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高危生殖细胞肿瘤的化疗:当前概念与争议

Chemotherapy for good-risk germ cell tumors: current concepts and controversies.

作者信息

Vaughn David J

机构信息

Division of Hematology/Oncology, Abramson Cancer Center of the University of Pennsylvania, Philadelphia, PA 19104-4283, USA.

出版信息

Urol Clin North Am. 2007 May;34(2):171-7; abstract viii-ix. doi: 10.1016/j.ucl.2007.03.001.

DOI:10.1016/j.ucl.2007.03.001
PMID:17484922
Abstract

Through a series of well-designed randomized clinical trials, the treatment of patients with cisplatin-based chemotherapy has evolved such that approximately 90% of patients who have good-risk metastatic germ cell tumor (GCT) will be cured of their disease. At present, first-line chemotherapy for patients who have good-risk metastatic GCT is three cycles of bleomycin/etoposide/cisplatin. An alternative to this is four cycles of etoposide/cisplatin. This article examines the progress that has been made in the development of chemotherapy for good-risk metastatic GCT and raises questions for further consideration and investigation.

摘要

通过一系列精心设计的随机临床试验,基于顺铂的化疗对患者的治疗方法已经得到改进,以至于大约90%低风险转移性生殖细胞肿瘤(GCT)患者的疾病能够被治愈。目前,低风险转移性GCT患者的一线化疗方案是博来霉素/依托泊苷/顺铂三个周期。另一种方案是依托泊苷/顺铂四个周期。本文探讨了低风险转移性GCT化疗发展过程中取得的进展,并提出了有待进一步思考和研究的问题。

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