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Introduction: treatment of malignancies poorly responsive to currently available antineoplastic therapy

M Markman1

  • 1Cleveland Clinic Cancer Center, OH 44195.

Seminars in Oncology
|August 1, 1994
PubMed

Insights

Treating malignancies resistant to chemotherapy requires careful patient assessment, including performance status and co-morbidities. Experimental trials may be suitable for select patients, with transparent communication about potential benefits and risks.

Area of Science:

  • Oncology
  • Clinical Decision-Making
  • Cancer Therapeutics

Background:

  • Malignancies often exhibit poor responsiveness to standard antineoplastic agents.
  • Treatment decisions for refractory cancers are complex and multifactorial.

Purpose of the Study:

  • To outline key considerations for treating patients with malignancies poorly responsive to antineoplastic agents.
  • To emphasize the role of experimental trials and informed consent in managing refractory cancers.

Main Methods:

  • Review of clinical decision-making principles for refractory malignancies.
  • Discussion of patient-specific factors influencing treatment choices.
  • Emphasis on ethical considerations in experimental therapeutics.

Main Results:

  • Treatment decisions necessitate evaluation of patient performance status, co-morbidities, and anticipated adverse effects.
  • Experimental trials offer an option for appropriate patients with refractory cancers.
  • Realistic assessment of treatment benefits is crucial for informed consent.

Conclusions:

  • Individualized patient assessment is paramount when considering treatment for refractory malignancies.
  • Experimental trials should be encouraged for suitable candidates, ensuring transparent communication.
  • Balancing potential benefits against risks is essential for patient-centered care in oncology.

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