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干扰素、白细胞介素-2和肿瘤坏死因子目前在肾细胞癌治疗中的应用。

The current use of interferons, interleukin-2 and tumor necrosis factor in renal cell cancer.

作者信息

Wirth M

机构信息

Urologische Klinik und Poliklinik, Universität Würzburg, BRD.

出版信息

Urol Int. 1991;47(4):219-30. doi: 10.1159/000282226.

Abstract

Cytokines such as interferons, interleukin-2 and tumor necrosis factor have been widely tested in the treatment of advanced renal cell cancer. However, the rates of objective remissions (PR and CR) are disappointing and rarely exceed 20% overall. Until now, a definitive cure of a patient with renal cell cancer treated with cytokines has not been reported in the literature. The combination of interferon-alpha and interleukin-2 in low-dose regimens seems to offer the best achievable results with the lowest morbidity of the patients in renal cell cancer. Since optimal treatment regimens are still not defined, treatment with these substances should only be carried out in prospective trials.

摘要

细胞因子如干扰素、白细胞介素-2和肿瘤坏死因子已在晚期肾细胞癌的治疗中得到广泛测试。然而,客观缓解率(部分缓解和完全缓解)令人失望,总体上很少超过20%。迄今为止,文献中尚未报道过用细胞因子治疗的肾细胞癌患者得到根治的情况。低剂量方案的α干扰素和白细胞介素-2联合使用似乎能在肾细胞癌患者中取得最佳疗效且发病率最低。由于最佳治疗方案仍未确定,使用这些物质进行治疗应仅在前瞻性试验中进行。

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