Cockett A T, Davis R S, Cos L R, Wheeless L L
Department of Urology, University of Rochester School of Medicine and Dentistry, New York.
J Urol. 1991 Sep;146(3):766-9; discussion 769-70. doi: 10.1016/s0022-5347(17)37916-8.
A total of 22 patients with bladder cancer received bacillus Calmette-Guerin (BCG) and interleukin-2. Significant bladder tumor remissions were noted in 15 of 17 patients (88%). Of 5 patients with carcinoma in situ 1 was noncompliant and he died of carcinoma in situ. The other 4 patients are in remission. BCG alone was instilled in 22 additional patients with superficial bladder cancer. The remission rates were encouraging. Of the 22 patients 13 (59%) had remission of the bladder tumor. A half dose of BCG (60 mg.) is adequate when given weekly for 6 weeks. Maintenance therapy is important as noted in both of our clinical arms. BCG and interleukin-2 therapy results in a higher remission rate.
共有22例膀胱癌患者接受了卡介苗(BCG)和白细胞介素-2治疗。17例患者中有15例(88%)出现显著的膀胱肿瘤缓解。5例原位癌患者中,1例未按要求治疗,死于原位癌。其他4例患者病情缓解。另外22例浅表性膀胱癌患者仅接受了卡介苗灌注。缓解率令人鼓舞。22例患者中有13例(59%)膀胱肿瘤缓解。每周给予半剂量的卡介苗(60毫克),持续6周就足够了。正如我们两个临床组所指出的,维持治疗很重要。卡介苗和白细胞介素-2治疗导致更高的缓解率。