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Table 1 Case Series of Glucocorticoid Monotherapy

From: Systematic review of the clinical effect of glucocorticoids on nonhematologic malignancy

Author [reference], Year

Patient Characteristics

Treatment

Responses

Postlethwait et al [68], 1951

4 gastric, 1 rectal, 1 gallbladder, 1 esophageal, all advanced stage

300 mg IM of cortisone on day 1, 200 mg IM on day 2 then 100 mg IM daily for 21 days; one patient received 150 mg instead of 100 mg

no objective improvement

de Camp [69], 1961

255 bronchogenic carcinoma, 19 primary lung tumors of other origins (sarcoma, adenomatosis etc.), 6 alveolar cell carcinoma of lung, 14 with cancer metastatic to lung, 26 pleural carcinoma, 2 pericardial carcinoma

patients received 30–40 mg of prednisone/prednisolone per day, which was tapered to 10–15 mg per day (occasionally to 5 mg per day) or 4 mg of dexamethasone per day tapered to 1–1.5 mg per day

no effect, either positive or negative

Plengvanit and Viranuvatti [70], 1964

7 primary carcinoma of the liver

40–60 mg of daily prednisone for 2 weeks to 10 months

little value as based on effect on pain and liver size (by physical examination)

Bruera et al [67], 1985

8 colon, 7 breast, 4 lung, 4 soft tissue sarcoma, 2 kidney, 2 prostate, 1 head and neck, 1 melanoma, 1 pancreas, 1 ovarian

methyprednisolone 16 mg po twice daily for 25 out of 34 days

no tumor regression