Treatment of Advanced Seminoma with Dactinomycin, Cyclophosphamide, Vinblastine, Bleomycin and Cis-Platinum (The Vab-6 Protocol)

Eighteen patients with advanced seminoma (stages llc— III) were treated with: cytoxan 600mg/m2, vinblastine 4mg/m2, actinomycin D 1mg/m2, bleomycin 30mg, i.v. on day 1, followed by bleomycin 30mg/day by infusion, days 1-3, and cis-platinum 120mg/m2 on day 4. 9/18 pts. Achieved complete remission an...

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Main Authors: Sergio D. Simon, Miguel Srougi
Format: Article
Language:English
Published: Instituto Nacional de Câncer (INCA) 2023-08-01
Series:Revista Brasileira de Cancerologia
Subjects:
Online Access:https://rbc.inca.gov.br/index.php/revista/article/view/3218
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author Sergio D. Simon
Miguel Srougi
author_facet Sergio D. Simon
Miguel Srougi
author_sort Sergio D. Simon
collection DOAJ
description Eighteen patients with advanced seminoma (stages llc— III) were treated with: cytoxan 600mg/m2, vinblastine 4mg/m2, actinomycin D 1mg/m2, bleomycin 30mg, i.v. on day 1, followed by bleomycin 30mg/day by infusion, days 1-3, and cis-platinum 120mg/m2 on day 4. 9/18 pts. Achieved complete remission and have been followed clinically; no recurrences have occurred in this group. The other 9 pts. had residual masses after 3 cycles of chemotherapy; they were taken to surgery and no viable tumor was found on surgical specimens. There were 3 recurrences in this group, always distant from the site of original disease. These patients were successfully treated with salvage chemotherapy and radiotherapy. One of these patients died of hepatic failure unrelated to his seminoma. All the other patients are alive, at a median follow-up of 50 months. This chemotherapy regimen is effective in curing advanced seminoma.
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spelling doaj.art-820b7465c3894bc3b67c7cd65b5a14832024-04-28T10:01:20ZengInstituto Nacional de Câncer (INCA)Revista Brasileira de Cancerologia2176-97452023-08-0133410.32635/2176-9745.RBC.1987v33n4.3218Treatment of Advanced Seminoma with Dactinomycin, Cyclophosphamide, Vinblastine, Bleomycin and Cis-Platinum (The Vab-6 Protocol)Sergio D. Simon 0Miguel Srougi 1Department of Oncology, Hospital Albert Einstein and Hospital Sírio-Libanês. São Paulo (SP), BrasilDepartment of Urology, University of São Paulo. São Paulo (SP), Brasil Eighteen patients with advanced seminoma (stages llc— III) were treated with: cytoxan 600mg/m2, vinblastine 4mg/m2, actinomycin D 1mg/m2, bleomycin 30mg, i.v. on day 1, followed by bleomycin 30mg/day by infusion, days 1-3, and cis-platinum 120mg/m2 on day 4. 9/18 pts. Achieved complete remission and have been followed clinically; no recurrences have occurred in this group. The other 9 pts. had residual masses after 3 cycles of chemotherapy; they were taken to surgery and no viable tumor was found on surgical specimens. There were 3 recurrences in this group, always distant from the site of original disease. These patients were successfully treated with salvage chemotherapy and radiotherapy. One of these patients died of hepatic failure unrelated to his seminoma. All the other patients are alive, at a median follow-up of 50 months. This chemotherapy regimen is effective in curing advanced seminoma. https://rbc.inca.gov.br/index.php/revista/article/view/3218Seminoma ChemotherapyAdvanced Seminoma
spellingShingle Sergio D. Simon
Miguel Srougi
Treatment of Advanced Seminoma with Dactinomycin, Cyclophosphamide, Vinblastine, Bleomycin and Cis-Platinum (The Vab-6 Protocol)
Revista Brasileira de Cancerologia
Seminoma Chemotherapy
Advanced Seminoma
title Treatment of Advanced Seminoma with Dactinomycin, Cyclophosphamide, Vinblastine, Bleomycin and Cis-Platinum (The Vab-6 Protocol)
title_full Treatment of Advanced Seminoma with Dactinomycin, Cyclophosphamide, Vinblastine, Bleomycin and Cis-Platinum (The Vab-6 Protocol)
title_fullStr Treatment of Advanced Seminoma with Dactinomycin, Cyclophosphamide, Vinblastine, Bleomycin and Cis-Platinum (The Vab-6 Protocol)
title_full_unstemmed Treatment of Advanced Seminoma with Dactinomycin, Cyclophosphamide, Vinblastine, Bleomycin and Cis-Platinum (The Vab-6 Protocol)
title_short Treatment of Advanced Seminoma with Dactinomycin, Cyclophosphamide, Vinblastine, Bleomycin and Cis-Platinum (The Vab-6 Protocol)
title_sort treatment of advanced seminoma with dactinomycin cyclophosphamide vinblastine bleomycin and cis platinum the vab 6 protocol
topic Seminoma Chemotherapy
Advanced Seminoma
url https://rbc.inca.gov.br/index.php/revista/article/view/3218
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AT miguelsrougi treatmentofadvancedseminomawithdactinomycincyclophosphamidevinblastinebleomycinandcisplatinumthevab6protocol