation: two sessions of <em>650 cGy</em> in <em>48 hr</em>—Target volume: whole limb segment; <em>(2)</em> Surgical excision <em>48 hr</em> later with systematic intraoperative histologic verification, until healthy tissue margins are obtained; <em>(3)</em> Postoperative irradiation <em>3 weeks</em> later delivering a cumulative total dose of <em>5000 cGy</em> to the preoperative volume and <em>6000–7000 cGy</em> to a reduced volume encompassing the surgical region with protection of vascular axes where possible; <em>(4)</em> Chemotherapy: Actinomycin D <em>0.3 mg/m<sup>2</sup></em> half an hour before the first <em>5</em> sessions of post-operative irradiation; <em>(5)</em> Bilateral lung irradiation: <em>4</em> sessions of <em>375 cGy</em> in <em>7 days</em> to the whole chest. The results were as follows: Local recurrence rate was <em>12%</em> at <em>5 years</em>. In <em>21</em> cases in whom surgical excision was deemed histologically adequate, no recurrences were seen at <em>2 years</em> (minimum follow-up). Survival at <em>5 years</em> was <em>76%</em>. Deaths were due to metastatic spread, especially to the lungs. These results show an improvement as compared with historical series. New progress should be sought in combining a more aggressive type of chemotherapy for cases with high metastatic risk.</p></div>","PeriodicalId":100497,"journal":{"name":"European Journal of Cancer (1965)","volume":"17 4","pages":"Pages 455-464"},"PeriodicalIF":0.0,"publicationDate":"1981-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0014-2964(81)90255-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72069688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of intratumoral immunostimulants in the treatment of a transplantable rat mammary carcinoma","authors":"N. Willmott , E.B. Austin , M.V. Pimms , R.W. Baldwin","doi":"10.1016/0014-2964(81)90248-6","DOIUrl":"10.1016/0014-2964(81)90248-6","url":null,"abstract":"<div><p>One <em>C. parvum</em> preparation and two BCG (Bacillus Calmette-Guérin) strains have been evaluated for their effects, when injected intratumorally, on established growths of a transplantable rat mammary carcinoma of spontaneous origin. It was found that whilst the anti-tumor effect of intratumoral injection varied from experiment to experiment certain conclusions could be drawn. Thus for maximal effect the injection should be given as early as possible and at a high dose; furthermore, multiple intratumoral injections appeared to offer no advantage over a single injection. It was also apparent that the anti-tumor effect following intratumoral injection of <em>C. parvum</em> or BCG was not improved when the tumor-bearing animals were presensitised to these immunostimulants. Intratumoral <em>C. parvum</em> was also used as an adjunct to surgery in the treatment of metastases; however, in this model it did not improve the effect of surgery alone. It is concluded that under certain defined circumstances intratumoral injection can bring about tumor regression. However, the conditions under which it is effective may render this form of treatment of limited application.</p></div>","PeriodicalId":100497,"journal":{"name":"European Journal of Cancer (1965)","volume":"17 4","pages":"Pages 397-405"},"PeriodicalIF":0.0,"publicationDate":"1981-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0014-2964(81)90248-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18320789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Thatcher , G. Blackledge , M.K. Palmer , D. Crowther
{"title":"Chemoimmunotherapy for metastatic malignant melanoma using vincristine (NSC-67574), DTIC (NSC-45388) and bacillus Calmette-Guerin","authors":"N. Thatcher , G. Blackledge , M.K. Palmer , D. Crowther","doi":"10.1016/0014-2964(81)90256-5","DOIUrl":"10.1016/0014-2964(81)90256-5","url":null,"abstract":"<div><p>Forty-seven patients with stage <em>IV</em> malignant melanoma were treated with pulses of Vincristine and DTIC. Intercalated, monthly BCG was administered by multiple puncture gun. No patient exclusions were made. The response rate was <em>38%</em>; all complete responders <em>(8.5%)</em> were metastatic to