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[改良的NHL-BFM-90方案治疗弥漫性大B细胞淋巴瘤患者]

[The modified program NHL-BFM-90 in the treatment of patients with diffuse large B-cell lymphosarcoma].

作者信息

Magomedova A U, Kravchenko S K, Kremenetskaia A M, Zvonkov E E, Bariakh E A, Margolin O V, Kaplanskaia I B, Vorob'ev I A, Samoĭlova R S, Obukhova T N, Moiseeva T N, Zybunova E E, Gemdzhian E G, Vorob'ev A I

出版信息

Ter Arkh. 2006;78(10):44-7.

Abstract

AIM

To investigate efficacy of the modified protocol NHL-BFM-90 in patients with diffuse large B-cell lymphosarcoma (DLBCLS).

MATERIAL AND METHODS

A total of 13 DLBCLS patients with stage II-IV of the disease with affection of lymph nodes at the disease onset (nodal lesion) and stage II with tumor size more than 10 cm (bulky disease) received first-line treatment according to the modified program NHL-BFM-90 from 2002 to 2005. The diagnosis was made by WHO criteria.

RESULTS

A complete remission was achieved in 76.9% patients. Resistance to therapy was observed in the patients with bone marrow affection. The 2.5-year overall survival was 74%, 2-year event-free survival was 75% (the events were recurrence and resistance). Follow-up continued from 5 to 47 months.

CONCLUSION

The efficacy of the modified protocol NHL-BFM-90 in DLBCLS patients with stage III-IV of the "nodal" disease and stage II of the "bulky" disease was high.

摘要

目的

研究改良的NHL-BFM-90方案治疗弥漫性大B细胞淋巴瘤(DLBCLS)患者的疗效。

材料与方法

2002年至2005年,共有13例疾病分期为II-IV期、疾病初发时伴有淋巴结受累(淋巴结病变)以及II期肿瘤大小超过10 cm(巨大肿块型病变)的DLBCLS患者按照改良的NHL-BFM-90方案接受一线治疗。诊断依据世界卫生组织标准。

结果

76.9%的患者实现完全缓解。骨髓受累患者出现治疗抵抗。2.5年总生存率为74%,2年无事件生存率为75%(事件为复发和抵抗)。随访持续5至47个月。

结论

改良的NHL-BFM-90方案对“淋巴结”疾病III-IV期和“巨大肿块型”疾病II期的DLBCLS患者疗效显著。

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