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Published in: Cancer Chemotherapy and Pharmacology 4/2009

01-03-2009 | Short Communication

Complete remission of platinium refractory ovarian cancer with second line tegafur with uracil monotherapy: a case report

Authors: Celalettin Camci, Alper Sevinc, Yilmaz Aslan, Mehmet Emin Kalender, Suleyman Buyukberber

Published in: Cancer Chemotherapy and Pharmacology | Issue 4/2009

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Abstract

Background

Ovarian cancer remains one of the most lethal of all gynecologic malignancies, accounting for more deaths than cervical and uterine cancer combined. Advanced ovarian cancer is a chemosensitive tumor and most patients initially respond to platinum-based combination chemotherapy with response rates of about 70%, including a high proportion of complete responses. However, despite aggressive surgery and chemotherapy, more than 80% of patients will relapse and will then be treated with second line chemotherapy with objective responses in about 20% of patients and even lower percentages of complete responses.

Case

We observed a 42-months of complete response with administration of 1-[2-tetrahydrofuryl]-5-fluorouracil mixed with uracil (UFT) in patient with platinium refractory ovarian cancer.

Conclusion

We report a complete remission of platinium refractory epitelial ovarian cancer with UFT monotherapy that was not reported previously.
Literature
1.
go back to reference Jemal A, Siegel R, Ward E, Murray T, Xu J, Thun MJ (2007) Cancer statistics, 2007. CA Cancer J Clin 57:43–66PubMedCrossRef Jemal A, Siegel R, Ward E, Murray T, Xu J, Thun MJ (2007) Cancer statistics, 2007. CA Cancer J Clin 57:43–66PubMedCrossRef
2.
go back to reference Young RC, Decker DG, Wharton JT, Piver MS, Sindelar WF, Edwards BK, Smith JP (1983) Staging laparotomy in early ovarian cancer. JAMA 250:3072–3076PubMedCrossRef Young RC, Decker DG, Wharton JT, Piver MS, Sindelar WF, Edwards BK, Smith JP (1983) Staging laparotomy in early ovarian cancer. JAMA 250:3072–3076PubMedCrossRef
3.
go back to reference Samaritani R, Corrado G, Vizza E, Sbiroli C (2007) Cyclophosphamide “metronomic”chemotherapy for palliative treatment of a young patient with advanced epithelial ovarian cancer. BMC Cancer, doi:10.1186/1471-2407-7-65 Samaritani R, Corrado G, Vizza E, Sbiroli C (2007) Cyclophosphamide “metronomic”chemotherapy for palliative treatment of a young patient with advanced epithelial ovarian cancer. BMC Cancer, doi:10.​1186/​1471-2407-7-65
4.
go back to reference Doyle C, Crump M, Pintilie M, Oza AM (2001) Does palliative chemotherapy palliate? Evaluation of expectations, outcomes, and costs in women receiving chemotherapy for advanced ovarian cancer. J Clin Oncol 19:1266–1274PubMed Doyle C, Crump M, Pintilie M, Oza AM (2001) Does palliative chemotherapy palliate? Evaluation of expectations, outcomes, and costs in women receiving chemotherapy for advanced ovarian cancer. J Clin Oncol 19:1266–1274PubMed
5.
go back to reference Latorre A, De Lena M, Catino A, Crucitta E, Sambiasi D, Guida M, Misino A, Lorusso V (2002) Epithelial ovarian cancer: second andthird line chemotherapy. Int J Oncol 21:179–186PubMed Latorre A, De Lena M, Catino A, Crucitta E, Sambiasi D, Guida M, Misino A, Lorusso V (2002) Epithelial ovarian cancer: second andthird line chemotherapy. Int J Oncol 21:179–186PubMed
6.
go back to reference Sulkes A, Benner SE, Canetta RM (1998) Uracil-ftorafur: an oral fluoropyrimidine active in colorectal cancer. J Clin Oncol 16:3461–3475PubMed Sulkes A, Benner SE, Canetta RM (1998) Uracil-ftorafur: an oral fluoropyrimidine active in colorectal cancer. J Clin Oncol 16:3461–3475PubMed
7.
go back to reference Hoff PM, Lassere Y, Pazdur R (1999) Tegafur/uracil + calcium folinate in colorectal cancer: double modulation of fluorouracil (Review; 43 refs). Drugs 58:77–83PubMedCrossRef Hoff PM, Lassere Y, Pazdur R (1999) Tegafur/uracil + calcium folinate in colorectal cancer: double modulation of fluorouracil (Review; 43 refs). Drugs 58:77–83PubMedCrossRef
