Rosenberg S A, Kaplan H S
Br J Cancer Suppl. 1975 Mar;2:456-64.
Preliminary results of controlled clinical trials in 127 patients with non-Hodgkin's lymphomata are reported. The rationale for identifying 7 study groups is presented. Treatment programmes which are being studied vary from involved field irradiation to the most aggressive treatment tolerable. The early results suggest that patients with both favourable and unfavourable histologies but of limited extent can be controlled with irradiation. Patients with advanced disease but with favourable histological subgroups are doing as well with a conservative drug programme as with 2 aggressive treatment regimens. These controlled studies and those of others, facilitated by the use of the Rappaport classification and laparotomy staging, give promise of clarifying and improving the management of patients with these lymphomata.
报告了对127例非霍奇金淋巴瘤患者进行对照临床试验的初步结果。阐述了确定7个研究组的基本原理。正在研究的治疗方案从受累野照射到可耐受的最积极治疗不等。早期结果表明,组织学表现良好和不良但范围有限的患者可通过照射得到控制。疾病晚期但组织学亚组良好的患者,采用保守药物方案与两种积极治疗方案的效果相同。这些对照研究以及其他研究,借助拉帕波特分类法和剖腹探查分期得以开展,有望阐明并改善这些淋巴瘤患者的治疗管理。