[Chemotherapy with high-dose cisplatin in brain metastasis of lung cancers]

Bull Cancer. 1990;77(7):661-5.
[Article in French]

Abstract

CDDP is one of the most active single drugs in non small cell lung carcinoma. High doses of 200 mg/m2 are well tolerated when fractionated doses are used over a period of 5 d. Twenty-four consecutive patients (male, age range 38-70 y) with brain metastasis of lung carcinoma were included in this study. The total dose of CDDP - 200 mg/m2 - was divided into 5 equal daily fractions, infused over 6 h. Parenteral hydratation commenced the night before therapy. Efficiency was assessed by means of CT scan 15-30 d after the last course of chemotherapy. Complete response was achieved if no lesion was found on the CT scan; partial deafness 2 cases, renal toxicity 1 case, severe myelotoxicity 2 cases. Efficiency: failure was observed in 17 cases, objective responses in 7 cases (2 cases without injection contrast in the tumor, 3 partial regressions, 2 complete regressions). Thirty per cent of patients in this study exhibited an objective response with low toxicity. CDDP seems to be very useful in cerebral metastasis of lung carcinoma.

Publication types

  • English Abstract

MeSH terms

  • Adenocarcinoma / pathology*
  • Adult
  • Aged
  • Brain Neoplasms / drug therapy
  • Brain Neoplasms / secondary*
  • Carcinoma, Small Cell / pathology*
  • Carcinoma, Squamous Cell / pathology*
  • Cisplatin / administration & dosage*
  • Cisplatin / therapeutic use
  • Drug Administration Schedule
  • Humans
  • Lung Neoplasms / pathology*
  • Male
  • Middle Aged

Substances

  • Cisplatin