Zusammenfassung
53 Patienten mit einem rezidivierenden kleinzelligen Bronchialkarzinom nach chemo- und strahlentherapeutisch induzierter Voll- oder Teilremission wurden mit den Substanzen CCNU/Etoposid/Methotrexat (CEM) oder Vindesin/Cisplatin (VDS/DDP) behandelt. Beide Kombinationen führten zu Ansprechraten um 50%, wobei in der VDS/DDP-Gruppe in der Regel eine längere und intensivere Vorbehandlung als bei den Erkrankten mit CEM-Applikation durchgeführt worden war. Zu den insgesamt niedrigen Remissionsraten (um 20%) und relativ kurzen medianen Überlebenszeiten (3–4 Monate) dürfte, neben der intensiven zytostatischen Vorbehandlung, entscheidend die intrathorakale Bestrahlung beigetragen haben, da in diesen Regionen eine erneute Tumorrückbildung durch die alleinige Chemotherapie nur in Ausnahmefällen zu erzielen war.
Mit Unterstützung des BMFT, Bonn
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
Literatur
Aisner J, Whitacre M, Van Echo DA, Wiernik PH (1982) Combination chemotherapy for small cell carcinoma of the lung: continuous versus alternating non-cross-resistant combinations. Cancer Treat Rep 66:221–230
Aroney RS, Bell DR, Chan WK, Dalley DN, Levi JA (1982) Alternating non-cross-resistant combination chemotherapy for small cell anaplastic carcinoma of the lung. Cancer 49:2449–2454
Azzopardi JG (1959) Oat-cell carcinoma of the bronchus. J Path Bact 78:513–519
Bhuchar VK, Lanzotti VJ (1982) High-dose cisplatin for lung cancer. Cancer Treat Rep 65:375–376
Cavalli F, Goldhirsch A, Siegenthaler P, Kaplan S, Beer M (1980) Phase-II study with cis-dichlorodiammineplatinum (II) in small cell anaplastic bronchogenic carcinoma. Europ J Cancer 16:617–621
Chiuten DF, Booser DJ, Murphy W, Spitzer G, Umsawasdi T, Bodey GP, Valdivieso M (1982) Response of refractory small cell bronchogenic carcinoma to Vindesine and cis-Platinum. III. World Conference on Lung Cancer, Tokyo 1982, Abstr. 216, p 159
Cohen MH, Ihde DC, Bunn PA jr, Fossieck BE jr, Matthews MJ, Shackney SE, Johnston-Early A, Makuch R, Minne JD (1979) Cyclic alternating combination chemotherapy for small cell bronchogenic carcinoma. Cancer Treat Rep 63:163–170
Creech RH, Stanley K, Vogl SE, Ettinger DS, Bonomi PD, Salazar O (1982) Phase II study of cisplatin, maytansine, and chlorozotocin in small cell lung carcinoma (EST 2578). Cancer Treat Rep 66:1417–1419
DeJager R, Longeval E, Klastersky J (1980) High-dose cisplatin with fluid and mannitol-induced diuresis in advanced lung cancer: a phase II clinical trial of the EORTC Lung Cancer Working Party (Belgium). Cancer Treat Rep 64: 1341–1346
Evans WK, Osoba D, Feld R, Shepherd FA (1982) VP-16 alone and in combination with Cisplatin (P) for relapse in small cell lung cancer (SCLC). III. World Conference on Lung Cancer, Tokyo 1982, Abstr 218, p 160
Fox RM, Woods RL, Brodie GN, Tattersall MHN (1980) A randomized study: small cell anaplastic lung cancer treated by combination chemotherapy and adjuvant radiotherapy. Int J Radiat Oncol Biol Phys 6:1083–1085
Gralla RJ, Casper ES, Kelsen DP, Braun DW, Dukeman ME, Martini N, Young CW, Golbey RB (1981) Cisplatin and vindesine combination chemotherapy for advanced carcinoma of the lung: a randomized trial investigating two dosage schedules. Ann Int Med 95:414–420
Greco FA, Richardson RL, Snell JD, Stroup SL, Oldham RK (1979) Small cell lung cancer. Complete remission and improved survival. Am J Med 66:625–630
Hamburger AW, Salmon SE (1977) Primary bioassay for human tumor stem cells. Science 197:461–463
Harper PG, Dally MB, Geddes DM, Spiro SG, Smyth JF, Souhami RL (1982) Epipodophyllotoxin (VP 16-213) in small cell carcinoma of the bronchus resistant to initial combination chemotherapy. Cancer Chemother Pharmacol 7:179–180
