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Title:Long term response of electrochemotherapy with reduced dose of bleomycin in elderly patients with head and neck non-melanoma skin cancer
Authors:ID Jamšek, Črt (Author)
ID Serša, Gregor (Author)
ID Omerzel, Maša (Author)
ID Grošelj, Aleš (Author)
Files:.pdf PDF - Presentation file, download (269,64 KB)
MD5: 5F2A5844DB518B8580F0C770249B1ACD
 
Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo OI - Institute of Oncology
Abstract:. Electrochemotherapy (ECT) is a local cancer treatment based on electroporation where the electric field is used to enhance cell membrane permeability and thereby facilitating the transition of chemotherapeutic agents into the cell. For the treatment of non-melanoma skin cancer, a standard dosage of 15,000 IU/m2 bleomycin (BLM) is used. The aim of the present study was to evaluate the long-term ECT response in the group of elderly patients with non-melanoma skin cancer treated with a reduced dose of BLM in comparison to the outcome in the patients treated with the standard dose of BLM. Patients and methods. Twenty-eight patients older than 65 years, with a total of 52 non-melanoma skin lesions were included in the study. Twelve patients (24 lesions) in the experimental group received a reduced dose of BLM (10,000 IU/m2), 16 patients (28 lesions) were treated with a standard dose of BLM (15,000 IU/m2). Results. No statistically significant difference in tumor control was observed between both groups. In the experimental group, tumors recurred in 39.0% of treated lesions in a median follow-up time of 28 months. In the control group, the recurrence rate of treated lesions was 15.4% in a median follow-up time of 40 months. Conclusions. ECT with a reduced dose of BLM is a feasible treatment option for elderly patients with equal efficacy to standard dose treatment and should be considered as a treatment modality in advanced aged patients with comorbidities, where overall life expectancy is poor
Keywords:electrochemotherapy, bleomycin, non-melanoma skin cancer
Publication status:Published
Publication version:Version of Record
Publication date:01.01.2020
Publisher:Association of Radiology and Oncology
Year of publishing:2020
Number of pages:str. 79-85, VIII
Numbering:Vol. 54, no. 1
Source:Ljubljana
PID:20.500.12556/DiRROS-19279 New window
UDC:616.21
ISSN on article:1318-2099
DOI:10.2478/raon-2020-0009 New window
COBISS.SI-ID:7030444 New window
Copyright:by Authors
Publication date in DiRROS:12.07.2024
Views:362
Downloads:85
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Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 New window

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