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白血病免疫疗法的新实验和临床数据。

New experimental and clinical data on leukaemia immunotherapy.

作者信息

Mathé G, Schwarzenberg L, Amiel J L, Pouillart P, Hayat M, de Vassal F, Rosenfeld C, Jasmin C

出版信息

Proc R Soc Med. 1975 Apr;68(4):211-6. doi: 10.1177/003591577506800402.

Abstract

The present results of our treatment of acute lymphoid leukaemia patients are summarized: 7 out of 20 randomized patients given active immunotherapy after chemoradiotherapy are still in complete remission after periods varying from seven to ten years (compared to none in the control group). The actuarial results on 100 patients show remission and survival curves presenting a plateau between three and five years for a certain percentage, suggesting a possible cure. Several parameters studied in 200 patients indicate that the factors affecting this percentage are age, cytological type, volume of the tumour, and the localization of leukaemic cells in certain areas. Experiments with L1210 leukaemia show that immunotherapy enhances the effect of chemotherapy when administered after chemotherapy but decreases it when administered before, which is in favour of the use of the sequence chemotherapy-immunotherapy clinically.

摘要

现将我们对急性淋巴细胞白血病患者的治疗结果总结如下

20例随机分组患者在放化疗后接受主动免疫治疗,其中7例在7至10年不等的时间后仍处于完全缓解状态(对照组无此情况)。对100例患者的精算结果显示,缓解和生存曲线在三至五年间呈现出一定比例的平台期,提示可能治愈。对200例患者研究的多个参数表明,影响这一比例的因素包括年龄、细胞学类型、肿瘤体积以及白血病细胞在某些区域的定位。L1210白血病实验表明,免疫治疗在化疗后给予可增强化疗效果,而在化疗前给予则降低化疗效果,这支持临床上采用化疗 - 免疫治疗的顺序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/986d/1863786/ab8b080579b3/procrsmed00045-0023-a.jpg

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