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A single institution experience of streptozocin/fluorouracil combination chemotherapy: a case series

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Abstract

Background

The combination chemotherapy regimen of streptozocin and 5-fluorouracil (FU/STZ) has been used for the treatment of metastatic neuroendocrine tumours.

Aim

The aim of this study was to analyse the use of this regimen in a tertiary oncology referral centre over a 10-year period.

Method

We retrospectively analysed nine cases from February 2000 to May 2010. Patient demographics, chemotherapy schedule, toxicities, progression-free and overall survival were tabulated for each patient.

Result

The median progression-free survival was 17 months (range 3–48+ months), and overall survival 31 months (range 12–53+ months) with no toxicity related deaths.

Conclusion

FU/STZ was a well-tolerated regimen that produced significant benefit in the setting of metastatic and progressive disease. Our case series demonstrated comparable progression-free survival and overall survival in relation to randomized controlled studies and previous case series.

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References

  1. Arnold R, Rinke A, Schmidt C, Hofbauer L (2005) Endocrine tumours of the gastrointestinal tract: chemotherapy. Best Pract Res Clin Gastroenterol 19:649–665

    Article  PubMed  CAS  Google Scholar 

  2. Klimstra DS, Modlin IR, Coppola D, Lloyd RV, Suster S (2010) The pathologic classification of neuroendocrine tumors. Pancreas 39:707–712

    Article  PubMed  Google Scholar 

  3. Öberg K (2010) Pancreatic endocrine tumors. Semin Oncol 37:561–594

    Article  Google Scholar 

  4. Basu B, Sirhoni B, Corrie P (2008) Systemic therapy for neuroendocrine tumours of gastroenteropathic origin. Endocr Relat Cancer 17:75–90

    Article  Google Scholar 

  5. Broder LE, Carter SK (1973) Pancreatic islet cell carcinoma. II. Results of therapy with streptozotocin in 52 patients. Ann Intern Med 79:108–118

    PubMed  CAS  Google Scholar 

  6. Sun W, Lipsitz S, Catalano P, Maillaird JA, Haller DG (2003) Phase II/III study of doxorubicin with fluorouracil compared with streptozocin with fluorouracil or dacarbazine in the treatment of advanced carcinoid tumours: ECOG Group Study E1281. J Clin Oncol 23:4897–4904

    Article  Google Scholar 

  7. Moertel CG, Hanley JA, Johnson LA (1980) Streptozocin alone compared with streptozocin plus fluorouracil in the treatment of advanced islet-cell carcinoma. N Engl J Med 303:1189–1194

    Article  PubMed  CAS  Google Scholar 

  8. Moertel CG, Lefkopoulo M, Lipsitz S, Hahn RG, Klaassen D (1998) Streptozocin–doxorubicin, streptozocin–fluorouracil or chlorozotocin in the treatment of advanced islet-cell carcinoma. N Engl J Med 326:519–523

    Article  Google Scholar 

  9. Moertel CG, Johnson CM, McKusick MA et al (1994) The management of patients with advanced carcinoid tumours and islet cell carcinomas. Ann Intern Med 120:302–309

    PubMed  CAS  Google Scholar 

  10. La Rosa S, Uccella S, Finzi G, Albarello L, Sessa F, Capella C (2003) Localisaton of vascular endothelial growth factor and its receptors in digestive endocrine tumours: correlation with microvessel density and clinicopatologic features. Hum Pathol 34:18–27

    Article  PubMed  CAS  Google Scholar 

  11. Raymond E, Dahan L, Raoul JL et al (2011) Sunitinib malate for the treatment of pancreatic neuroendocrine tumours. N Engl J Med 364:501–513

    Article  PubMed  CAS  Google Scholar 

  12. Phan A, Yao J, Fogelman D. (2010) A prospective, multi-institutional phase II study of GW786034 (pazopanib) and depot octreotide in advanced low-grade neuroendocrine carcinoma J Clin Oncol 28 (absract)

  13. Hobday TJ, Rubin J, Holen K, Picus J, Donehower R, Marschke R, Maples W, Lloyd R, Mahoney M, Erlichman C (2007) MC044 h, a phase II trial of sorafenib in patients with metastatic neuroendocine tumors: a phase II consortium study [abstract]. ASCO Annual Meeting Proc 25:4505a

    Google Scholar 

  14. Yao JC, Shah MH, Ito T et al (2011) Everolimus for advanced pancreatic neuroendocrine tumours. N Engl J Med 364:514–523

    Article  PubMed  CAS  Google Scholar 

  15. O’Donnell PH, Ratatin MJ (2007) Evaluating the activity of temsirolimus in neuroendocrine cancer. Br J Cancer 177:177–179

    Article  Google Scholar 

  16. Castellano D (2011) Sorafenib and bevacizumab combination targeted therapy in advanced neuroendocrine tumor: a phase II study of the Spanish Neuroendocrine Tumor Group (GETNE0801)

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Naidoo, J., O’Toole, D., Kennedy, M.J. et al. A single institution experience of streptozocin/fluorouracil combination chemotherapy: a case series. Ir J Med Sci 181, 211–214 (2012). https://doi.org/10.1007/s11845-011-0780-7

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  • DOI: https://doi.org/10.1007/s11845-011-0780-7

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