Skip to main content
British Journal of Cancer logoLink to British Journal of Cancer
. 1985 Jul;52(1):7–13. doi: 10.1038/bjc.1985.141

Advanced seminoma: treatment with cis-platinum-based combination chemotherapy or carboplatin (JM8).

M J Peckham, A Horwich, W F Hendry
PMCID: PMC1977156  PMID: 3893507

Abstract

Between 1978 and 1983, 44 patients with advanced seminoma were treated with cis-platinum-based combination chemotherapy (39 patients) or with carboplatin (JM8), as a single agent (5 patients). Of the total group, 40 (90%) are alive and disease free. Two of the 4 patients who died relapsed as non-seminomatous germ-cell tumours. Results in previously untreated patients indicate that tumour volume is less important as a prognostic factor than in non-seminomas. Residual masses were present in almost 80% of patients 1 month after chemotherapy; such masses regress slowly and surgery is not indicated. Elective radiotherapy after chemotherapy appears to be inessential since relapse rates are comparable in irradiated (1/15) and unirradiated patients (1/16). Pretreatment serum HCG concentrations did not influence the outcome of chemotherapy. Preliminary results with JM8 suggest that it is an active single agent in the treatment of seminoma.

Full text

PDF
13

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ball D., Barrett A., Peckham M. J. The management of metastatic seminoma testis. Cancer. 1982 Dec 1;50(11):2289–2294. doi: 10.1002/1097-0142(19821201)50:11<2289::aid-cncr2820501112>3.0.co;2-x. [DOI] [PubMed] [Google Scholar]
  2. Calman F. M., Peckman M. J., Hendry W. F. The pattern of spread and treatment of metastases in testicular seminoma. Br J Urol. 1979 Apr;51(2):154–160. doi: 10.1111/j.1464-410x.1979.tb02852.x. [DOI] [PubMed] [Google Scholar]
  3. Calvert A. H., Harland S. J., Newell D. R., Siddik Z. H., Jones A. C., McElwain T. J., Raju S., Wiltshaw E., Smith I. E., Baker J. M. Early clinical studies with cis-diammine-1,1-cyclobutane dicarboxylate platinum II. Cancer Chemother Pharmacol. 1982;9(3):140–147. doi: 10.1007/BF00257742. [DOI] [PubMed] [Google Scholar]
  4. Doornbos J. F., Hussey D. H., Johnson D. E. Radiotherapy for pure seminoma of the testis. Radiology. 1975 Aug;116(02):401–404. doi: 10.1148/116.2.401. [DOI] [PubMed] [Google Scholar]
  5. Einhorn L. H., Donohue J. Cis-diamminedichloroplatinum, vinblastine, and bleomycin combination chemotherapy in disseminated testicular cancer. Ann Intern Med. 1977 Sep;87(3):293–298. doi: 10.7326/0003-4819-87-3-293. [DOI] [PubMed] [Google Scholar]
  6. Einhorn L. H., Williams S. D. Chemotherapy of disseminated seminoma. Cancer Clin Trials. 1980;3(4):307–313. [PubMed] [Google Scholar]
  7. Kademian M. T., Bosch A., Caldwell W. L. Seminoma: results of treatment with megavoltage irradiation. Int J Radiat Oncol Biol Phys. 1976 Nov-Dec;1(11-12):1075–1079. doi: 10.1016/0360-3016(76)90079-1. [DOI] [PubMed] [Google Scholar]
  8. Lange P. H., Millan J. L., Stigbrand T., Vessella R. L., Ruoslahti E., Fishman W. H. Placental alkaline phosphatase as a tumor marker for seminoma. Cancer Res. 1982 Aug;42(8):3244–3247. [PubMed] [Google Scholar]
  9. Maier J. G., Sulak M. H., Mittemeyer B. T. Seminoma of the testis: analysis of treatment success and failure. Am J Roentgenol Radium Ther Nucl Med. 1968 Mar;102(3):596–602. doi: 10.2214/ajr.102.3.596. [DOI] [PubMed] [Google Scholar]
  10. Peckham M. J., Barrett A., Liew K. H., Horwich A., Robinson B., Dobbs H. J., McElwain T. J., Hendry W. F. The treatment of metastatic germ-cell testicular tumours with bleomycin, etoposide and cis-platin (BEP). Br J Cancer. 1983 May;47(5):613–619. doi: 10.1038/bjc.1983.99. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Smithers D., Wallace E. N., Wallace D. M. Radiotherapy for patients with tumours of the testicle. Br J Urol. 1971 Feb;43(1):83–92. doi: 10.1111/j.1464-410x.1971.tb04938.x. [DOI] [PubMed] [Google Scholar]
  12. Thomas G. M., Rider W. D., Dembo A. J., Cummings B. J., Gospodarowicz M., Hawkins N. V., Herman J. G., Keen C. W. Seminoma of the testis: results of treatment and patterns of failure after radiation therapy. Int J Radiat Oncol Biol Phys. 1982 Feb;8(2):165–174. doi: 10.1016/0360-3016(82)90509-0. [DOI] [PubMed] [Google Scholar]
  13. van der Werf-Messing B. Radiotherapeutic treatment of testicular tumors. Int J Radiat Oncol Biol Phys. 1976 Jan-Feb;1(3-4):235–248. doi: 10.1016/0360-3016(76)90045-6. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Cancer are provided here courtesy of Cancer Research UK

RESOURCES