Combination chemotherapy plus levamisole in the treatment of disseminated malignant melanoma. A Southwest Oncology Group study.

Abstract:

:Two hundred-eighty patients were randomized to receive either BCNU, hydroxyurea and imidazole carboxamide (BHD), BHD plus levamisole, or high-dose DTIC plus actinomycin D. There was no difference in response rate in the three groups (24%, 25% and 22%). Females responded better than males and, as expected, those with a better performance status responded more favorably than those with poor performance status. Patients whose primary site of melanoma was on the extremities did significantly better than those melanomas originating on the trunk or head and neck. Patients with lymphocyte counts greater than 2000/mm3 fared better than those with lymphopenia. Those responders who received high-dose DTIC plus actinomycin D had a significantly longer length of response than those receiving the immunotherapy limb. This was also true in those patients who had a prior disease-free interval of greater than 6 months before being placed in this study. Although there was no difference in survival from the start of treatment in all patients, those patients receiving high-dose DTIC plus actinomycin D and who had a prior disease-free interval of greater than 6 months, had significantly superior survival when compared to the immunotherapy limb. It is concluded that the addition of Levamisole to BHD does not improve response rate and may in certain subsets be detrimental to disease-free response and survival. High-dose DTIC plus actinomycin D is equally effective to BHD.

journal_name

Cancer

journal_title

Cancer

authors

Costanzi JJ,Fletcher WS,Balcerzak SP,Taylor S,Eyre HJ,O'Bryan RM,Al-Sarraf M,Frank J

doi

10.1002/1097-0142(19840215)53:4<833::aid-cncr28205

subject

Has Abstract

pub_date

1984-02-15 00:00:00

pages

833-6

issue

4

eissn

0008-543X

issn

1097-0142

journal_volume

53

pub_type

临床试验,杂志文章

相关文献

CANCER文献大全
  • Surgical palliation for recurrent rectal cancers ulcerating in the perineum.

    abstract::This report describes a unique palliative approach of radical surgical debridement for uncontrollable, recurrent pelvic tumors ulcerating through the perineum. All conservative treatment attempts with radiotherapy and chemotherapy had failed. Seven patients have been treated with resection of the tumor including a por...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19900301)65:5<1111::aid-cncr2820

    authors: Temple WJ,Ketcham AS

    更新日期:1990-03-01 00:00:00

  • Specific expression of the ras-related rab3A gene in human normal and malignant neuroendocrine cells.

    abstract:BACKGROUND:The authors originally demonstrated the tissue-specific expression of the rab3A gene in the mouse brain. In the current study, they analyze the activity of this gene in fresh human tumors associated with neuronal phenotype compared with normal and malignant cells from other origins. METHODS:The authors stud...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19921115)70:10<2552::aid-cncr282

    authors: Culine S,Rousseau-Merck MF,Honoré N,Nezelof C,Olofsson B

    更新日期:1992-11-15 00:00:00

  • Expression of cell cycle proteins in T1a and T1b urothelial bladder carcinoma and their value in predicting tumor progression.

    abstract:BACKGROUND:Cell cycle proteins are important markers in predicting tumor behavior in urothelial carcinoma of the bladder. The objectives of this study were 1) to determine the expression levels of some of those markers in a series of patients with bladder carcinoma, 2) to define their value in distinguishing T1a (minim...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.20306

    authors: Mhawech P,Greloz V,Oppikofer C,Szalay-Quinodoz I,Herrmann F

    更新日期:2004-06-01 00:00:00

  • The T classification of clinically localized prostate cancer. An appraisal based on disease outcome after radiation therapy.

    abstract:BACKGROUND:This study was performed to evaluate the use of the 1992 International Union Against Cancer (UICC)/American Joint Committee on Cancer (AJCC) T categories for localized prostate cancer treated with radiation therapy and to compare the prognostic power of this system with the Whitmore-Jewett scheme. METHODS:T...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19940401)73:7<1904::aid-cncr2820

    authors: Zagars GK,Geara FB,Pollack A,von Eschenbach AC

    更新日期:1994-04-01 00:00:00

  • Barriers and incentives for primary care physicians in cancer prevention and detection.

    abstract::The American Cancer Society estimates that nearly a million new cases of cancer will occur and that approximately a half million lives will be lost in 1987. These figures may double by the year 2000 primarily because of our aging population, with age being the leading risk factor for cancer. It is believed that the ma...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19880601)61:11+<2382::aid-cncr28

    authors: Williams PA,Williams M

    更新日期:1988-06-01 00:00:00

  • Adriamycin, BCNU plus cyclophosphamide (ABC) in advanced carcinoma of the head and neck.

