title: Hexamethylmelamine and melphalan as salvage therapy in advanced ovarian carcinoma.
abstract: Ten patients with advanced ovarian carcinoma were treated with hexamethylmelamine and melphalan after failing first-line combination chemotherapy. In eight patients residual disease was evident only at second-look laparotomy. Surgical debulking was accomplished in four patients but only two patients had residual disease of less than 2 cm. Two of these four patients are alive without evidence of disease to 20 and 24 months. The remaining patients have expired (median survival 6 months). The combination of hexamethylmelamine and melphalan after surgical debulking at second-look operation may improve the salvage of patients with advanced ovarian carcinoma.
mesh_terms: D000231:Adenocarcinoma, Papillary / Q000188:drug therapy* / Q000401:mortality / Q000601:surgery; D000368:Aged; D006585:Altretamine / Q000008:administration & dosage*; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008558:Melphalan / Q000008:administration & dosage*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000188:drug therapy* / Q000401:mortality / Q000601:surgery; D014227:Triazines / Q000008:administration & dosage*
chemical_list: D014227:Triazines; D008558:Melphalan; D006585:Altretamine