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Indian Journal of Cancer
Medknow Publications on behalf of Indian Cancer Society
ISSN: 0019-509X
EISSN: 1998-4774
Vol. 44, No. 4, 2007, pp. 142-146
Bioline Code: cn07026
Full paper language: English
Document type: Research Article
Document available free of charge

Indian Journal of Cancer, Vol. 44, No. 4, 2007, pp. 142-146

 en In vitro chemosensitivity profile of oral squamous cell cancer and its correlation with clinical response to chemotherapy
Pathak, K.A.; Juvekar, A.S.; Radhakrishnan, D.K.; Deshpande, M.S.; Pai, V.R.; Chaturvedi, P.; Pai, P.S.; Chaukar, D.A.; D'Cruz, A.K. & Parikh, P.M.


Context : Oral cancers represent a disparate group of tumors with diverse clinical behavior and chemosensitivity profile. Currently, it is difficult to predict whether a tumor will respond to chemotherapy and which drug(s) will achieve the maximum clinical response.
Aims : To study in vitro chemosensitivity profile of oral cancers and to correlate the in vitro chemosensitivity of oral cancer to clinical response to chemotherapy.
Settings and Design : Prospective study in a tertiary cancer care center.
Methods and Material : We prospectively studied the chemosensitivity profile of 57 untreated, advanced, unresectable oral cancers to cisplatin, methotrexate, 5-fluorouracil and their combinations by using histoculture drug response assay (HDRA) and correlated them to the clinical response to chemotherapy.
Statistical Analysis Used : Chi Square test.
Results : Biopsy samples were successfully histocultured in 52/57 (91%) cases. Of these 52 evaluable patients, 47 had primary gingivo-buccal cancers and five had tongue / floor of mouth cancers. Based on the assay, 27 (52%) tumors were sensitive to cisplatin, 27 (52%) to methotrexate, 24 (46%) to 5-fluorouracil, 38 (73%) to combination of cisplatin and methotrexate and 36 (69%) to combination of cisplatin and 5-fluorouracil. Of these, 31 patients with good performance status received two cycles of chemotherapy using one or more of these test drugs. There was a significant correlation (p=0.03) between the in vitro chemosensitivity and the clinical response. Negative predictive value of the test was 80%, positive predictive value-69%, sensitivity-79% and specificity -71%. The overall accuracy of the assay was 74%.
Conclusions : We found HDRA to be a fairly good predictor of chemo-response of oral cancer.

Assay, chemotherapy, cisplatin, fluorouracil, methotrexate, neoplasm oral, response.

© Copyright 2007 Indian Journal of Cancer.
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