Combined chemotherapy with gemcitabine and cisplatin for metastatic urothelial carcinomas in patients 80 years of age and over.

Abstract:

BACKGROUND:This retrospective study aimed to determine the efficacy and toxicity of a combined chemotherapeutic regimen of gemcitabine and cisplatin (GC) for the treatment of metastatic urothelial carcinomas (UCs) in patients 80 years of age and over. PATIENTS AND METHODS:Twelve patients who were at least 80 years old and had been diagnosed with metastatic UC were treated with GC. The patient cohort consisted of 9 men and 3 women, with a median age of 83 (range 80-84) years. The median follow-up was 54 (range 14-80) months. RESULTS:Five out of the 12 patients (42%) showed an objective response, with two achieving a clinically complete response and three a partial response with GC. The median time to progression was 6 months, and the median overall survival was 14 months. The grade 3 and 4 toxicities of the regimen were primarily hematological, including anemia (33%), neutropenia (58%), and thrombocytopenia (50%). No grade 3 or 4 non-hematological toxicities were found. CONCLUSION:GC appears to be an effective and well-tolerated regimen for the treatment of metastatic UCs in very old patients.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Tanji N,Fukumoto T,Miura N,Yanagihara Y,Azuma K,Sasaki T,Nishida T,Kikugawa T,Shimamoto K,Aoki K,Yokoyama M

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

3839-43

issue

9

eissn

0250-7005

issn

1791-7530

pii

30/9/3839

journal_volume

30

pub_type

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