8.
go back to reference Young RC, Walton LA, Ellenberg SS, Homesley HD, Wilbanks GD, Decker DG, Miller A, Park R, Major F Jr (1990) Adjuvant therapy in stage I and stage II epithelial ovarian cancer. Results of two prospective randomized trials. N Engl J Med 322:1021–1027PubMed Young RC, Walton LA, Ellenberg SS, Homesley HD, Wilbanks GD, Decker DG, Miller A, Park R, Major F Jr (1990) Adjuvant therapy in stage I and stage II epithelial ovarian cancer. Results of two prospective randomized trials. N Engl J Med 322:1021–1027PubMed
9.
go back to reference Markman M, Markman J, Webster K, Zanotti K, Kulp B, Peterson G, Belinson J (2004) Duration of response to second-line, platinum-based chemotherapy for ovarian cancer: implications for patient management and clinical trial design. J Clin Oncol 22:3120–3125PubMedCrossRef Markman M, Markman J, Webster K, Zanotti K, Kulp B, Peterson G, Belinson J (2004) Duration of response to second-line, platinum-based chemotherapy for ovarian cancer: implications for patient management and clinical trial design. J Clin Oncol 22:3120–3125PubMedCrossRef
10.
go back to reference Santillan A, Garg R, Zahurak ML, Gardner GJ, Giuntoli RL 2nd, Armstrong DK, Bristow RE (2005) Risk of epithelial ovarian cancer recurrence in patients with rising serum CA-125 levels within the normal range. J Clin Oncol 23:9338–9343PubMedCrossRef Santillan A, Garg R, Zahurak ML, Gardner GJ, Giuntoli RL 2nd, Armstrong DK, Bristow RE (2005) Risk of epithelial ovarian cancer recurrence in patients with rising serum CA-125 levels within the normal range. J Clin Oncol 23:9338–9343PubMedCrossRef
11.
go back to reference Liu PY, Alberts DS, Monk BJ, Brady M, Moon J, Markman M (2007) An early signal of CA-125 progression for ovarian cancer patients receiving maintenance treatment after complete clinical response to primary therapy. J Clin Oncol 25:3615–3620PubMedCrossRef Liu PY, Alberts DS, Monk BJ, Brady M, Moon J, Markman M (2007) An early signal of CA-125 progression for ovarian cancer patients receiving maintenance treatment after complete clinical response to primary therapy. J Clin Oncol 25:3615–3620PubMedCrossRef
12.
go back to reference Vergote I, Rustin GJ, Eisenhauer EA, Kristensen GB, Pujade-Lauraine E, Parmar MK, Friedlander M, Jakobsen A, Vermorken JB (2000) Re: new guidelines to evaluate the response to treatment in solid tumors (ovarian cancer). J Natl Cancer Inst 92:1534PubMedCrossRef Vergote I, Rustin GJ, Eisenhauer EA, Kristensen GB, Pujade-Lauraine E, Parmar MK, Friedlander M, Jakobsen A, Vermorken JB (2000) Re: new guidelines to evaluate the response to treatment in solid tumors (ovarian cancer). J Natl Cancer Inst 92:1534PubMedCrossRef
13.
go back to reference Sevinc A, Adli M, Kalender ME, Camci C (2007) Benign causes of increased serum CA-125 concentration. Lancet Oncol 8:1054–1055PubMedCrossRef Sevinc A, Adli M, Kalender ME, Camci C (2007) Benign causes of increased serum CA-125 concentration. Lancet Oncol 8:1054–1055PubMedCrossRef
14.
go back to reference Turk HM, Pekdemir H, Buyukberber S, Sevinc A, Camci C, Kocabas R, Tarakcioglu M, Buyukberber NM (2003) Serum CA 125 levels in patients with chronic heart failure and accompanying pleural fluid. Tumour Biol 24:172–175PubMedCrossRef Turk HM, Pekdemir H, Buyukberber S, Sevinc A, Camci C, Kocabas R, Tarakcioglu M, Buyukberber NM (2003) Serum CA 125 levels in patients with chronic heart failure and accompanying pleural fluid. Tumour Biol 24:172–175PubMedCrossRef
15.
go back to reference Sevinc A, Camci C, Turk HM, Buyukberber S (2003) How to interpret serum CA 125 levels in patients with serosal involvement? A clinical dilemma. Oncology 65:1–6PubMedCrossRef Sevinc A, Camci C, Turk HM, Buyukberber S (2003) How to interpret serum CA 125 levels in patients with serosal involvement? A clinical dilemma. Oncology 65:1–6PubMedCrossRef
16.
