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局部脂肪肉瘤患者潜在治愈性手术后的表柔比星化疗。

Chemotherapy With Eribulin Following Potentially Curative Surgery in Patients With Localized Liposarcoma.

机构信息

Clinical Division of Oncology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.

Clinical Division of Oncology, Department of Medicine I, Medical University of Vienna, Vienna, Austria

出版信息

In Vivo. 2024 Jan-Feb;38(1):385-389. doi: 10.21873/invivo.13450.

Abstract

BACKGROUND/AIM: Soft tissue sarcomas are rare and heterogenous malignancies with high recurrence rates following resection and a poor prognosis in advanced stages. Eribulin is used in metastatic soft tissue sarcoma patients, who have failed first line chemotherapy and has been approved for patients with pretreated advanced liposarcoma (LPS) in the United States and Europe following the publication of data of a phase III trial. In addition, no data are available for eribulin as postoperative treatment after potentially curative surgery. We, thus, retrospectively evaluated efficacy and tolerability of adjuvant eribulin in patients with LPS not suitable for intensive chemotherapy in the routine clinical setting.

PATIENTS AND METHODS

In this retrospective single center analysis, efficacy and safety of eribulin were retrospectively evaluated in five high risk LPS patients.

RESULTS

Eribulin as treatment was administered to five patients with LPS following surgical resection. Median progression-free survival and overall survival were 12.3 months and 44.3 months, respectively. Toxicity was generally manageable, and grade 3+4 events were rare.

CONCLUSION

Postoperative eribulin may be feasible in selected high risk LPS patients, who are not candidates for intensive chemotherapy regimens. Further prospective trials, however, are needed.

摘要

背景/目的:软组织肉瘤是一种罕见的异质性恶性肿瘤,在切除后复发率高,晚期预后差。在转移性软组织肉瘤患者中使用艾日布林,这些患者在一线化疗后失败,并在美国和欧洲被批准用于治疗预处理的晚期脂肪肉瘤(LPS)患者,此前公布了一项 III 期试验的数据。此外,对于潜在可治愈手术后的辅助治疗,尚无艾日布林的数据。因此,我们回顾性评估了在常规临床环境中不适合强化化疗的 LPS 患者中使用辅助艾日布林的疗效和耐受性。

患者和方法

在这项回顾性单中心分析中,我们回顾性评估了 5 名高危 LPS 患者使用艾日布林的疗效和安全性。

结果

在手术切除后,5 名 LPS 患者接受了艾日布林治疗。中位无进展生存期和总生存期分别为 12.3 个月和 44.3 个月。毒性通常可控制,3 级及以上事件罕见。

结论

对于不适合强化化疗方案的高危 LPS 患者,术后使用艾日布林可能是可行的。然而,需要进一步的前瞻性试验。

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