Harper PG, Souhami RL, Spiro SG, Geddes DM, Guimaraes M, Fearon F, Smyth JF (1982) Tumor Size, response rate, and prognosis in small cell carcinoma of the bronchus treated by combination chemotherapy. Cancer Treat Rep 66:463–470
Hattori S, Matsuda M, Tateishi R, Nishihara H, Horai T (1972) Oat-cell carcinoma of the lung. Clinical and morphological studies in relation to its histogenesis. Cancer 30: 1014–1024
Hill BT, Whelan RDH (1982) Establishment of vincristine-resistant and vindesine-resistant lines of murine lymphoblasts in vitro and characterisation of their patterns of cross-resistance and drug sensitivities. Cancer Chemother Pharmacol 8:163–169
Holoye PY, Libnoch JA, Byhardt RW, Cox JD (1982) Integration of chemotherapy and radiation therapy for small cell carcinoma of the lung. Int J Radiat Oncol Biol Phys 8:1593–1596
Hyde L, Yee J, Wilson R, Patno ME (1965) Cell type and the natural history of lung cancer. JAMA 193:140–142
Karnofsky DA, Abelmann WH, Craver LF, Burchenal JH (1948) The use of the nitrogen mustards in the palliative treatment of carcinoma. With particular reference to bronchogenic carcinoma. Cancer 1:634–656
Kies MS, Mira J, Chen T, Livingston RB (1982) Value of chest radiation (RT) in limited small cell lung cancer after chemotherapy (CT)-induced complete disease remission. Proc Am Soc Clin Oncol 1:141
Kramer B, Weiner R, Ross W, Scher N (1980) Small cell carcinoma of the lung: Salvage of cytoxan/adriamycin failures with VP 16-213, methotrexate, and CCNU (VMC). Proc Am Ass Cancer Res & Am Soc Clin Oncol 20:161
Kreyberg L, Liebow AA, Uehlinger EA (1967) Histological typing of lung tumours. World Health Organization, Geneva
Levitt M, Meikle A, Murray N, Weinerman B (1978) Oat cell carcinoma of the lung: CNS metastases in spite of prophylactic brain irradiation. Cancer Treat Rep 62:131–133
Livingston RB, Moore TN, Heilbrun L, Bottomley R, Lehane D, Rivkin SE, Thigpen T (1978) Small-cell carcinoma of the lung: combined chemotherapy and radiation. A Southwest Oncology Group Study. Ann Int Med 88:194–199
Mattern J, Wayss K, Volm M (1982) Klinische Bedeutung sogenannter Onkobiogramme für die Chemotherapie von Tumoren. Dtsch Med Wschr 107:1683–1688
Matthews MJ, Kanhouwa S, Pickren J, Robinetto D (1973) Frequency of residual and metastatic tumor in patients undergoing curative surgical resection for lung cancer. Cancer Chemother Rep 4(3):63–67
Miller AB, Hoogstraten B, Staquet M, Winkler A (1981) Reporting results of cancer treatment. Cancer 47:207–214
Mountain CF (1978) Clinical biology of small cell carcinoma: relationship to surgical therapy. Semin Oncol 5:272–279
Müller KM (1978) Morphologie und Epidemiologie des Bronchialkarzinoms. Verh Dtsch Krebsgesellschaft 1:353–378
Muggia FM, Krezoski SK, Hansen HH (1974) Cell kinetic studies in patients with small cell carcinoma of the lung. Cancer 34:1683–1690
Nakhosteen JA, Niederle N (1983) Small cell lung cancer: Serial bronchofiberscopy and photographic documentation: the bridge sign. Chest, im Druck
Natale RB, Gralla RJ, Wittes RE (1981) Phase II trial of vindesine in patients with small cell lung carcinoma. Cancer Treat Rep 65:129–131
Niederle N, Schmidt CG, Seeber S (1980) Nichtoperative Therapie des Bronchialkarzinoms. Int Welt 3:359–368
Niederle N, Seeber S (1982) Zytostatische Behandlung der inoperablen und Nachbehandlung der operablen Bronchialkarzinome. Prax Pneumol 36:305–311
Niederle N, Krischke W, Schulz U, Schmidt CG, Seeber S (1982) Untersuchungen zur kurzzeitigen Induktions- und zyklischen Erhaltungstherapie beim inoperablen kleinzelligen Bronchialkarzinom. Klin Wschr 60:829–838
