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High Dose Cisplatin and Drug Resistance: Clinical and Laboratory Correlations

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Platinum and Other Metal Coordination Compounds in Cancer Chemotherapy

Part of the book series: Developments in Oncology ((DION,volume 54))

Abstract

Cisplatin is a clinically important antineoplastic agent with particular usefulness in the treatment of testicular and ovarian cancer. The cure rate for patients with advanced testicular cancer has increased to 70–80% with cisplatin-based combination regimens (1). In patients with advanced ovarian cancer, cisplatin-based combination chemotherapy has increased complete response rates and prolonged overall survival compared to single agent therapy (2). However, due to the development of acquired drug resistance, the majority of patients with bulky ovarian cancer are not cured with standard dose cisplatin regimens. It has been shown that the dose of cisplatin is a critical factor in achieving optimum results in patients with either testicular or ovarian cancer. However, the toxicity of cisplatin (primarily nephrotoxicity) has prevented the routine administration of doses >100–120 mg/m2.

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© 1988 Martinus Nijhoff Publishing, Boston

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Ozols, R.F. et al. (1988). High Dose Cisplatin and Drug Resistance: Clinical and Laboratory Correlations. In: Nicolini, M. (eds) Platinum and Other Metal Coordination Compounds in Cancer Chemotherapy. Developments in Oncology, vol 54. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1717-3_21

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  • DOI: https://doi.org/10.1007/978-1-4613-1717-3_21

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8967-8

  • Online ISBN: 978-1-4613-1717-3

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