Abstract
The impact of cancer chemotherapy on the survival of all cancer patients has been significant, most notably in younger patients. The list of diseases curable with chemotherapy includes acute lymphocytic leukemia, adult Hodgkin’s disease, non-Hodgkin’s lymphomas of adults and children, pediatric solid tumors, ovarian cancer, and testicular cancer in young males [1]. Other tumors, such as adult leukemias, breast cancer, and small-cell lung cancer, are highly responsive to combination chemotherapy, but permanent remissions are achived in few of these patients. Unfortunately, these chemotherapy-responsive tumors will eventually reoccur in some patients. Although second remissions in patients with diseases such as Hodgkin’s disease, acute leukemia, and testicular cancer can be achieved with salvage chemotherapy, relapses in most cancer patients are associated with development of drug resistance and lack of durable second remissions. Understanding the mechanisms involved in the development of clinical drug resistance is essential for the design of rational, effective salvage therapy.
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Ivy, S.P., Ozols, R.F., Cowan, K.H. (1989). Drug Resistance in Cancer. In: Magrath, I. (eds) New Directions in Cancer Treatment. UICC International Union Against Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83405-9_9
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