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Prognostic significance of serum lactic acid dehydrogenase in Ewing’s tumor of bone

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Ricerca in clinica e in laboratorio

Summary

Pretreatment serum lactic acid dehydrogenase (LDH) levels were examined in 82 patients with Ewing’s tumor of bone (23 metastatic and 59 localized). The percentage of patients with increased serum LDH levels was significantly higher in the metastatic group than in the group of patients with localized disease (87 vs. 45%). After treatment with combined therapy, in this latter group the recurrence rate was significantly higher in patients with elevated serum LDH levels at admission than in those with normal serum LDH levels (50 vs. 9%). Of the 16 patients with localized disease who relapsed, 13 (81%) had elevated serum LDH levels at the time of recurrence. These results indicate that in Ewing’s tumor serum LDH levels may serve as useful prognostic markers and could be valuable in monitoring the effectiveness of combined therapy.

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References

  1. Bacci G., Picci P., Gitelis S., Borghi A., Campanacci M.: The treatment of localized Ewing’ sarcoma: the experience at the Istituto Ortopedico Rizzoli in 163 cases treated with and without adjuvant chemotherapy. Cancer49, 1561, 1982.

    Article  PubMed  CAS  Google Scholar 

  2. Bacci G.,Picci P.,Gherlinzoni F.,Capanna R.,Putti C.,Mancini I.,Campanacci M.: Localized Ewing’s sarcoma: ten-year experience at the Istituto Ortopedico Rizzoli in 124 cases treated with multimodal therapy.Europ. J. Cancer clin. Oncol. 1984. (In press).

  3. Bergheyer H. W.: Provisional recommendations on IPCC methods for the measurement of catalytic concentrations of enzymes. Clin. Chem.23, 890, 1977.

    Google Scholar 

  4. Bierman H. R., Hill B. R., Reinbrardt L., Emory E.: Correlation of serum lactic dehydrogenase activity with the clinical status of patients with cancer, lymphoma and leukemias. Cancer Res.17, 660, 1957.

    PubMed  CAS  Google Scholar 

  5. Brereton H. D., Simon R., Pomeroy C. C.: Pretreatment serum lactic dehydrogenase predicting metastatic spread in Ewing’s sarcoma. Ann. intern. Med.83, 352, 1975.

    PubMed  CAS  Google Scholar 

  6. Ferraris A. M., Giuntini P., Gaetani G. F.: Serum lactic dehydrogenase as a prognostic tool for non-Hodgkin’s lymphomas. Blood54, 928, 1979.

    PubMed  CAS  Google Scholar 

  7. Gasparini M., Lombardi F.: Adjuvant chemotherapy in Ewing’s sarcoma patient. Rec. Results Cancer Res.80, 120, 1982.

    CAS  Google Scholar 

  8. Gehan E. A., Nesbit M. E. Jr.,Burgert E. O. Jr.,Vietti T. J., Tefft M., Perez C. A., Kissane J., Hempel C.: Prognostic factors in children with Ewing’s sarcoma. Nat. Cancer Inst. Monogr.56, 273, 1981.

    PubMed  Google Scholar 

  9. Glaubiger B. L., MacKuch R., Schwartz J., Levine A. S., Johnnson R. E.: Determination of prognostic factors and their influence on therapeutic results in patients with Ewing’s sarcoma. Cancer45, 2213, 1980.

    Article  PubMed  CAS  Google Scholar 

  10. Goldman A.: Ewing’s sarcoma: treatment with high-dose radiation and adjuvant chemotherapy. Rec. Results Cancer Res.80, 115, 1982.

    CAS  Google Scholar 

  11. Haeberg H., Siebaghn A.: Prognostic value of serum lactic dehydrogenase in non-Hodgkin’s lymphoma. Scand. J. Haematol.31, 49, 1983.

    Google Scholar 

  12. Hossfeld D. K., Seeber S., Siemers E., Schmidt C. G., Scherer E.: Early results of combined modality therapy of patients with Ewing’s sarcoma. Rec. Results Cancer Res.80, 124, 1982.

    CAS  Google Scholar 

  13. Nesbit M. E. Jr.,Perez C. A., Tefft M., Burgert E. O. Jr.,Vietti T. J., Kissane J., Pritchard D. J., Gehan E. A.: Multimodal therapy for the management of primary, non-metastatic Ewing’s sarcoma of bone: an intergroup study. Nat. Cancer Inst. Monogr.56, 255, 1981.

    PubMed  Google Scholar 

  14. Pritchard D.J., Dahlin D. C., Dauphine R. T., Taylor W. F., Beabout Y. W.: Ewing’s sarcoma: a clinico-pathological and statistical analysis of patients surviving five years or longer. J. Bone Jt Surg.57A, 10, 1975.

    Google Scholar 

  15. Rosen G., Caparros B., Nirenberg A., Marcove R. C., Huvos A. G., Kosloff C., Lane J., Murphy M. L.: Ewing’s sarcoma: ten-year experience with adjuvant chemotherapy. Cancer47, 2204, 1901.

    Article  Google Scholar 

  16. Schneider R. J., Seibert K., Passe S.: Prognostic significance of serum lactate dehydrogenase in malignant lymphoma. Cancer46, 139, 1980.

    Article  PubMed  CAS  Google Scholar 

  17. Wilkinson J. H.: Clinical application of isoenzymes. Clin. Chem.16, 733, 1970.

    PubMed  CAS  Google Scholar 

  18. Wrobleski F., La Due J.: Lactic dehydrogenase activity in blood. Proc. Soc. exp. Biol. (N.Y.)90, 210, 1955.

    Google Scholar 

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Bacci, G., Capanna, R., Orlandi, M. et al. Prognostic significance of serum lactic acid dehydrogenase in Ewing’s tumor of bone. La Ricerca Clin. Lab. 15, 89–96 (1985). https://doi.org/10.1007/BF03029166

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  • DOI: https://doi.org/10.1007/BF03029166

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