Selected Publication:
Bauernhofer, T; Stöger, H; Schmid, M; Smola, M; Gürtl-Lackner, B; Höfler, G; Ranner, G; Reisinger, E; Samonigg, H.
Sequential treatment of recurrent mesenteric desmoid tumor.
Cancer. 1996; 77(6):1061-1065
Doi: 10.1002/(SICI)1097-0142(19960315)77:6<1061::AID-CNCR9>3.0.CO;2-K
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- Leading authors Med Uni Graz
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Bauernhofer Thomas
- Co-authors Med Uni Graz
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Gürtl-Lackner Barbara
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Höfler Gerald
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Samonigg Hellmut
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Smola Michael
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Stöger Herbert
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- Abstract:
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The optimal management of inoperable desmoid tumors is still unclear. We report a 26 year-old female patient with familial adenomatous polyposis suffering from a recurrent inoperable intraabdominal desmoid tumor and its sequential treatment.
Treatment strategies included low-dose tamoxifen (30 mg orally per day), high-dose tamoxifen (90 mg orally per day), and a subsequent combination of goserelin acetate (3.6 mg subcutaneously once every four weeks) plus low-dose tamoxifen, medroxyprogesterone acetate (1000 mg orally per day) and interferon gamma (3 Mio IU subcutaneously 3 times a week).
The combination of goserelin acetate and low-dose tamoxifen resulted in a decrease in tumour size and a complete relief of symptoms for 17 months. Thereafter the tumor progressed and again growth was stopped with interferon gamma therapy for another 6 months. All other treatment modalities had no effect.
This study demonstrates long-term regression of a desmoid tumor with combined endocrine therapy using goserelin acetate plus tamoxifen. Tumor progression after 17 months was again stopped by a combination of interferon-gamma and goserelin acetate.
- Find related publications in this database (using NLM MeSH Indexing)
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Adenomatous Polyposis Coli - pathology
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Adult -
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Antineoplastic Combined Chemotherapy Protocols - administration & dosage
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Drug Administration Schedule -
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Female -
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Fibromatosis, Aggressive - diagnostic imaging
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Fibromatosis, Aggressive - therapy
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Goserelin - administration & dosage
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Humans -
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Interferon-gamma - administration & dosage
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Medroxyprogesterone - administration & dosage
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Mesentery -
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Neoplasm Recurrence, Local -
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Neoplasms, Multiple Primary -
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Peritoneal Neoplasms - diagnostic imaging
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Peritoneal Neoplasms - therapy
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Tamoxifen - administration & dosage
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Tomography, X-Ray Computed -
- Find related publications in this database (Keywords)
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Desmoids
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Familial Adenomatous Polyposis
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Goserelin Acetate
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Tamoxifen
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Medroxyprogesterone Acetate
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Interferon Gamma
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Adenomatous Polyposis Coli Gene