    abstract::Forty-four patients with advanced carcinoma of the head and neck were treated with cyclophosphamide, 400 mg/m2 plus BCNU, 100 mg/m2 day 1 followed by adriamycin 40 mg/m2 day 2, with therapy repeated every 4 weeks. Of 31 evaluable patients, there were 1 complete response, and 10 partial responses (35%). Four of 8 patie...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197911)44:5<1571::aid-cncr282044

    authors: Presant CA,Ratkin G,Klahr C,Brown C

    更新日期:1979-11-01 00:00:00

  • Hepatic involvement in Hodgkin's disease. Clues to histologic diagnosis.

    abstract::The hepatic histopathology was studied in 125 patients with Hodgkin's disease to determine whether there are any features other than Reed-Sternberg (RS) cells that might aid in the diagnosis of hepatic involvement by the neoplastic process. Liver biopsy specimens from 41 patients with Hodgkin's disease in the liver we...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19891115)64:10<2121::aid-cncr282

    authors: Dich NH,Goodman ZD,Klein MA

    更新日期:1989-11-15 00:00:00

  • Neurosarcomatous transformation in malignant melanoma: an ultrastructural study.

    abstract::Six cases of desmoplastic melanoma were studied by light and electron microscopy. The tumors fulfilled one or more of the following criteria: (1) having the presence of atypical intraepidermal melanocytic proliferation bordering the primary lesions; (2) an antecedent history of melanoma at the site of recurrence; (3) ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19821201)50:11<2345::aid-cncr282

    authors: DiMaio SM,Mackay B,Smith JL Jr,Dickersin GR

    更新日期:1982-12-01 00:00:00

  • Impact of the posttransplant lymphoproliferative disorder subtype on survival.

    abstract:BACKGROUND:Posttransplant lymphoproliferative disorder (PTLD) is a life-threatening complication of solid organ transplantation. Histologic heterogeneity and a lack of treatment standards have made evaluating clinical outcomes in specific patient populations difficult. This systematic literature review investigated the...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.31339

    authors: Koff JL,Li JX,Zhang X,Switchenko JM,Flowers CR,Waller EK

    更新日期:2018-06-01 00:00:00

  • Clinical and pathologic subtypes of primary intestinal lymphoma. Experience with 132 patients over a 14-year period.

    abstract::Primary lymphomas of the small intestine (PIL) show definite racial and geographic distribution. Clinical and laboratory data on 132 patients with PIL treated and followed up over a 14-year period in Baghdad, Iraq, are presented. Based on the pattern of involvement of the bowel and the histopathologic appearance of th...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19831101)52:9<1666::aid-cncr2820

    authors: Al-Bahrani ZR,Al-Mondhiry H,Bakir F,Al-Saleem T

    更新日期:1983-11-01 00:00:00

  • A prospective study of immune responsiveness in human melanoma. I. Assessment of initial pretreatment status with stage of disease.

    abstract::The clinical findings in 262 patients with melanoma were correlated with an assessment of their cellular-mediated immunity by delayed-type hypersensitivity (DTH) skin tests, by lymphocyte blastogenesis, and by leukocyte enumerations. Patients with systemic metastases (stage IV) and those with evidence of tumor burden ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197806)41:6<2165::aid-cncr282041

    authors: Pritchard DJ,Ritts RE Jr,Taylor WF,Miller GC

    更新日期:1978-06-01 00:00:00

  • Maturation of cerebellar neuroblastoma into ganglioneuroma with melanosis. A histologic, immunocytochemical, and ultrastructural study.

    abstract::A ganglioneuroma with areas of melanosis was resected from the cerebellum of a 6.5-year-old girl. At 2.5 years of age, she was diagnosed to have cerebellar neuroblastoma, which was incompletely resected and then radiated. Histologic, ultrastructural, and immunocytochemical studies undertaken on tissue from both stages...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19870101)59:1<69::aid-cncr282059

    authors: de Chadarévian JP,Montes JL,O'Gorman AM,Freeman CR

    更新日期:1987-01-01 00:00:00

  • Mammographically guided fine-needle aspiration biopsy of nonpalpable breast lesions. Can it replace open biopsy?

    abstract::The authors report the accuracy of mammographically guided fine-needle aspiration (FNA) for the diagnosis of nonpalpable breast lesions in a series of 71 patients. Each mammographically guided FNA was immediately followed by hookwire localization and open biopsy. Seven malignancies were identified cytologically, but t...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19911101)68:9<2007::aid-cncr2820

    authors: Layfield LJ,Parkinson B,Wong J,Giuliano AE,Bassett LW

    更新日期:1991-11-01 00:00:00

  • Multimodal immunotherapy of primary gastrointestinal tumors in rats. 1. Histologic correlation.

