Role of chemotherapy and molecularly targeted agents in the treatment of adenoid cystic carcinoma of the lacrimal gland
Identifieur interne : 001844 ( PascalFrancis/Corpus ); précédent : 001843; suivant : 001845Role of chemotherapy and molecularly targeted agents in the treatment of adenoid cystic carcinoma of the lacrimal gland
Auteurs : Christophe Le Tourneau ; Albiruni R. A. Razak ; Christine Levy ; Valentin Calugaru ; Olivier Galatoire ; Remi Dendale ; Laurence Desjardins ; Hui K. GanSource :
- British journal of ophthalmology [ 0007-1161 ] ; 2011.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Adenoid cystic carcinoma (ACC) is the most common malignant epithelial cancer of the lacrimal gland. Despite a slow rate of growth, ACCs are ultimately associated with poor clinical outcome. Given the rarity of this disease, most recommendations regarding therapy are guided by expert opinion and retrospective data rather than level 1 evidence. Surgery and postoperative radiation therapy are commonly used as initial local treatment. In patients at high risk of recurrence, concomitant platinum-based chemotherapy may be added to postoperative radiotherapy in an attempt to enhance radio-sensitivity. While encouraging responses have been reported with intra-arterial neoadjuvant chemotherapy, this strategy is associated with substantial toxicity and should be considered investigational. For patients with metastatic disease not amenable to surgery or radiotherapy, chemotherapy may have a role based on its modest efficacy in non-lacrimal ACC. Similarly, molecular targeted agents may have a role, although the agents tested to date in non-lacrimal ACC have been disappointing. A better understanding of the biology of ACC will be crucial to the future success of developing targeted agents for this disease.
Notice en format standard (ISO 2709)
Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 11-0486337 INIST |
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ET : | Role of chemotherapy and molecularly targeted agents in the treatment of adenoid cystic carcinoma of the lacrimal gland |
AU : | TOURNEAU (Christophe Le); RAZAK (Albiruni R. A.); LEVY (Christine); CALUGARU (Valentin); GALATOIRE (Olivier); DENDALE (Remi); DESJARDINS (Laurence); GAN (Hui K.) |
AF : | Département d'Oncologie Médicale, Institut Curie/Paris/France (1 aut.); Department of Medical Oncology, Princess Margaret Hospital/Toronto, Ontario/Canada (2 aut.); Département d'Ophtalmologie, Institut Curie/Paris/France (3 aut., 7 aut.); Département de Radiothérapie, Institut Curie/Paris/France (4 aut., 6 aut.); Département d'Ophtalmologie, Fondation Rothschild/Paris/France (5 aut.); Austin-Ludwig Medical Oncology Department/Melbourne, Victoria/Australie (8 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | British journal of ophthalmology; ISSN 0007-1161; Coden BJOPAL; Royaume-Uni; Da. 2011; Vol. 95; No. 11; Pp. 1483-1489; Bibl. 105 ref. |
LA : | Anglais |
EA : | Adenoid cystic carcinoma (ACC) is the most common malignant epithelial cancer of the lacrimal gland. Despite a slow rate of growth, ACCs are ultimately associated with poor clinical outcome. Given the rarity of this disease, most recommendations regarding therapy are guided by expert opinion and retrospective data rather than level 1 evidence. Surgery and postoperative radiation therapy are commonly used as initial local treatment. In patients at high risk of recurrence, concomitant platinum-based chemotherapy may be added to postoperative radiotherapy in an attempt to enhance radio-sensitivity. While encouraging responses have been reported with intra-arterial neoadjuvant chemotherapy, this strategy is associated with substantial toxicity and should be considered investigational. For patients with metastatic disease not amenable to surgery or radiotherapy, chemotherapy may have a role based on its modest efficacy in non-lacrimal ACC. Similarly, molecular targeted agents may have a role, although the agents tested to date in non-lacrimal ACC have been disappointing. A better understanding of the biology of ACC will be crucial to the future success of developing targeted agents for this disease. |
CC : | 002B09N |
