Issels R
Klinikum Grosshadern, Medizinische Klinik III, München.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:923-7.
48 patients with advanced sarcomas were treated with regional hyperthermia (RHT) and systemic chemotherapy (ifosfamide/VP-16). 92% of the patients had been pretreated before entering the study. Pretreatment consisted of chemotherapy (33/48), surgery (9/48) or surgery plus irradiation (2/48). Following the conventional treatment, the patients had either relapsed (30/48) or had shown progressive disease (14/48) at the primary site with or without metastases. In 43 patients the overall response rate [5 complete responders (CR) and 6 partial responders (PR)] was 26%, 17 patients revealed no change (NC) and 15 patients showed local tumor progression (PD). A significant correlation of tumor response (responders [CR + PR] versus non-responders [PD]) with intratumoral averaged temperatures could be observed.
48例晚期肉瘤患者接受了区域热疗(RHT)和全身化疗(异环磷酰胺/依托泊苷)。92%的患者在进入研究前已接受过预处理。预处理包括化疗(33/48)、手术(9/48)或手术加放疗(2/48)。经过常规治疗后,患者在原发部位出现复发(30/48)或疾病进展(14/48),伴有或不伴有转移。43例患者的总缓解率[5例完全缓解(CR)和6例部分缓解(PR)]为26%,17例患者病情无变化(NC),15例患者出现局部肿瘤进展(PD)。可以观察到肿瘤反应(缓解者[CR + PR]与无反应者[PD])与瘤内平均温度之间存在显著相关性。