Abstract
In spite of improvements in response rate with combination chemotherapy, median survival is poor in both limited and extensive disease. The best figures for median survival are 18 months in limited disease and 12 months in extensive disease. In large trials, where less selection may have taken place, the survival figures are worse, usually something like 15 months and 9 months, respectively. The adoption of the strategy of using “non-cross-resistant” chemotherapy has made little impact on these dismal figures. Approximately 20% of patients with limited disease will live 2 years from diagnosis, representing 5% of all patients. Furthermore, relapses are frequently seen beyond 2 years.
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References
Appelbaum FR, Deisseroth AB, Graw RG, Herzig GP, Levine AS, McGrath IT, Pizzo PA, Poplack DG, Ziegler JL (1978) Prolonged complete remission following high dose chemotherapy of Burkitt’s lymphoma in relapse. Cancer 41: 1059–1063
Arnold AM, Williams CJ, Mead GM, Buchanan RB, Green JA, Macbeth FM, Whitehouse JM (1984) Combination chemotherapy using high or low dose Methotrexate for small cell carcinoma of the lung: a randomised trial. Med Oncol Tumour Pharmocother 1: 9–14
Banham S, Burnett A, Stevenson R, Cunningham D, Kaye S, Ahmenzai S, Soukop M (1982) A pilot study of combination chemotherapy with late dose intensification and autologous marrow rescue in small cell bronchial carcinoma. Br J Cancer 46: 486–488
Bruce WB, Meeker BE, Valeriote FA (1966) Comparison of the sensitivity of normal haemopoietic and transplanted lymphoma colony forming cells to chemotherapeutic agents administered in vivo. J Natl Cancer Inst 36: 233–245
Bryant B, Jarman M, Ford H, Smith IE (1980) Prevention of ifosfamide induced urothelial toxicity with 2-mercaptoethane sulphonate sodium (mesna) in patients with advanced carcinoma. Lancet 2: 657–659
Buckner CD, Rudolph RH, Fefer A, Clift RA, Epstein RB, Funk DD, Neiman PE, Slichter SJ, Storb R, Thomas ED (1972) High dose cyclophosphamide therapy for malignant disease. Toxicity, tumor response and the effects of stored autologous marrow. Cancer 29: 357–365
Buckner CD, Briggs R, Clift RA, Fefer A, Funk DD, Glucksberg H, Neiman PE, Storb E, Thomas ED (1974) Intermittent high-dose cyclophosphamide treatment of stage II ovarian carcinoma. Cancer Chemother Rep 58: 697–703
Cox PJ (1979) Cyclophosphamide cystitis — identification of acrolein as the causative agent. Biochem Pharmacol 28: 2045–2049
Djerassi I, Kim JS (1976) Methotrexate and citrovorum factor rescue in the management of childhood lymphosarcoma and reticulum cell sarcoma (non-Hodgkin’s lymphoma). Cancer 38: 1043–1051
Douer D, Champlin RE, Ho WG, Sarna GP, Wells JH, Graze PR, Cline MJ, Gale RP (1981) High dose combined-modality therapy and autologous bone marrow transplantation in resistant cancer. Am J Med 71: 973–976
Eagan RT, Carr DT, Frytak S, Rubin J, Lee RE (1976) VP16–213 versus polychemotherapy in patients with advanced small cell lung cancer. Cancer Treat Rep 60: 949–952
Ettinger DS, Karp JE, Abeloff MD, Burke PJ, Braine HG (1978) Intermittent high-dose cyclophosphamide chemotherapy for small cell carcinoma of the lung. Cancer Treat Rep 62: 413–424
Farha P, Spitzer G, Valdivieso M (1983a) High dose intensification with autologous bone marrow transplantation in limited disease small cell lung cancer. In: Proceedings of UCLA symposium on recent advances in bone marrow transplantation, Salt Lake City, Feb 13–18, 1983, Abstract 0155
Farha P, Spitzer G, Valdivieso M, Dicke KA, Sander A, Dhingra HM, Minhaar G, Vellekoop L, Verma DS, Umsawasdi MD, Chiuten D (1983b) High-dose chemotherapy and autologous bone marrow transplantation for the treatment of small cell lung carcinoma. Cancer 52: 1351–1355
Frei IE, Canellos GP (1980) Dose: A critical factor in cancer chemotherapy. Am J Med 69: 585–594
Gale R, Graze PR, Wells J, Ho W, Hershko C, Lowenberg B, Felgs S, Cline MJ (1979) Autologous bone marrow transplantation in patients with cancer. Exp Haematol [Suppl 5] 7: 351–359
Goldie JH, Coldman At (1979) A mathematic model correlating the drug sensitivity of tumors to the spontaneous mutation rate. Cancer Treat Rep 63: 1727–1733
Goldstone AH, Harper PG, Linch DC, Souhami RL, Anderson CC, Moss FM, Martin PJ, Richards JDM (1983) Patterns of haematological recovery in autologous bone marrow transplantation for small cell carcinoma of bronchus, carcinoma of the ovary and acute leukaemia and lymphoma. Exp Haematol [Suppl 13] 11: 164–167
