The Role of High Dose Chemotherapy with Autologous Hematopoietic Cell Transplant in Relapsed/Refractory Ovarian Germ Cell Tumors: A Single Center Experience

被引:1
作者
Topal, Alper [1 ]
Erturk, Ismail [1 ]
Koseoglu, Caglar [1 ]
Dumludag, Aysegul [1 ]
Kuzu, oemer Faruk [1 ]
Durmaz, Pelin [1 ]
Akdag, Goncagul [2 ]
Keskin, Gul Sema Yildiran [1 ]
Karadurmus, Nuri [1 ]
机构
[1] Gulhane Res & Training Hosp, Dept Internal Med, Div Med Oncol, Gen Dr Tevfik Saglam Caddesi 1 Etlik, Ankara, Turkiye
[2] Hlth Sci Univ, Kartal Dr Lutfi Kirdar City Hosp, Dept Med Oncol, Istanbul, Turkiye
关键词
Autologous stem cell transplantation; Salvage therapy; Overall survival; Complete response; ETOPOSIDE; DIAGNOSIS; SURGERY;
D O I
10.1016/j.clgc.2024.102106
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We aimed to analyze response rates, survival, and factors influencing outcomes in patients with ovarian germ cell tumors undergoing HDC and ASCT. Twenty-one patients were included. After HDC + ASCT, CR was observed in 11 patients (52.3%), PR in 3 patients (14.3%). Median PFS and OS were calculated to be 6.0 months and 14.8 months, respectively. Salvage HDC + ASCT is an effective option in ovarian germ cell tumours. Objective: We aimed to investigate response rates, survival analyses and factors affecting survival in patients with relapsed or refractory ovarian germ cell tumours who had previously received multiple lines of treatment, including high-dose chemotherapy (HDC) and autologous stem cell transplantation (ASCT). Methods: This study was designed as a cross-sectional, retrospective study. Results: Twenty-one patients were included. After HDC + ASCT, complete response (CR) was observed in 11 patients (52.3%), partial response (PR) in 3 patients (14.3%), stable disease (SD) in 3 patients (14.3%) and progressive disease (PD) in 4 patients (19.1%). TRM was observed in 1 patient. Median followup was 51.7 months. Median PFS and OS after HDC + ASCT were calculated to be 6.0 months and 14.8 months, respectively. Conclusions: Salvage HDC + ASCT is an effective option in the treatment of relapsed/refractory ovarian germ cell tumours, offering the potential for prolonged survival and cure.
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页数:9
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