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Annals of Oncology logoLink to Annals of Oncology
. 2015 Oct 20;26(12):2507–2508. doi: 10.1093/annonc/mdv479

Bevacizumab/high-dose chemotherapy with autologous stem-cell transplant for poor-risk relapsed or refractory germ-cell tumors

Y Nieto, S-M Tu, R Bassett, R B Jones, A M Gulbis, N Tannir, A Kingham, C Ledesma, K Margolin, L Holmberg, R Champlin, L Pagliaro
PMCID: PMC4855246  PMID: 26487577

Ann Oncol 2015; 26: 2125–2132 (doi: 10.1093/annonc/mdv310)

In the original manuscript, there were some errors.

The corrected paragraph and Figure 3 legend are as below.

Figure 3.

Figure 3.

Representative cases. (A) (1) Multiply relapsed tumor: 20-year-old male, embryonal carcinoma with retroperitoneal (B) and hepatic/mediastinal/cervical metastases, HCG 123 227→ bleomycin/etoposide/cisplatin (BEP) × 4 → (2) HCG plateau →(3) 1st progression (PD)→paclitaxel/ifosfamide/cisplatin (TIP) × 2 → (4) 2nd PD → actinomycin-D/cyclophosphamide/etoposide (ACE) → (6) 3rd PD → TIP #3 → cytapheresis → (7) HDC #1 in 4th PD → (8) HDC #2 in complete remission (CR) → (9) retroperitoneal lymph node dissection (RPLND) (C) + orchiectomy (pathology: necrosis). He remains in CR 4 years after HDC #1. (D) Refractory metastatic primary mediastinal tumor: (1) 50-year-old male, acute presentation with mediastinal mass (E), multiple hemorrhagic brain (F) and lung metastases, HCG 76 227 → Urgent cisplatin/etoposide → (2) Etoposide/ifosfamide/cisplatin (VIP) → (3) HCG plateau → change to cisplatin/cyclophosphamide/doxorubicin → (4) PD → change to TIP → (5) gammaknife of three brain lesions → cytapheresis → (6) HDC #1 → (7) HDC #2 → (8) surgery of residual mediastinal and lung lesions (G) (pathology: necrosis). He remains in CR 3 years after HDC #1.

results

patient enrollment

We enrolled 43 male patients between May 2008 and August 2014, pretreated with a median 4 (2–9) regimens (Table 2). Two female patients enrolled are not included in this analysis.

Twenty patients had absolute cisplatin refractory disease (defined as PD as best response), 17 refractory disease (relapse/PD within 4 weeks) disease and 6 had cisplatin-sensitive disease.

Disease was nonresponsive in 24 patients (22 PD, 2 SD), and responsive in 19 patients (8 PRm+, 7 PRm, 4 CR—one surgical—) right before HDC (individual treatment histories in supplementary Table S1, available at Annals of Oncology online).


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