go back to reference Sevinc A, Sari R, Buyukberber S (2001) Cancer antigen 125: tumor or serosal marker in case of ascites? Arch Intern Med 161:2507–2508PubMedCrossRef Sevinc A, Sari R, Buyukberber S (2001) Cancer antigen 125: tumor or serosal marker in case of ascites? Arch Intern Med 161:2507–2508PubMedCrossRef
17.
go back to reference Sevinc A, Buyukberber S, Sari R, Turk HM, Ates M (2000) Elevated serum CA-125 levels in patients with nephrotic syndrome-induced ascites. Anticancer Res 20:1201–1203PubMed Sevinc A, Buyukberber S, Sari R, Turk HM, Ates M (2000) Elevated serum CA-125 levels in patients with nephrotic syndrome-induced ascites. Anticancer Res 20:1201–1203PubMed
18.
go back to reference Sevinc A, Buyukberber S, Sari R, Kiroglu Y, Turk HM, Ates M (2000) Elevated serum CA-125 levels in hemodialysis patients with peritoneal, pleural, or pericardial fluids. Gynecol Oncol 77:254–257PubMedCrossRef Sevinc A, Buyukberber S, Sari R, Kiroglu Y, Turk HM, Ates M (2000) Elevated serum CA-125 levels in hemodialysis patients with peritoneal, pleural, or pericardial fluids. Gynecol Oncol 77:254–257PubMedCrossRef
19.
go back to reference Sevinc A, Buyukberber S, Sari R (2000) Elevated serum CA-125 levels: hepatitis or ascites? Gynecol Oncol 76:141–142PubMedCrossRef Sevinc A, Buyukberber S, Sari R (2000) Elevated serum CA-125 levels: hepatitis or ascites? Gynecol Oncol 76:141–142PubMedCrossRef
20.
go back to reference Look KY, Muss HB, Blessing JA, Morris M (1995) A phase II trial of 5-fluorouracil and high-dose leucovorin in recurrent epithelial ovarian carcinoma. A Gynecologic Oncology Group Study. Am J Clin Oncol 18:19–22PubMedCrossRef Look KY, Muss HB, Blessing JA, Morris M (1995) A phase II trial of 5-fluorouracil and high-dose leucovorin in recurrent epithelial ovarian carcinoma. A Gynecologic Oncology Group Study. Am J Clin Oncol 18:19–22PubMedCrossRef
21.
go back to reference Ohwada N, Nagayama M, Kosuge T, Tsukagoshi T, Ibuki Y, Igarashi M, Yazaki K, Ito T, Nogami Y, Kimura H (1992) Maintenance chemotherapy using UFT and FT for gynecological malignant tumors (in Japanese). The Gunma Prefectural Society for Study of Chemotherapy for Gynecological Cancer. Gan To Kagaku Ryoho 19:2219–2226PubMed Ohwada N, Nagayama M, Kosuge T, Tsukagoshi T, Ibuki Y, Igarashi M, Yazaki K, Ito T, Nogami Y, Kimura H (1992) Maintenance chemotherapy using UFT and FT for gynecological malignant tumors (in Japanese). The Gunma Prefectural Society for Study of Chemotherapy for Gynecological Cancer. Gan To Kagaku Ryoho 19:2219–2226PubMed
22.
go back to reference Chen JT, Nakayama K, Shimizu Y, Yokosuka K, Teshima H, Hirai Y, Hamada T, Fujimoto I, Yamauchi K, Hasumi K (1990) Evaluation of UFT administration in patients with ovarian cancer who had no evidence of disease after the initial therapy (in Japanese). Gan To Kagaku Ryoho 17:407–412PubMed Chen JT, Nakayama K, Shimizu Y, Yokosuka K, Teshima H, Hirai Y, Hamada T, Fujimoto I, Yamauchi K, Hasumi K (1990) Evaluation of UFT administration in patients with ovarian cancer who had no evidence of disease after the initial therapy (in Japanese). Gan To Kagaku Ryoho 17:407–412PubMed
23.
go back to reference Tanaka K, Kodama S, Nakamura M, Takahashi T, Honma S, Maruhashi T, Tokunaga A, Takeuchi Y, Sudou N, Adachi S (1994) Clinical results of UFT against ovarian carcinoma (in Japanese). Gan To Kagaku Ryoho 2:1229–1233 Tanaka K, Kodama S, Nakamura M, Takahashi T, Honma S, Maruhashi T, Tokunaga A, Takeuchi Y, Sudou N, Adachi S (1994) Clinical results of UFT against ovarian carcinoma (in Japanese). Gan To Kagaku Ryoho 2:1229–1233
Metadata
Title
Complete remission of platinium refractory ovarian cancer with second line tegafur with uracil monotherapy: a case report
Authors
Celalettin Camci
Alper Sevinc
Yilmaz Aslan
Mehmet Emin Kalender
Suleyman Buyukberber
Publication date
01-03-2009
Publisher
Springer-Verlag
Published in
Cancer Chemotherapy and Pharmacology / Issue 4/2009
Print ISSN: 0344-5704
Electronic ISSN: 1432-0843
DOI
https://doi.org/10.1007/s00280-008-0775-x

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