    abstract::The effect of multimodal immunotherapy was studied in rats bearing primary gastrointestinal tumors induced by 1,2-dimethylhydrazine dihydrochloride. Multimodal immune manipulation consisted of combinations of splenectomy, C. parvum, unblocking serum, unblocked lymphoid cells, and levamisole. Such immunologic intervent...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(197811)42:5<2079::aid-cncr282042

    authors: Bansal BR,Mobini J,Bansal SC

    更新日期:1978-11-01 00:00:00

  • Lymphatic flow in carcinoma of the distal bile duct based on a clinicopathologic study.

    abstract:BACKGROUND:Nodal status is one of the most important prognostic factors for distal bile duct cancer. The pattern of lymphatic spread of distal bile duct cancer was analyzed by determining the frequency of involvement of various lymph nodes. MATERIALS AND METHODS:From 1973 to 1991, 29 patients with distal bile duct can...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19931001)72:7<2112::aid-cncr2820

    authors: Kayahara M,Nagakawa T,Ueno K,Ohta T,Takeda T,Miyazaki I

    更新日期:1993-10-01 00:00:00

  • Treatment of children with epipodophyllotoxin-induced secondary acute myeloid leukemia.

    abstract:BACKGROUND:Secondary acute myeloid leukemia (AML) after treatment with epipodophyllotoxins is being observed with increased frequency. Therapeutic options are limited for patients with secondary AML and the role of bone marrow transplantation is unclear. METHODS:The authors report the treatment outcome of a cohort of ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19970301)79:5<1049::aid-cn

    authors: Sandler ES,Friedman DJ,Mustafa MM,Winick NJ,Bowman WP,Buchanan GR

    更新日期:1997-03-01 00:00:00

  • The effect of westernization on urine estrogens, frequency of ovulation, and breast cancer risk. A study of ethnic Chinese women in the Orient and the USA.

    abstract::In a 10-year incidence survey of breast cancer in the City of Boston, 14 cases in American Chinese women were observed, while approximately 13 were expected on the basis of age-specific incidence in the white population. In Hawaii, on the other hand, while breast cancer incidence rates for ethnic Chinese are approxima...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19840101)53:1<187::aid-cncr28205

    authors: Trichopoulos D,Yen S,Brown J,Cole P,MacMahon B

    更新日期:1984-01-01 00:00:00

  • GLUT1 glucose transporter expression in colorectal carcinoma: a marker for poor prognosis.

    abstract:BACKGROUND:Malignant cells exhibit increased glycolytic metabolism, and in many cases increased glucose transporter gene expression. The authors hypothesized that GLUT1 glucose transporter expression is increased in colorectal carcinoma, and that the degree of expression might have prognostic significance. METHODS:GLU...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19980701)83:1<34::aid-cncr

    authors: Haber RS,Rathan A,Weiser KR,Pritsker A,Itzkowitz SH,Bodian C,Slater G,Weiss A,Burstein DE

    更新日期:1998-07-01 00:00:00

  • A phase II trial of 5-fluorouracil, leucovorin, and recombinant alpha-2b-interferon in advanced adenocarcinoma of the pancreas.

    abstract:BACKGROUND:Preclinical and clinical data suggest that both leucovorin (LV) and interferon (IFN) can augment the cytotoxic effects of 5-fluorouracil (5-FU). Based on the rationale of biochemical double modulation, the current Phase II study was undertaken. METHODS:Thirty-two previously untreated patients with advanced ...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:10.1002/1097-0142(19921001)70:7<1864::aid-cncr2820

    authors: Scheithauer W,Pfeffel F,Kornek G,Marczell A,Wiltschke C,Funovics J

    更新日期:1992-10-01 00:00:00

  • Nonsteroidal anti-inflammatory drugs and the risk of skin cancer: a population-based case-control study.

    abstract:BACKGROUND:Nonsteroidal anti-inflammatory drugs (NSAIDs) may prevent the development of cancer by inhibiting cyclooxygenase (COX) enzymes, which are involved in carcinogenesis. Therefore, the authors of this report examined the association between NSAID use and the risk of squamous cell carcinoma (SCC), basal cell carc...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.27406

    authors: Johannesdottir SA,Chang ET,Mehnert F,Schmidt M,Olesen AB,Sørensen HT

    更新日期:2012-10-01 00:00:00

  • Cost and risk benefit in the management of clinical stage II nonseminomatous testicular tumors.

    abstract:BACKGROUND:Two similarly effective treatment options exist for managing clinical low volume Stage II nonseminomatous germ cell testis tumors (NSGCT). Primary retroperitoneal lymph node dissection (RPLND) (with immediate adjuvant chemotherapy or chemotherapy at relapse) and primary chemotherapy have resulted in similar ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19950615)75:12<2897::aid-cncr282

    authors: Baniel J,Roth BJ,Foster RS,Donohue JP

    更新日期:1995-06-15 00:00:00

  • The current state of brachytherapy nomograms for patients with clinically localized prostate cancer.

