Restoring platinum sensitivity in recurrent ovarian cancer by extending the platinum-free interval: Myth or reality?
- PMID: 28678350
- DOI: 10.1002/cncr.30830 (VSports app下载)
Restoring platinum sensitivity in recurrent ovarian cancer by extending the platinum-free interval: Myth or reality?
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The platinum-free interval is the most important predictive factor of a response to subsequent lines of chemotherapy and the most important prognostic factor for progression-free and overall survival in patients with recurrent epithelial ovarian cancer. A nonplatinum regimen is generally considered the most appropriate approach when the disease recurs very early after the end of chemotherapy, whereas platinum-based chemotherapy is usually adopted when the platinum-free interval exceeds 12 months. However, the therapeutic management of patients with intermediate sensitivity (ie, when the relapse occurs between 6 and 12 months) remains debatable. Preclinical and clinical data suggest that the extension of platinum-free interval (using a nonplatinum-based regimen) might restore platinum sensitivity, thus allowing survival improvement. The objective of this review was to critically analyze preclinical and clinical evidences supporting this hypothesis. Cancer 2017;123:3450-9 VSports手机版. © 2017 American Cancer Society. .
Keywords: cancer; ovarian; platinum; platinum-free-interval; recurrent; restoration; sensitivity V体育安卓版. .
© 2017 American Cancer Society.
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