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Clinical implications of multidrug resistance to chemotherapy

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Molecular and Clinical Advances in Anticancer Drug Resistance

Part of the book series: Cancer Treatment and Research ((CTAR,volume 57))

Abstract

One of the major problems in clinical oncology is the existence or development of drug resistance. Improvement of therapeutic modalities will only be possible with better understanding of mechanisms of drug resistance and identification of resistant tumor cells in human tumors. With this knowledge special treatments in case of drug resistance should be developed. Tumors with intrinsic (de novo) resistance, known to be refractory to chemotherapy at initial diagnosis are, for example, colon carcinomas, adenocarcinomas of the lung, and melanomas. Other tumors respond initially, but later on show acquired resistance. This is illustrated by the clinical course of small-cell lung carcinomas and acute myeloid leukemias. Initially, a high remission percentage is found, but often relapses occur within 1-2 years. Subsequent attempts to obtain remission induction either fail, or the results are incomplete and remissions are nearly always of shorter duration.

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de Vries, E.G.E., Pinedo, H.M. (1991). Clinical implications of multidrug resistance to chemotherapy. In: Ozols, R.F. (eds) Molecular and Clinical Advances in Anticancer Drug Resistance. Cancer Treatment and Research, vol 57. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3872-1_8

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