skin and nodes only. The median survival of the responder patient group was <em>6.7 months (1–21)</em> and <em>2 months (< 1–47 +)</em> for non-responders. No significant differences were found for response nor survival length between patients grouped according to sex, severity of haematological toxicity, intervals from initial diagnosis to appearance of metastases or to start of therapy. Patients with the higher Karnofsky scores survived longer. No side effects attributable to BCG were noted and no serious haematological toxicity was encountered. Despite a high response rate, survival was disappointing, and represented the presence of metastases in more than one organ system with only a minority <em>(13%)</em> of patients having metastases in ‘favourable’ (skin, node) sites. A full description of metastatic sites and other prognostic features is necessary for future treatment evaluation.</p></div>","PeriodicalId":100497,"journal":{"name":"European Journal of Cancer (1965)","volume":"17 4","pages":"Pages 465-469"},"PeriodicalIF":0.0,"publicationDate":"1981-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0014-2964(81)90256-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18320792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Blijham , G. Spitzer , J. Litam , A.R. Zander , D.S. Verma , L. Vellekoop , M.L. Samuels , K.B. McCredie , K.A. Dicke
{"title":"The treatment of advanced testicular carcinoma with high dose chemotherapy and autologous marrow support","authors":"G. Blijham , G. Spitzer , J. Litam , A.R. Zander , D.S. Verma , L. Vellekoop , M.L. Samuels , K.B. McCredie , K.A. Dicke","doi":"10.1016/0014-2964(81)90252-8","DOIUrl":"10.1016/0014-2964(81)90252-8","url":null,"abstract":"<div><p>Thirteen patients with disseminated nonseminomatous germ cell carcinoma, failing to respond to extensive prior chemotherapy including <em>cis</em>-platinum, were treated with high dose chemotherapy. Cyclophosphamide <em>(4.5g/m<sup>2</sup>)</em> and epipodophyllotoxin <em>(VP-16) (600 mg/m<sup>2</sup>)</em> were given followed by autologous bone marrow transplantation. In some cases <em>1,3</em> bis (β-chloroethyl)-<em>1</em>-nitrosourea (BCNU), adriamycin or platinum were also administered. Of <em>10</em> patients evaluable for response <em>9</em> responded; <em>4</em> patients achieved a complete remission and <em>3</em> a partial remission. Median response duration was <em>15</em> weeks (range <em>4</em> to <em>20+ weeks</em>). Four patients died from treatment-related infections; <em>2</em> of whom entered the program already with fever and <em>3</em> of whom died after hematopoietic recovery. Major toxicities were bacterial and fungal infections. In patients treated with cyclophosphamide and VP-<em>16</em> only, no fever was seen in <em>3</em> out of <em>9</em> courses. Granulocyte transfusion was given in only <em>1</em> of <em>9</em> courses. Neutrophils recovered to greater than <em>1.5 × 10<sup>9</sup>/liter</em> by day <em>18–35</em> (median <em>23</em>) and platelets greater than <em>100 × 10<sup>9</sup>/liter</em> by day <em>16</em> to <em>42+</em> (median <em>21</em>). Further experience with high dose cyclophosphamide and VP-<em>16</em> followed by autologous bone marrow transplantation is needed to evaluate its value in the management of patients with disseminated nonseminomatous germ cell tumor failing front line conventional chemotherapy.</p></div>","PeriodicalId":100497,"journal":{"name":"European Journal of Cancer (1965)","volume":"17 4","pages":"Pages 433-441"},"PeriodicalIF":0.0,"publicationDate":"1981-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0014-2964(81)90252-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18078497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Regional perfusion in the treatment of patients with a locally metastasized malignant melanoma of the limbs","authors":"H. Martijn, J. Oldhoff, H.Schraffordt Koops","doi":"10.1016/0014-2964(81)90257-7","DOIUrl":"10.1016/0014-2964(81)90257-7","url":null,"abstract":"<div><p>During the period <em>1964–1977</em>, regional perfusion and wide local excision were used in the treatment of <em>104</em> patients