Feasibility and toxicity of CCNU therapy in elderly patients with glioblastoma multiforme
作者:
Maria Piribauer,
Barbara Fazeny-Dörner,
Karl Rössler,
Karl Ungersböck,
Thomas Czech,
Monika Killer,
Karin Dieckmann,
Peter Birner,
Daniela Prayer,
Johannes Hainfellner,
Manfred Muhm,
Christine Marosi,
期刊:
Anti-Cancer Drugs
(OVID Available online 2003)
卷期:
Volume 14,
issue 2
页码: 137-143
ISSN:0959-4973
年代: 2003
出版商: OVID
关键词: elderly patient;glioblastoma multiforme;neurosurgery;nitrosourea-based chemotherapy;radiotherapy
数据来源: OVID
摘要:
In our institution, 103 glioblastoma multiforme (GBM) patients aged from 55 to 83 years were treated since November 1994 as follows. All patients underwent surgical intervention (gross total resection,n=35; subtotal resection,n=38; stereotactic biopsy,n=30). Subsequently all patients were offered radiotherapy and chemotherapy with CCNU. Results were as follows: 101 patients started radiotherapy, 93 patients completed it (96% of the patients aged <65 years and 85% of the patients ≥65 years). All patients received at least 1 cycle of chemotherapy (median 3 cycles). Chemotherapy-associated toxicity was generally mild, more pronounced in females and did not increase with age. Median time to progression was 10.5±3.2 months for the patients <65 years and 5.1±1 months for patients ≥65 years. median overall survival was 17.5±3.8 months in patients <65 years and 8.6±1 months in patients ≥65 years (p<0.0001). In multivariate analysis, age and female sex remained independent prognostic factors. Our data indicate that a treatment concept including concomitant radio- and chemotherapy is feasible even in elderly patients with GBM.
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