Document Detail


Malignant mesothelioma of the pleura. A prospective therapeutic study of 132 patients from 1981-1985.
MedLine Citation:
PMID:  3210656     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between March 1981 and February 1985, 93 out of 132 patients with a histologically confirmed diagnosis of malignant pleural mesothelioma were eligible for therapy and were prospectively assigned to receive either combined therapy or best supportive care, according to their personal preferences. Fifty-seven patients underwent multimodal therapy including surgical resection where possible, polychemotherapy, and radiation therapy in case of partial remission. Thirty-six patients received maximal supportive care only, as did 39 patients who were not eligible for treatment. The median survival was 13 months for treated patients compared to 7 for those receiving best supportive care and 5 for patients not amenable to treatment. Median progress-free survival was 6, 2, and 1 month respectively. Surgical resection did not prolong life expectancy within the treated group. In view of significant differences in the distribution of various cofactors over the two study groups, stepwise Cox model analyses were performed. Prognostic nontreatment variables related to prolonged survival were: good performance status, stage I and II, absence of chest pain, age below 50 years, and epithelial histology. Although in the Cox model analyses the survival improvement of patients being treated could be greatly attributed to other cofactors, multimodal treatment showed some prolongation of life expectancy.
Authors:
A Calavrezos; G Koschel; H Hüsselmann; A Taylessani; H P Heilmann; H Fabel; H J Schmoll; H Dietrich; E Hain
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Klinische Wochenschrift     Volume:  66     ISSN:  0023-2173     ISO Abbreviation:  Klin. Wochenschr.     Publication Date:  1988 Jul 
Date Detail:
Created Date:  1989-02-10     Completed Date:  1989-02-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985205R     Medline TA:  Klin Wochenschr     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  607-13     Citation Subset:  IM    
Affiliation:
Hämatologische Abteilung des Allgemeinen Krankenhauses St. Georg, Hamburg.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Antineoplastic Combined Chemotherapy Protocols / therapeutic use
Combined Modality Therapy
Female
Follow-Up Studies
Humans
Male
Mesothelioma / drug therapy,  radiotherapy,  surgery*
Middle Aged
Pleural Neoplasms / drug therapy,  radiotherapy,  surgery*
Pneumonectomy
Prospective Studies
Radiotherapy Dosage

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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