with a locally metastasized malignant melanoma of the limbs. One hundred patients were considered in a study of <em>3-year</em> and <em>5-year</em> survival, which was <em>52%</em> (<span><math><mtext>52</mtext><mtext>100</mtext></math></span>) and <em>38%</em> (<span><math><mtext>30</mtext><mtext>78</mtext></math></span>), respectively. The <em>3-year</em> and <em>5-year</em> survival rates in <em>18</em> patients treated by normothermic perfusion prior to <em>1969</em> were <em>22%</em> (<span><math><mtext>4</mtext><mtext>18</mtext></math></span>) and <em>17%</em> (<span><math><mtext>3</mtext><mtext>18</mtext></math></span>), respectively; in <em>82</em> patients treated by hyperthermic perfusion after <em>1969</em>, the <em>3-year</em> survival was <em>58.5%</em> (<span><math><mtext>48</mtext><mtext>82</mtext></math></span>) and the <em>5-year</em> survival was <em>45%</em> (<span><math><mtext>27</mtext><mtext>60</mtext></math></span>). The difference between the normothermic and hyperthemic group is significant at the <em>3-year</em> and <em>5-year</em> level (<em>P</em> < 0.005 and <em>P</em> < 0.025, respectively). The <em>5-year</em> survival in those treated by hyperthermic perfusion was <em>42%</em> in stage <em>II</em> (<em>n</em> = 12) and <em>46%</em> in stage <em>III</em> (<em>n</em> = 48), the difference not being significant. The male <em>5-year</em> survival was <em>36%</em> (<span><math><mtext>8</mtext><mtext>22</mtext></math></span>), while the female was <em>53%</em> (<span><math><mtext>20</mtext><mtext>38</mtext></math></span>). The <em>5-year</em> survival for tumours of the arm and those of the leg was <em>23%</em> (<span><math><mtext>3</mtext><mtext>13</mtext></math></span>) and <em>51%</em> (<span><math><mtext>24</mtext><mtext>47</mtext></math></span>), respectively. No significancy could be demonstrated between these groups. Of the entire group of <em>100</em> patients, <em>35</em> developed a local recurrence after perfusion; in <em>11</em> there was simultaneous general metastazation as well. The recurrence developed within <em>2 years</em> after perfusion in <em>27 (77%)</em> patients and <em>16 (76%)</em> died within <em>2 years</em> of recurrence.</p></div>","PeriodicalId":100497,"journal":{"name":"European Journal of Cancer (1965)","volume":"17 4","pages":"Pages 471-476"},"PeriodicalIF":0.0,"publicationDate":"1981-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0014-2964(81)90257-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18344593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tumour enzymes and prognosis in human breast cancer","authors":"N. Deshpande , Irene Mitchell , Rosemary Millis","doi":"10.1016/0014-2964(81)90253-X","DOIUrl":"10.1016/0014-2964(81)90253-X","url":null,"abstract":"<div><p>The activities of <em>6</em>-phosphogluconate dehydrogenase, phosphofructokinase and α-glycerolphosphate dehydrogenase were measured in primary carcinomas from a series of <em>333</em> patients with carcinoma of the breast and the usefulness of these estimations as additional prognostic parameters was evaluated. The patients in the series were followed for up to <em>50 months</em> during which time <em>84</em> patients have developed recurrent disease. Life table analyses of the results showed that the probability of remaining free from recurrence was greater in women whose carcinomas had low activities of <em>6</em>-phosphogluconate dehydrogenase and phosphofructokinase and high α-glycerolphosphate dehydrogenase activity. Low ratios of α-glycerolphosphate dehydrogenase to <em>6</em>-phosphogluconate dehydrogenase were associated with a considerably increased risk of recurrence. These findings further indicate the usefulness of such assays as an aid to prognosis.