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恶性滋养细胞肿瘤的治疗。209例分析。

Treatment of malignant trophoblastic tumors. An analysis of 209 cases.

作者信息

Wang S L, Zhang C S, Peng H Q, Wu K H

机构信息

Department of Obstetrics and Gynecology, West China University of Medical Sciences, Chengdu.

出版信息

Chin Med J (Engl). 1991 Feb;104(2):156-60.

PMID:1651828
Abstract

From 1948 to 1985, a total of 630 cases of choriocarcinoma and invasive mole were treated in our hospital. The methods of treatment varied in different periods of time. In the third period (1972-1985), 5 Fu and/or KSM were the main therapeutic agents used in the treatment of 110 cases of choriocarcinoma and 99 cases of invasive mole. Metastases were observed in more than 90% of cases of choriocarcinoma and nearly 1/4 belonged to stage IV. The mortality of choriocarcinoma decreased from 84.3% to 32.7% after treatment and that of invasive mole from 32.4% to 8.1%. 43 of 80 patients treated with chemotherapy alone conceived after recovery, resulting in a total of 50 pregnancies including 31 term deliveries by 28 women. All the children are normal and healthy, the eldest being 11 years old now.

摘要

1948年至1985年,我院共收治绒毛膜癌和侵蚀性葡萄胎630例。不同时期治疗方法有所不同。第三阶段(1972 - 1985年),5-氟尿嘧啶和/或更生霉素是治疗110例绒毛膜癌和99例侵蚀性葡萄胎的主要治疗药物。绒毛膜癌90%以上病例有转移,近1/4属于IV期。绒毛膜癌治疗后死亡率从84.3%降至32.7%,侵蚀性葡萄胎死亡率从32.4%降至8.1%。80例单纯化疗患者中43例康复后受孕,共妊娠50次,其中28名妇女足月分娩31次。所有孩子均正常健康,最大的孩子现在11岁。

相似文献

1
Treatment of malignant trophoblastic tumors. An analysis of 209 cases.恶性滋养细胞肿瘤的治疗。209例分析。
Chin Med J (Engl). 1991 Feb;104(2):156-60.
2
Gestational trophoblastic disease: treatment results at the Brewer Trophoblastic Disease Center.妊娠滋养细胞疾病:布鲁尔滋养细胞疾病中心的治疗结果
Obstet Gynecol. 1982 Sep;60(3):354-60.
3
[Evaluation of surgical resection of pulmonary metastasis of trophoblastic tumour].[滋养细胞肿瘤肺转移的手术切除评估]
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2003 Aug;25(4):418-21.
4
[A case of the invasive mole in an elderly aged (54-year old) woman].[一例54岁老年女性侵袭性葡萄胎病例]
Nihon Sanka Fujinka Gakkai Zasshi. 1996 Sep;48(9):849-52.
5
[Combination chemotherapy of 5-fluorouracil and nitrocaphane for the treatment of malignant trophoblastic tumor].
Zhonghua Fu Chan Ke Za Zhi. 1996 Apr;31(4):212-5.
6
[Combination therapy of advanced choriocarcinoma--an analysis of 60 patients].[晚期绒毛膜癌的联合治疗——60例患者分析]
Zhonghua Zhong Liu Za Zhi. 1986 Nov;8(6):470-3.
7
[Clinical analysis of 13 cases of gestational trophoblastic tumor misdiagnosed as ectopic pregnancy].13例误诊为异位妊娠的妊娠滋养细胞肿瘤临床分析
Zhonghua Fu Chan Ke Za Zhi. 2005 Feb;40(2):91-4.
8
[New trends in trophoblastic disease].[滋养细胞疾病的新趋势]
Gan To Kagaku Ryoho. 1989 Apr;16(4 Pt 2-3):1582-7.
9
Normal pregnancy after successful treatment of choriocarcinoma with cerebral metastases. A case report.脑转移绒癌成功治疗后正常妊娠。病例报告。
J Reprod Med. 1988 Apr;33(4):402-3.
10
[Pregnancy of patients conceived within one year after chemotherapy for gestational trophoblastic tumor].[妊娠滋养细胞肿瘤化疗后一年内受孕患者的妊娠情况]
Zhonghua Fu Chan Ke Za Zhi. 1999 Oct;34(10):618-20.

引用本文的文献

1
Tegafur Substitution for 5-Fu in Combination with Actinomycin D to Treat Gestational Trophoblastic Neoplasm.替加氟替代5-氟尿嘧啶联合放线菌素D治疗妊娠滋养细胞肿瘤。
PLoS One. 2015 Nov 23;10(11):e0143531. doi: 10.1371/journal.pone.0143531. eCollection 2015.