Matsushima H, Fujita K, Ueki T, Munakata A, Yamazaki S
Department of Urology, National Medical Center.
Nihon Hinyokika Gakkai Zasshi. 1991 Sep;82(9):1473-9. doi: 10.5980/jpnjurol1989.82.1473.
Using new criteria for histological effects of anti-cancer treatment, the effects of hormono-chemotherapy on 10 patients with prostatic cancer not previously treated were compared with those on 10 patients who received conventional hormone therapy. Marked effects were observed in 4 (40%) patients received hormono-chemotherapy but not observed in patients who received conventional hormone therapy (chi 2 test, p less than 0.05). All four cases who showed marked effects were in stage B at the beginning of treatment. Hormonal effects were more obvious in well differentiated cancer, and the effects of chemotherapy were observed in some cases with moderately and poorly differentiated cancer. Therefore, the addition of chemotherapy is recommended as the initial therapy on prostatic cancer to reduce the relapsing rate, especially for patients with poorly and moderately differentiated cancer.
采用抗癌治疗组织学效应的新标准,将激素化疗对10例未经治疗的前列腺癌患者的疗效与10例接受传统激素治疗的患者的疗效进行了比较。接受激素化疗的4例(40%)患者观察到显著疗效,而接受传统激素治疗的患者未观察到显著疗效(卡方检验,p<0.05)。所有显示显著疗效的4例患者在治疗开始时均处于B期。激素效应在高分化癌中更明显,在一些中分化和低分化癌病例中观察到化疗效果。因此,建议将化疗作为前列腺癌的初始治疗方法,以降低复发率,特别是对于中低分化癌患者。