TY - JOUR
T1 - First-line treatment of patients with disseminated poorly differentiated neuroendocrine carcinomas with carboplatin, etoposide, and vincristine: a single institution experience
AU - Olsen, Ingrid Holst
AU - Langer, Seppo W
AU - Jepsen, Ida
AU - Assens, Maria
AU - Federspiel, Birgitte
AU - Hasselby, Jane Preuss
AU - Hansen, Carsten Palnaes
AU - Kjaer, Andreas
AU - Knigge, Ulrich
PY - 2012/1
Y1 - 2012/1
N2 - Poorly differentiated neuroendocrine carcinomas (PDECs) represent highly malignant tumors with an immense tendency to metastasize and with a poor prognosis. The treatment consists of palliative chemotherapy and corresponds to the treatment of extensive stage small cell lung cancer. Material and methods. We present the patient characteristics and treatment results of 31 consecutive, chemonave patients with PDECs treated with carboplatin, etoposide, and vincristine. Results. The response rate was 52%, the disease control rate 77%, and the median overall survival 15.3 months. The one-year survival rate was 55%, and the two-year survival rate was 19%. The median progression free survival (PFS) time was 6.6 months. Survival rates did not correlate with the Ki-67 proliferation index. The treatment was well tolerated. Conclusion. Treatment results with carboplatin, etoposide, and vincristine in chemonave patients with PDECs are comparable to those in patients with SCLC. The prognosis is however poor.
AB - Poorly differentiated neuroendocrine carcinomas (PDECs) represent highly malignant tumors with an immense tendency to metastasize and with a poor prognosis. The treatment consists of palliative chemotherapy and corresponds to the treatment of extensive stage small cell lung cancer. Material and methods. We present the patient characteristics and treatment results of 31 consecutive, chemonave patients with PDECs treated with carboplatin, etoposide, and vincristine. Results. The response rate was 52%, the disease control rate 77%, and the median overall survival 15.3 months. The one-year survival rate was 55%, and the two-year survival rate was 19%. The median progression free survival (PFS) time was 6.6 months. Survival rates did not correlate with the Ki-67 proliferation index. The treatment was well tolerated. Conclusion. Treatment results with carboplatin, etoposide, and vincristine in chemonave patients with PDECs are comparable to those in patients with SCLC. The prognosis is however poor.
U2 - 10.3109/0284186x.2011.582881
DO - 10.3109/0284186x.2011.582881
M3 - Journal article
C2 - 21615243
SN - 1100-1704
VL - 51
SP - 97
EP - 100
JO - Acta Oncologica, Supplement
JF - Acta Oncologica, Supplement
IS - 1
ER -