Hexamethylmelamine and melphalan as salvage therapy in advanced ovarian carcinoma
โ Scribed by Margaret A. Tempero; Anne Kessinger
- Publisher
- John Wiley and Sons
- Year
- 1982
- Tongue
- English
- Weight
- 206 KB
- Volume
- 21
- Category
- Article
- ISSN
- 0022-4790
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โฆ Synopsis
Abstract
Ten patients with advanced ovarian carcinoma were treated with hexaโmethylmelamine and melphalan after failing firstโline combination chemotherapy. In eight patients residual disease was evident only at secondโlook laparotomy. Surgical debulking was accomplished in four patients but only two patients had residual disease of less than 2 cm. Two of these four patients are alive without evidence of disease at 20 and 24 months. The remaining patients have expired (median survival 6 months). The combination of hexamethylmelamine and melphalan after surgical debulking at secondโlook operation may improve the salvage of patients with advanced ovarian carcinoma.
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## BACKGROUND. Following surgical debulking, most patients with International Federation of Gynecology and Obstetrics (FIGO) Stage 111 or IV carcinoma of the ovary receive treatment with combination chemotherapy. However, the optimal postsurgical therapy for ovarian carcinoma remains to be defined