    abstract::For men diagnosed with clinically localized prostate cancer, definitive therapy with radical prostatectomy, external beam radiation therapy, or brachytherapy offers a high chance of cure. Currently, there are insufficient data to recommend 1 treatment approach over another, leaving physicians and patients to decide ba...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/cncr.24344

    authors: Nguyen CT,Zelefsky MJ,Kattan MW

    更新日期:2009-07-01 00:00:00

  • Occult papillary thyroid carcinoma at autopsy in La Plata, Argentina.

    abstract::Although clinically evident thyroid carcinoma is not a frequent neoplasm (incidence 2.7 per 100,000 persons in La Plata, Argentina), occult carcinomas are present in a high proportion of the population, but there are marked differences along geographical lines. The purpose of the present study is to establish the prev...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19890715)64:2<547::aid-cncr28206

    authors: Ottino A,Pianzola HM,Castelletto RH

    更新日期:1989-07-15 00:00:00

  • Prognostic factors for clinically localized prostate carcinoma: analysis of 938 patients irradiated in the prostate specific antigen era.

    abstract:BACKGROUND:Pretreatment serum prostate specific antigen (PSA) level is a powerful prognostic factor for clinically localized prostate carcinoma. The traditional prognostic factors, T classification and Gleason score, appear to have been relegated to a minor position. This study was conducted to evaluate the relative pr...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Zagars GK,Pollack A,von Eschenbach AC

    更新日期:1997-04-01 00:00:00

  • Getting key players to work together and defending against diversion--California.

    abstract::In 1988, Californians passed Proposition 99, which raised the tobacco tax from 10 cents to 35 cents and allocated 20% of the resulting revenues, approximately $100 million, for tobacco education and 5% for tobacco-related research. Seventy percent was allocated for health care costs and 5% for the environment. In this...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19981215)83:12a+<2697::aid

    authors: Martin CB,Beerline D,Breslow L

    更新日期:1998-12-15 00:00:00

  • Giant cell tumors of synovium (Pigmented villonodular synovitis) involving the vertebral column.

    abstract::Giant cell tumors of synovium (pigmented villonodular synovitis) involving the vertebral column recently have been seen in two women: the third and fourth cases to be reported in the English-language literature. Unlike the previously reported cases, both these tumors grew outside the dura and produced symptoms of spin...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19860515)57:10<2030::aid-cncr282

    authors: Weidner N,Challa VR,Bonsib SM,Davis CH Jr,Carrol TJ Jr

    更新日期:1986-05-15 00:00:00

  • Fine-needle aspiration biopsy of granulocytic sarcoma: a clinicopathologic study of 27 cases.

    abstract:BACKGROUND:Because of morphologic similarities, the differential diagnosis of granulocytic sarcoma (GS) in fine-needle aspiration (FNA) specimens includes non-Hodgkin or Hodgkin lymphoma, extramedullary hematopoiesis, poorly differentiated carcinoma, and infection. METHODS:Twenty-six FNAs and 1 pleural effusion fluid ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Suh YK,Shin HJ

    更新日期:2000-12-25 00:00:00

  • Treatment of advanced bladder carcinoma with irradiation and concomitant 5-fluorouracil infusion.

    abstract::Nineteen patients with locally advanced bladder cancer were treated with irradiation and concomitant 5-fluorouracil intravenous infusion with or without bolus mitomycin. Eighteen of the 19 patients were evaluated for local response. Eleven of the 18 patients (61%) obtained a complete local response within 3 to 6 month...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19870215)59:4<710::aid-cncr28205

    authors: Rotman M,Macchia R,Silverstein M,Aziz H,Choi K,Rosenthal J,Braverman A,Laungani GB

    更新日期:1987-02-15 00:00:00

  • Prognostic analysis of malignant pleural and peritoneal effusions.

    abstract::A total of 289 cases with malignant pleuroperitoneal effusions were reviewed, and their prognosis were analyzed in relation to the following factors: (1) chronologically divided series; (2) previous tumorectomy of the primary lesion; (3) presence or absence of other metastases; (4) site of effusion; (5) site of the pr...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19830101)51:1<136::aid-cncr28205

    authors: Yamada S,Takeda T,Matsumoto K

    更新日期:1983-01-01 00:00:00

  • Transgenic models for the study of prostate cancer.

    abstract::Transgenic model systems provide tools for obtaining information that clarifies important relationships between genetic alterations and carcinogenesis. One such relationship is the induction of specific growth factor activities by dominantly acting oncogenes. Using a "transgenic organ" model referred to as mouse prost...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19930201)71:3+<1165::aid-cncr282

    authors: Thompson TC,Truong LD,Timme TL,Kadmon D,McCune BK,Flanders KC,Scardino PT,Park SH

    更新日期:1993-02-01 00:00:00