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[一项关于两种药物(阿霉素和丝裂霉素)膀胱内化学预防以及两种灌注起始方式(早期和晚期)的随机、双盲前瞻性研究结果。对复发和进展的影响]

[Results of a randomized, double blind prospective study of intravesical chemoprophylaxis with 2 drugs: adriamycin and mitomycin; and 2 ways of initiating the instillations: early and late. Effect on recurrence and progression].

作者信息

Iborra Juan I, Ricos Torrent J V, Monrós Lliso J L, Dumont Martínez R, Casanova Ramón-Borja J, Solsona Narbón E

机构信息

Instituto Valenciano de Oncología, Servicio de Urología, Valencia, España.

出版信息

Arch Esp Urol. 1992 Dec;45(10):1001-7.

PMID:1294028
Abstract

The results of a double blind prospective study comparing the chemoprophylactic effects of adriamycin and mitomycin C and two modes of instillation (early: 6 hours following transurethral resection; late: 7-14 days later) for superficial carcinoma of the bladder are presented herein. Since the minimum follow up is over 5 years, the effects on tumor progression and mortality achieved by each of the 4 arms of the protocol were also evaluated. Concerning tumor recurrence, early instillation of mitomycin and overall early instillation therapy achieved significantly better results (p < 0.01). No differences, however, were observed relative to tumor progression or mortality.

摘要

本文展示了一项双盲前瞻性研究的结果,该研究比较了阿霉素和丝裂霉素C的化学预防效果,以及两种膀胱浅表癌灌注方式(早期:经尿道切除术后6小时;晚期:7 - 14天后)。由于最短随访期超过5年,还评估了方案中4个组各自对肿瘤进展和死亡率的影响。关于肿瘤复发,丝裂霉素早期灌注以及总体早期灌注治疗取得了显著更好的结果(p < 0.01)。然而,在肿瘤进展或死亡率方面未观察到差异。

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[Results of a randomized, double blind prospective study of intravesical chemoprophylaxis with 2 drugs: adriamycin and mitomycin; and 2 ways of initiating the instillations: early and late. Effect on recurrence and progression].[一项关于两种药物(阿霉素和丝裂霉素)膀胱内化学预防以及两种灌注起始方式(早期和晚期)的随机、双盲前瞻性研究结果。对复发和进展的影响]
Arch Esp Urol. 1992 Dec;45(10):1001-7.
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Is there an optimal treatment scheme for adjuvant intravesical therapy? Preliminary analysis of an EORTC protocol comparing early and delayed instillation with and without maintenance of either adriamycin or mitomycin-C in patients with superficial transitional carcinoma of the bladder.
Prog Clin Biol Res. 1988;269:525-37.
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The effect of repeat transurethral resection on recurrence and progression rates in patients with T1 tumors of the bladder who received intravesical mitomycin: a prospective, randomized clinical trial.膀胱T1期肿瘤患者接受膀胱内丝裂霉素治疗后重复经尿道切除术对复发率和进展率的影响:一项前瞻性随机临床试验。
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Impact of intravesical chemotherapy on recurrence rate of recurrent superficial transitional cell carcinoma of the bladder: results of a meta-analysis.膀胱内化疗对复发性浅表性膀胱移行细胞癌复发率的影响:一项荟萃分析的结果
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[Long-term results of intravesical prevention of recurrence with mitomycin C and adriamycin in patients with superficial bladder cancer].
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Update on the Dutch Cooperative Trial: mitomycin versus bacillus Calmette-Guérin-Tice versus bacillus Calmette-Guérin RIVM in the treatment of patients with pTA-pT1 papillary carcinoma and carcinoma in situ of the urinary bladder. Dutch South East Cooperative Urological Group.荷兰合作试验最新情况:丝裂霉素与卡介苗-蒂策株菌对比卡介苗-荷兰国家公共卫生与环境研究所菌株治疗pTA-pT1期乳头状癌及膀胱原位癌患者。荷兰东南部合作泌尿外科组
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Early adjuvant adriamycin in superficial bladder carcinoma.早期辅助性阿霉素治疗浅表性膀胱癌。
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[Short-term versus long-term chemoprevention of recurrence with Epodyl following transurethral resection of superficial urinary bladder cancer].[经尿道浅表性膀胱癌切除术后使用Epodyl进行短期与长期化学预防复发的研究]
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Intravesical therapy comparing BCG, adriamycin, and thiotepa in 200 patients with superficial bladder cancer: a randomized prospective study.200例浅表性膀胱癌患者膀胱内灌注疗法对比卡介苗、阿霉素和噻替派:一项随机前瞻性研究
Prog Clin Biol Res. 1989;310:237-52.
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[Results and long-term course of superficial bladder carcinomas treated with local adriamycin. Apropos of 69 cases].
Arch Esp Urol. 1987 Sep;40(7):455-60.

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The schedule and duration of intravesical chemotherapy in patients with non-muscle-invasive bladder cancer: a systematic review of the published results of randomized clinical trials.非肌层浸润性膀胱癌患者膀胱内化疗的方案及疗程:对随机临床试验已发表结果的系统评价
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