J Med Assoc Thai 2000; 83 (12):1525

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Successful Combination Chemotherapy (Vincristine, Procarbazine, Etoposide, and Prednisolone) in the Treatment of Inoperable, Radioresistant Low Grade Astrocytoma : A Case Report
Maipang M Mail, Vasiknanonte P , Janjindamai S , Hirungpat S

A case of successful combination chemotherapy using vincnstme, procarbazine, VP-16
and prednisolone to treat an inoperable low grade astrocytoma is presented. This patient, whose
tumor was also resistant to radiotherapy, had well controlled symptoms after the initiation of chemo-
therapy. A brain CT scan demonstrated disappearance of the tumor mass after eight courses of a
combination chemotherapy regimen. She is at present symptom-free 80 months after diagnosis.
This result suggests that combination chemotherapy may offer treatment modalities for low
grade astrocytoma.
Key word : Vincristine, Procarbazine, Etoposide, Prednisolone, Astrocytoma

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