Cisplatin-induced ototoxicity in osteosarcoma patients: A report from the late effects surveillance system

W. Stöhr, T. Langer, A. Kremers, S. Bielack, A. Lamprecht-Dinnesen, E. Frey, J. D. Beck*

*Corresponding author for this work
43 Citations (Scopus)

Abstract

The aim of this study was to analyze cisplatin-induced ototoxicity in a recent study trial. Seventy-four patients who had received cisplatin for the treatment of osteosarcoma (median cumulative dose: 360 mg/m2) were investigated prospectively for ototoxicity in a multicenter trial. Hearing function was tested by audiometry. We evaluated the incidence and dependencies of hearing loss. After cessation of therapy, 51% of the patients showed a hearing loss of > 20 dB in the frequency range of 4-8 kHz. Only in one patient a hearing loss was found at 2 kHz, and in none at 1 kHz. At a cumulative cisplatin dose of ≤ 240 mg/m2, almost no ototoxicity was found. Incidence and magnitude of hearing loss increased significantly with a higher cumulative dose. Furthermore, hearing thresholds were significantly poorer in children < 12 years. A further follow-up investigation showed only a marginal change in hearing function. We conclude that ototoxicity is moderate in our group of patients and probably irreversible.

Original languageEnglish
JournalCancer Investigation
Volume23
Issue number3
Pages (from-to)201-207
Number of pages7
ISSN0735-7907
DOIs
Publication statusPublished - 2005

Research Areas and Centers

  • Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

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