Niederle N, Krischke W, Bremer K, Schmidt CG, Seeber S (1982) Small-cell bronchogenic carcinoma — primary and relapse therapy with etoposide (VP-16), methotrexate and CCNU. Cancer Treat Rev (Suppl A) 9:101–105
Østerlind K, Dombernowsky P, Sørensen PG, Hansen HH (1981) Vindesine in the treatment of small cell anaplastic bronchogenic carcinoma. Cancer Treat Rep 65:245–248
Perez CA, Krauss S, Bartolucci AA, Durant JR, Lowenbraun S, Salter MM, Storaasli J, Kellermeyer R, Comas F, and the Southeastern Cancer Study Group (1981) Thoracic and elective brain irradiation with concomitant or delayed multiagent chemotherapy in the treatment of localized small cell carcinoma of the lung: a randomized prospective study by the Southeastern Cancer Study Group. Cancer 47:2407–2413
Peschel RE, Kapp DS, Carter D, Knowlton A (1981) Long term survivors with small cell carcinoma of the lung. Int J Radiat Oncol Biol Phys 7:1545–1548
Poplin EA, Aisner J, Van Echo DA, Whitacre M, Wiernik PH (1982) CCNU, vincristine, methotrexate, and procarbazine treatment of relapsed small cell lung carcinoma. Cancer Treat Rep 66: 1557–1559
Rosenfelt FP, Sikic BI, Daniels JR, Rosenbloom BE (1980) Phase II evaluation of cis-diammine-dichloroplatinum (DDP) in small cell carcinoma of lung (SCC). Proc Am Ass Cancer Res & Am Soc Clin Oncol 20:449
Schilcher RB, Niederle N, Mouratidou D, Seeber S, Schmidt CG (1979) Ifosfamide and VP 16-213 combination chemotherapy in inoperable bronchogenic carcinoma. Medical Oncology. Abstracts of the 5th Annual Meeting of the Medical Oncology Society, Nice, 1.–3. Dec. 1979. Springer International, Berlin Heidelberg New York, p 43
Seeber S, Niederle N, Schilcher RB, Schmidt CG (1980) Adriamycin, Cyclophosphamid und Vincristin („ACO“) beim kleinzelligen Bronchialkarzinom. Verlaufsanalyse und Langzeitergebnisse. Onkologie 3:5–11
Seeber S (1980) Sensitivität und Resistenz bei der Tumortherapie. Verh Dtsch Ges Inn Med 86:367–377
Seeber S, Osieka R, Schmidt CG, Achterrath W, Crooke ST (1982) In vivo resistance towards anthracyclines, etoposide and cisplatin. Cancer Res 42:4719–4725
Thatcher N, Hunter RD, Jegarajah S, Barber PV, Carroll KB, Wilkinson PM, Crowther D (1982) 11-week course of sequential methotrexate, thoracic irradiation, and moderate-dose cyclophosphamide for „limited“-stage small-cell bronchogenic carcinoma. Lancet 1:1040–1043
Weiss W, Boucot KR, Cooper DA (1970) The histopathology of bronchogenic carcinoma and its relation to growth rate, metastasis, and prognosis. Cancer 26:965–970
Whang-Peng J, Kao-Shan CS, Lee EC (1982) Specific chromosome defect associated with human small-cell lung cancer: Deletion 3p (14–23). Science, 215:181–182
Witte RS, Chang AYC, Tormey DC, Earhart RH, Broden EC, Ramirez G, Hogan GRT, Bryan GT (1982) Vindesine sulfate (VND): a phase II trial in small cell bronchogenic carcinoma (SCCL). Proc Am Soc Clin Oncol 1:143
Young JA, Dillman RO, Seagren SL, Taetle R, Rentschler RE, Lea JW jr, Lehar TJ, Green MR, Stanton W, Mendelsohn J, Royston I (1982) Non-cross-resistant chemotherapy and consolidation radiotherapy for small cell carcinoma of the lung. Cancer Treat Rep 66:1399–1401
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1983 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Niederle, N., Krischke, W., Seeber, S. (1983). Kleinzelliges Bronchialkarzinom — Möglichkeiten und Ergebnisse der Behandlung im Tumorrezidiv. In: Schmidt, C.G. (eds) Aktuelle Probleme der Hämatologie und internistischen Onkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68998-7_6
Download citation
DOI: https://doi.org/10.1007/978-3-642-68998-7_6
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-12241-8
Online ISBN: 978-3-642-68998-7
eBook Packages: Springer Book Archive