</p></div>","PeriodicalId":100497,"journal":{"name":"European Journal of Cancer (1965)","volume":"17 4","pages":"Pages 443-448"},"PeriodicalIF":0.0,"publicationDate":"1981-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0014-2964(81)90253-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17517137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tween 80 increases plasma adriamycin concentrations in mice by an apparent reduction of plasma volume","authors":"S.D. Harrison Jr. , A.M. Cusic, S.M. McAfee","doi":"10.1016/0014-2964(81)90246-2","DOIUrl":"10.1016/0014-2964(81)90246-2","url":null,"abstract":"<div><p>Coadministration of Tween 80 enhances the activity of adriamycin against selected experimental tumors in mice. Although some investigators have suggested a direct effect of Tween 80 on tumor cells, we wished to determine whether altered plasma concentrations of adriamycin occurred which might account for the apparent therapeutic synergism. Male <em>CDF</em><sub>1</sub> mice were treated i.p. with <em>6.7 mg/kg</em> of adriamycin alone or combined with <em>5000 mg/kg</em> of Tween 80 in physiologic saline. Fluorometric determination of adriamycin equivalents in plasma revealed significantly higher adriamycin concentrations <em>1</em> and <em>2 hr</em> post treatment in mice that had received Tween <em>80</em>. In three separate experiments, a significant, reversible increase in packed cell volume occurred in the peripheral blood of mice treated i.p. with Tween <em>80</em>. This increase was maximal at <em>1–2 hr</em> post treatment. The magnitude of the apparent plasma volume reduction accounted quantitatively for the increase in drug concentration.</p></div>","PeriodicalId":100497,"journal":{"name":"European Journal of Cancer (1965)","volume":"17 4","pages":"Pages 387-389"},"PeriodicalIF":0.0,"publicationDate":"1981-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0014-2964(81)90246-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18320787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hodgkin's disease following infectious mononucleosis","authors":"U. Jehn , H. Sauer , H. Wolf , W. Wilmanns","doi":"10.1016/0014-2964(81)90258-9","DOIUrl":"https://doi.org/10.1016/0014-2964(81)90258-9","url":null,"abstract":"","PeriodicalId":100497,"journal":{"name":"European Journal of Cancer (1965)","volume":"17 4","pages":"Pages 477-479"},"PeriodicalIF":0.0,"publicationDate":"1981-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0014-2964(81)90258-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72031935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John F. Stewart , Roger J.B. King , Sheila A. Sexton , Rosemary R. Millis , Robert D. Rubens , John L. Hayward
{"title":"Oestrogen receptors, sites of metastatic disease and survival in recurrent breast cancer","authors":"John F. Stewart , Roger J.B. King , Sheila A. Sexton , Rosemary R. Millis , Robert D. Rubens , John L. Hayward","doi":"10.1016/0014-2964(81)90254-1","DOIUrl":"10.1016/0014-2964(81)90254-1","url":null,"abstract":"<div><p>Two hundred and seventy eight patients with advanced breast cancer who had oestrogen receptor (ER) analyses performed on primary or recurrent tumours were studied. Oestrogen receptor (ER) positive (ER ≧ <em>5 fmole</em> receptor/<em>mg</em> cytosol protein) tumours recurred significantly more commonly in bone and ER negative (ER < <em>5 fmole</em> receptor/<em>mg</em> cytosol protein) tumours recurred significantly more often in liver and brain. Patients with ER positive tumours had a significantly better survival after relapse. ER analysis of either primary or recurrent tumour gives some indication of the natural history of breast cancer.</p></div>","PeriodicalId":100497,"journal":{"name":"European Journal of Cancer (1965)","volume":"17 4","pages":"Pages 449-453"},"PeriodicalIF":0.0,"publicationDate":"1981-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0014-2964(81)90254-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18320790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recent journal contents","authors":"","doi":"10.1016/0014-2964(81)90260-7","DOIUrl":"https://doi.org/10.1016/0014-2964(81)90260-7","url":null,"abstract":"","PeriodicalId":100497,"journal":{"name":"European Journal of Cancer (1965)","volume":"17 4","pages":"Page 485"},"PeriodicalIF":0.0,"publicationDate":"1981-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0014-2964(81)90260-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72069689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}