Graham MI, Shaw IC, Souhami RL, Sidau B, Harper PG, McLean AEM (1983) Decreased plasma half-life of cyclophosphamide during repeated high-dose administration. Cancer Chemother Pharmacol 10: 192–193
Hande KR, Oldham RK, Fer MF, Richardson RL, Greco FA (1982) Randomised study of high-dose versus low-dose methotrexate in the treatment of extensive small cell lung cancer. Am J Med 73: 413–419
Hochberg FH, Parker LM, Takvorian T, Canellos GP, Zervas NT (1981) High-dose BCNU with autologous bone marrow rescue for glioblastoma multiforme. J Neurosurg 54: 455–460
Ihde DC, Lichter AS, Deisseroth AB, Bunn PA, Carney DN, Cohen MH, Makuch RW, Johnston-Early A, Minna J (1983) Late intensive combined-modality therapy with autologous bone marrow infusion in extensive stage small cell lung cancer. Am Assoc Clin Oncol 19 C7747: 198
Jaffe N (1972) Recent advances in the chemotherapy of metastatic osteosarcoma. Cancer 30: 1627–1631
Johnson DH, Wolff SN, Hande KR, Hainsworth JD, Fer MF, Greco FA (1983) High-dose VP16–312 treatment of extensive small cell lung cancer. Am Assoc Clin Oncol 24: C754
Kaye SB (1982) Intensive chemotherapy for solid tumours — current clinical applications. Cancer Chemother Pharmacol 9: 127–133
Klastersky J, Nicaise C, Longeval E, Strykmans P (1982) cis-Platin, adriamycin, etoposide ( CAV) for remission induction of small-cell bronchogenic carcinoma. Cancer 50: 652–658
McElwain TJ, Hedley DW, Burton G, Clink HM, Gordon MY, Jarman M, Juttner CA, Millar JL, Milsted RAV, Prentice G, Smith IE, Spence D, Woods M (1979) Marrow autotransplantation accelerates haematological recovery in patients with malignant melanoma treated with high-dose melphalan. Br J Cancer 40: 72–80
Mooney C, Souhami RL, Pritchard J (1983) Recurrent medulloblastoma: Lack of response to high-dose methotrexate. Cancer Chemother Pharmacol 10: 135–136
Pico JL, Beaujean F, Debre M, Carde P, Le Cheumlier T, Haat M (1983) High-dose chemotherapy with autologous bone marrow transplantation in small cell carcinoma of the lung in relapse. Proc Am Soc Clin Oncol 19: (C806): 206
Pritchard J, McElwain TJ, Graham-Pole G (1982) High dose melphalan with autologous marrow for treatment of advanced neuroblastoma. Br J Cancer 45: 86–88
Rosen G, Nirenberg A (1982) Chemotherapy for osteosarcoma: An investigative method, not a recipe. Cancer Treat Rep 66: 1687–1697
Sculier JP, Klastersky J, Strykckmans P, Weerts D (1983) Late intensification in small cell lung cancer: Result of a pilot study. Proc Am Assoc Canc Res 24: 1052
Shorthouse AJ, Jones JM, Steel GG, Peckham MJ (1982) Experimental combination and single-agent chemotherapy in human lung-tumour xenografts. Br J Cancer 46: 35–45
Smith IE, Evans BD, Harland SJ (1983) High-dose cyclophosphamide (7 g/m2) ± autologous bone marrow rescue after conventional chemotherapy in patients with small cell lung cancer. Am Assoc Clin Oncol 2: C726
Souhami RL, Harper PG, Linch DC, Trask C, Goldstone AH, Tobias J, Spiro SG, Geddes DM, Richards JDM (1982) High-dose cyclophosphamide with autologous marrow transplantation as initial treatment of small cell carcinoma of the bronchus. Cancer Chemother Pharmacol 8: 31–34
Souhami RL, Harper PG, Linch D, Trask C, Goldstone AH, Tobias JS, Spiro SG, Geddes DM, Richards JDM (1983) High-dose cyclophosphamide with autologous marrow transplantation as initial treatment of small cell carcinoma of the bronchus. Cancer Chemother Pharmacol 10: 205–207
Spitzer G, Dickie KA, Litam J, Verma DS, Zander A, Lanzotti V, Valdivieso M, McCredie KB, Samuels ML (1980) High-dose combination chemotherapy with autologous bone marrow transplantation in adult solid tumours. Cancer 45: 3975–3985
Stewart P, Buckner CD, Thomas ED, Bagley C, Bensinger W, Clift RA, Appelbaum FR, Sanders J (1983) Intensive chemoradiotherapy with autologous marrow transplantation for small cell carcinoma of the lung. Cancer Treat Rep 67: 1055–1059
Trask CL. Joannides T, Harper PG, Tobias JS, Spiro SG, Geldes DM, Souhami RL (1984) Cancer (in press)
Wolff SN, Fer MF, McKay C, Hainsworth J, Hande KR, Greco FA (1982) High-dose VP16 and autologous bone marrow transplantation for advanced malignancies — a phase I study. Proc Am Assoc Cancer Res 23: C134
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Harper, P.G., Souhami, R.L. (1985). Intensive Chemotherapy with Autologous Bone Marrow Transplantation in Small Cell Carcinoma of the Lung. In: Seeber, S. (eds) Small Cell Lung Cancer. Recent Results in Cancer Research, vol 97. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-82372-5_13
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DOI: https://doi.org/10.1007/978-3-642-82372-5_13
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