Matsubara Kohei, Yamasaki Kai, Tanimura Kazuki, Hira Kota, Okuhiro Yuki, Ishii Yuko, Nitani Chika, Okada Keiko, Fujisaki Hiroyuki, Hara Junichi
Dept. of Pediatric Hematology/Oncology, Osaka City General Hospital, Osaka, Japan.
Gan To Kagaku Ryoho. 2021 Apr;48(4):537-540.
Gemcitabine and Docetaxel(GEM/DTX)are well known chemotherapeutic drugs for the treatment of soft tissue sarcomas. However, the efficacy of these drugs in the treatment of malignant rhabdoid tumors(MRTs)has not been well described. We used GEM/DTX as salvage chemotherapy for relapsed and refractory MRTs, including 2 patients with malignant rhabdoid tumor of the kidney(MRTK)and 2 with atypical teratoid rhabdoid tumor(ATRT). At the best, partial response was observed in 3 patients(2 MRTK and 1 ATRT). The remaining patient with ATRT had stable disease. Localized edema in the field of recent radiation therapy was discovered in 2 patients. In addition, one had pleural effusion without any evidence of tumor progression. GEM/DTX can be used as a potential chemotherapeutic drug for relapsed or refractory MRTs, although attention should be paid to its unique adverse events.
吉西他滨和多西他赛(GEM/DTX)是治疗软组织肉瘤的知名化疗药物。然而,这些药物在治疗恶性横纹肌样瘤(MRT)方面的疗效尚未得到充分描述。我们使用GEM/DTX作为复发和难治性MRT的挽救性化疗,其中包括2例肾恶性横纹肌样瘤(MRTK)患者和2例非典型畸胎样横纹肌样瘤(ATRT)患者。最佳情况下,3例患者(2例MRTK和1例ATRT)观察到部分缓解。其余1例ATRT患者病情稳定。2例患者在近期放疗区域出现局部水肿。此外,1例患者出现胸腔积液,无任何肿瘤进展迹象。GEM/DTX可作为复发或难治性MRT的潜在化疗药物,尽管应注意其独特的不良事件。