Hegewisch-Becker S, Hossfeld D K
Abt. für Onkologie und Hämatologie, Med. Klinik, Univ.-Klinikum Eppendorf, Hamburg.
MMW Fortschr Med. 2001 Jun 21;143(25):28-32.
It has been unequivocally demonstrated that hyperthermia (40-44 degrees C) has an potentiating effect on radiotherapy and chemotherapy. Technical improvements have facilitated the application of both local and whole-body hyperthermia, and have thus made this form of treatment available to large numbers of patients. Randomized phase III studies performed in patients with breast cancer, malignant melanoma and cervical cancer have convincingly confirmed the increased efficacy of the combination of radiotherapy with local or regional hyperthermia in comparison with radiotherapy alone. The effectiveness of other procedures such as the combination of radio- and chemotherapy with regional hyperthermia, regional thermochemotherapy and whole-body hyperthermia has so far been investigated mainly in phase II studies focusing on head and neck cancer, cervical and ovarian cancer, sarcoma, malignant germ cell tumors, and rectal carcinoma. However, the actual place of hyperthermia as a permanent element in a multimodal therapeutic concept has yet to be shown in prospective phase III studies.
已经明确证实,热疗(40-44摄氏度)对放疗和化疗具有增效作用。技术的改进促进了局部和全身热疗的应用,从而使大量患者能够接受这种治疗形式。在乳腺癌、恶性黑色素瘤和宫颈癌患者中进行的随机III期研究令人信服地证实,与单纯放疗相比,放疗联合局部或区域热疗的疗效有所提高。迄今为止,其他治疗方法的有效性,如放疗和化疗联合区域热疗、区域热化疗和全身热疗,主要在针对头颈癌、宫颈癌和卵巢癌、肉瘤、恶性生殖细胞肿瘤以及直肠癌的II期研究中进行了调查。然而,热疗作为多模式治疗理念中一个永久性要素的实际地位,还有待在前瞻性III期研究中得到证实。
MMW Fortschr Med. 2001-6-21
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