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10.1097/00000658-199004000-00015

http://scihub22266oqcxt.onion/10.1097/00000658-199004000-00015
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2157378Preoperativechemotherapyforsoft-tissuesarcomasoftheextremities.!1358035!2157378
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suck abstract from ncbi


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pmid2157378      Ann+Surg 1990 ; 211 (4): 476-81
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  • Preoperative chemotherapy for soft-tissue sarcomas of the extremities #MMPMID2157378
  • Pezzi CM; Pollock RE; Evans HL; Lorigan JG; Pezzi TA; Benjamin RS; Romsdahl MM
  • Ann Surg 1990[Apr]; 211 (4): 476-81 PMID2157378show ga
  • Forty-six patients with extremity soft-tissue sarcomas were treated with a mean of 4.4 cycles of preoperative adriamycin-based combination chemotherapy, followed by definitive local surgery and radiotherapy. All tumors were larger than 5 cm and of histologic type having significant risk of metastasis. Eighteen patients (40%) had an objective clinical response to the chemotherapy, while 27 patients (60%) did not respond. Patients with tumors responsive to chemotherapy had significantly improved overall survival (median 60 + months versus 32.7 months; p = 0.02), continuous disease-free survival (median 60 + months versus 15.1 months; p = 0.04), and distant metastasis-free survival (median 60+ months versus 28.5 months; p = 0.006) compared to the nonresponding patients. Tumor response to preoperative chemotherapy provides strong prognostic information and identifies a subgroup of patients most likely to benefit from chemotherapy.
  • |Antineoplastic Combined Chemotherapy Protocols/*therapeutic use[MESH]
  • |Cyclophosphamide/administration & dosage[MESH]
  • |Dacarbazine/administration & dosage[MESH]
  • |Doxorubicin/administration & dosage[MESH]
  • |Extremities[MESH]
  • |Female[MESH]
  • |Histiocytoma, Benign Fibrous/*drug therapy/mortality/surgery[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Preoperative Care[MESH]
  • |Retrospective Studies[MESH]
  • |Sarcoma/*drug therapy/mortality/surgery[MESH]
  • |Soft Tissue Neoplasms/*drug therapy/mortality/surgery[MESH]


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