FD : | Carcinome; Chimiothérapie; Médicament ciblé; Glande lacrymale; Ophtalmologie |
FG : | Traitement; Tumeur maligne; Cancer |
ED : | Carcinoma; Chemotherapy; Targeted drug; Lacrimal gland; Ophthalmology |
EG : | Treatment; Malignant tumor; Cancer |
SD : | Carcinoma; Quimioterapia; Medicamento dirigido; Glándula lagrimal; Oftalmología |
LO : | INIST-1015.354000507296570020 |
ID : | 11-0486337 |
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Pascal:11-0486337Le document en format XML
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<front><div type="abstract" xml:lang="en">Adenoid cystic carcinoma (ACC) is the most common malignant epithelial cancer of the lacrimal gland. Despite a slow rate of growth, ACCs are ultimately associated with poor clinical outcome. Given the rarity of this disease, most recommendations regarding therapy are guided by expert opinion and retrospective data rather than level 1 evidence. Surgery and postoperative radiation therapy are commonly used as initial local treatment. In patients at high risk of recurrence, concomitant platinum-based chemotherapy may be added to postoperative radiotherapy in an attempt to enhance radio-sensitivity. While encouraging responses have been reported with intra-arterial neoadjuvant chemotherapy, this strategy is associated with substantial toxicity and should be considered investigational. For patients with metastatic disease not amenable to surgery or radiotherapy, chemotherapy may have a role based on its modest efficacy in non-lacrimal ACC. Similarly, molecular targeted agents may have a role, although the agents tested to date in non-lacrimal ACC have been disappointing. A better understanding of the biology of ACC will be crucial to the future success of developing targeted agents for this disease.</div>
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<ET>Role of chemotherapy and molecularly targeted agents in the treatment of adenoid cystic carcinoma of the lacrimal gland</ET>
<AU>TOURNEAU (Christophe Le); RAZAK (Albiruni R. A.); LEVY (Christine); CALUGARU (Valentin); GALATOIRE (Olivier); DENDALE (Remi); DESJARDINS (Laurence); GAN (Hui K.)</AU>
<AF>Département d'Oncologie Médicale, Institut Curie/Paris/France (1 aut.); Department of Medical Oncology, Princess Margaret Hospital/Toronto, Ontario/Canada (2 aut.); Département d'Ophtalmologie, Institut Curie/Paris/France (3 aut., 7 aut.); Département de Radiothérapie, Institut Curie/Paris/France (4 aut., 6 aut.); Département d'Ophtalmologie, Fondation Rothschild/Paris/France (5 aut.); Austin-Ludwig Medical Oncology Department/Melbourne, Victoria/Australie (8 aut.)</AF>
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<EA>Adenoid cystic carcinoma (ACC) is the most common malignant epithelial cancer of the lacrimal gland. Despite a slow rate of growth, ACCs are ultimately associated with poor clinical outcome. Given the rarity of this disease, most recommendations regarding therapy are guided by expert opinion and retrospective data rather than level 1 evidence. Surgery and postoperative radiation therapy are commonly used as initial local treatment. In patients at high risk of recurrence, concomitant platinum-based chemotherapy may be added to postoperative radiotherapy in an attempt to enhance radio-sensitivity. While encouraging responses have been reported with intra-arterial neoadjuvant chemotherapy, this strategy is associated with substantial toxicity and should be considered investigational. For patients with metastatic disease not amenable to surgery or radiotherapy, chemotherapy may have a role based on its modest efficacy in non-lacrimal ACC. Similarly, molecular targeted agents may have a role, although the agents tested to date in non-lacrimal ACC have been disappointing. A better understanding of the biology of ACC will be crucial to the future success of developing targeted agents for this disease.</EA>
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<EG>Treatment; Malignant tumor; Cancer</EG>
<SD>Carcinoma; Quimioterapia; Medicamento dirigido; Glándula lagrimal; Oftalmología</SD>
<LO>INIST-1015.354000507296570020</LO>
<ID>11-0486337</ID>
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