Cisplatin-based combination chemotherapy for disseminated germ cell tumors: Long-term follow-up

B. J. Roth, A. Greist, P. S. Kubilis, S. D. Williams, L. H. Einhorn

Research output: Contribution to journalArticle

133 Scopus citations

Abstract

A retrospective analysis of the initial 229 cases of disseminated germ cell tumors treated at Indiana University with cisplatin, vinblastine, and bleomycin (PVB), with or without doxorubicin revealed 146 pateints who are alive and disease-free with a minimum follow-up of 6 years and a median follow-up of 8.5 years. At 12 years, the estimated probability of survival is 65.0%, and the estimated probability of relapse-free survival for complete responders is 83.5%. Long-term complications, such as clinically significant organ toxicity or therapy-related second malignancies, have not been observed. The functional status of survivors is maintained, with 95% returning to their pretherapy status, of which 88% are fully employed. Of patients receiving chemotherapy without abdominal surgery, 35% have fathered healthy children posttherapy. Achievement of complete remision (CR) in disseminated germ cell tumors with cisplatin-based combination chemotherapy translates to long-term disease-free survival and cure for the majority of patients, with preservation of functional status.

Original languageEnglish
Pages (from-to)1239-1247
Number of pages9
JournalJournal of Clinical Oncology
Volume6
Issue number8
DOIs
StatePublished - Jan 1 1988
Externally publishedYes

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