American journal of clinical oncology
-
Am. J. Clin. Oncol. · Oct 2009
Venous thromboembolism in lymphoma: how effectively are we treating patients?
Patients with solid tumors and venous thromboembolic episodes (VTE) have a high risk of recurrence and bleeding during oral anticoagulant treatment. However, we are unaware of studies expressly evaluating such risks in patients with lymphoma. Therefore, we conducted a retrospective study to determine the frequency of such complications during treatment of lymphoma patients who develop VTE. ⋯ Lymphoma patients treated with warfarin experienced a 30.4% rate of recurrent thrombosis and 13% major bleeding. During this treatment most (65%), but not all, bleeding and thrombotic complications occurred with an international normalized ratio within the therapeutic range. The percentage of serious complications (recurrent VTE and major bleeding) during warfarin use was 44.5%, and the death rate was 6.5%, compared with 9% and 0%, respectively, during use of LMWH.
-
Am. J. Clin. Oncol. · Oct 2009
Clinical features and short-term outcome of critically ill patients with head and neck cancer in the medical intensive care unit.
To investigate the clinical features, especially cancer-related complications, and short-term outcome of critically ill patients with head and neck cancer (HNC) in the medical intensive care unit. ⋯ Although critically ill patients with HNC usually had advanced cancers and carried a high rate of cancer-related life-threatening airway complications, their 30-day mortality was favorable and only independently associated with cancer status and Acute Physiology and Chronic Health Evaluation II score.
-
Am. J. Clin. Oncol. · Oct 2009
Phase I/II study of a cisplatin-taxol-dacarbazine regimen in metastatic melanoma.
This phase I/II study was done to evaluate the safety and efficacy of a cisplatin-paclitaxel-dacarbazine regimen in patients with metastatic melanoma. ⋯ Cisplatin-paclitaxel-dacarbazine regimen is effective in patients with advanced melanoma.
-
Am. J. Clin. Oncol. · Oct 2009
Definitive altered fractionation radiotherapy and concomitant weekly cisplatin for locally advanced head and neck cancer.
The purpose of this study was to determine the efficacy and toxicities of single-agent weekly cisplatin for patients with squamous cell carcinoma of the head and neck treated definitively with radiation therapy (RT). ⋯ Concomitant weekly CDDP with definitive RT is feasible, tolerable, highly active, and comparable with more complex, costly, and toxic regimens. Intercurrent disease was a significant contributor to mortality in our population. Our regimen is an attractive alternative to sequential chemoradiotherapy programs.
-
Am. J. Clin. Oncol. · Aug 2009
ReviewProphylaxis and treatment of venous thromboembolism in cancer patients: a review.
Thromboprophylaxis is underused in patients with cancer, despite the fact that malignancy is a serious risk factor for venous thromboembolism in this population. Major medical guidelines, including those published recently by the American College of Chest Physicians, the American Society of Clinical Oncology, and the National Comprehensive Cancer Network, recommend routine thromboprophylaxis for patients with cancer under certain situations. This review describes current recommendations for primary and secondary prophylaxis in patients with cancer.