Sato M, Takeuchi S, Kasai C, Kushida Y, Matsunaga T
Dept. of Orthopedic Surgery, Gifu University School of Medicine.
Gan To Kagaku Ryoho. 1991 Aug;18(11):1754-9.
Preoperative continuous intra-arterial chemotherapy combined with surgery in the treatment of malignant soft tissue tumors has been used since 1971 in our clinic. We treated thirty-eight patients, and twenty-five of them underwent preoperative intra-arterial chemotherapy and surgery. The diagnoses were liposarcoma (5), synovial sarcoma (4), rhabdomyosarcoma (2), angiosarcoma (2), malignant schwannoma (2), malignant lymphoma (2) and 8 other types of tumors. From the standpoint of local failures, there was only one recurrent case. Eighteen patients are alive now without evidence of disease. The 10-year cumulative survival rate for cases treated with intra-arterial chemotherapy was 69.5%, as compared with 24.9% of cases without intra-arterial chemotherapy. Therefore we conclude that preoperative continuous intra-arterial chemotherapy is a very effective method in the treatment of malignant soft tissue tumors.
自1971年起,我院开始采用术前动脉内持续化疗联合手术治疗恶性软组织肿瘤。我们共治疗了38例患者,其中25例接受了术前动脉内化疗及手术。诊断结果包括脂肪肉瘤(5例)、滑膜肉瘤(4例)、横纹肌肉瘤(2例)、血管肉瘤(2例)、恶性神经鞘瘤(2例)、恶性淋巴瘤(2例)以及其他8种肿瘤。从局部复发情况来看,仅1例复发。目前18例患者存活且无疾病迹象。接受动脉内化疗患者的10年累积生存率为69.5%,未接受动脉内化疗患者的这一比例为24.9%。因此,我们得出结论,术前动脉内持续化疗是治疗恶性软组织肿瘤的一种非常有效的方法。