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博来霉素/顺铂作为局部不可切除食管癌根治性放疗前的新辅助化疗。一项前瞻性随机多中心研究:第二项斯堪的纳维亚食管癌试验。

Bleomycin/cis-platin as neoadjuvant chemotherapy before radical radiotherapy in localized, inoperable carcinoma of the esophagus. A prospective randomized multicentre study: the second Scandinavian trial in esophageal cancer.

作者信息

Hatlevoll R, Hagen S, Hansen H S, Hultborn R, Jakobsen A, Mäntylä M, Modig H, Munck-Wikland E, Nygaard K, Rosengren B

机构信息

Norwegian Radium Hospital, Oslo.

出版信息

Radiother Oncol. 1992 Jun;24(2):114-6. doi: 10.1016/0167-8140(92)90288-6.

DOI:10.1016/0167-8140(92)90288-6
PMID:1379740
Abstract

Survival and swallowing function were studied in a randomized trial of 97 patients with inoperable, localized esophageal carcinoma. Radical radiotherapy was given to 51 patients, while 46 patients had two courses of bleomycin/cisplatin before radiotherapy. The survival was 29% after one year, and 6% after 3 years in the radiotherapy group. The survival in the combined treatment group was 18 and 0%, respectively; p = 0.1895. The number of patients who could swallow any food increased from 6% before treatment to 38% after 3 months in the radiotherapy group, and from 0% to 23% in the combined group. No benefit was found by combining bleomycin/cisplatin with radiotherapy.

摘要

在一项针对97例无法手术的局限性食管癌患者的随机试验中,对生存情况和吞咽功能进行了研究。51例患者接受了根治性放疗,而46例患者在放疗前接受了两个疗程的博来霉素/顺铂治疗。放疗组1年后生存率为29%,3年后为6%。联合治疗组的生存率分别为18%和0%;p = 0.1895。放疗组能够吞咽任何食物的患者数量从治疗前的6%增加到3个月后的38%,联合组则从0%增加到23%。未发现博来霉素/顺铂与放疗联合使用有任何益处。

相似文献

1
Bleomycin/cis-platin as neoadjuvant chemotherapy before radical radiotherapy in localized, inoperable carcinoma of the esophagus. A prospective randomized multicentre study: the second Scandinavian trial in esophageal cancer.博来霉素/顺铂作为局部不可切除食管癌根治性放疗前的新辅助化疗。一项前瞻性随机多中心研究:第二项斯堪的纳维亚食管癌试验。
Radiother Oncol. 1992 Jun;24(2):114-6. doi: 10.1016/0167-8140(92)90288-6.
2
Pre-operative radiotherapy prolongs survival in operable esophageal carcinoma: a randomized, multicenter study of pre-operative radiotherapy and chemotherapy. The second Scandinavian trial in esophageal cancer.术前放疗可延长可手术食管癌患者的生存期:一项关于术前放疗与化疗的随机、多中心研究。第二项斯堪的纳维亚食管癌试验。
World J Surg. 1992 Nov-Dec;16(6):1104-9; discussion 1110. doi: 10.1007/BF02067069.
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Neoadjuvant chemotherapy and radiotherapy in locally advanced esophagus carcinoma: long-term results.
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[Randomized trial of combined chemotherapy including high dose cisplatin and radiotherapy for esophageal cancer].[含高剂量顺铂的联合化疗与放疗用于食管癌的随机试验]
Zhonghua Zhong Liu Za Zhi. 1991 Jul;13(4):291-4.
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Neoadjuvant concurrent chemoradiotherapy followed by definitive high-dose radiotherapy or surgery for operable thoracic esophageal carcinoma.新辅助同步放化疗后行根治性高剂量放疗或手术治疗可切除的胸段食管癌。
Int J Radiat Oncol Biol Phys. 1998 Mar 15;40(5):1049-59. doi: 10.1016/s0360-3016(97)00900-0.
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Experience with bleomycin, ifosfamide, and cisplatin in primary and recurrent cervical cancer.博来霉素、异环磷酰胺和顺铂用于原发性及复发性宫颈癌的经验。
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Strahlenther Onkol. 1994 Feb;170(2):69-78.
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Irradiation, chemotherapy and surgery in esophageal cancer: a randomized clinical study. The first Scandinavian trial in esophageal cancer.食管癌的放疗、化疗及手术治疗:一项随机临床研究。斯堪的纳维亚地区首例食管癌试验。
Radiother Oncol. 1984 Oct;2(3):179-88. doi: 10.1016/s0167-8140(84)80058-4.
10
[Phase III clinical trial for esophageal cancer using radiotherapy].
Gan To Kagaku Ryoho. 1995 Feb;22(3):341-9.

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Current and future on definitive concurrent chemoradiotherapy for inoperable locally advanced esophageal squamous cell carcinoma.不可切除的局部晚期食管鳞状细胞癌确定性同步放化疗的现状与未来。
Front Oncol. 2024 Jan 26;14:1303068. doi: 10.3389/fonc.2024.1303068. eCollection 2024.
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Interventions for dysphagia in oesophageal cancer.
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Management of upper gastrointestinal cancers.上消化道癌的管理
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[Radiotherapy in the multimodal treatment of esophageal carcinoma. A review].
Strahlenther Onkol. 1997 Jun;173(6):295-308. doi: 10.1007/BF03038912.
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Pharmacokinetics of varying doses of nicotinamide and tumour radiosensitisation with carbogen and nicotinamide: clinical considerations.不同剂量烟酰胺的药代动力学以及联合使用卡波金和烟酰胺进行肿瘤放射增敏:临床考量
Br J Cancer. 1993 Dec;68(6):1115-21. doi: 10.1038/bjc.1993.490.
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Cancer of the upper gastrointestinal tract.上消化道癌
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