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皮损内注射γ干扰素对基底细胞癌的影响。

The effect of intralesional interferon gamma on basal cell carcinomas.

作者信息

Edwards L, Whiting D, Rogers D, Luck K, Smiles K A

机构信息

Department of Internal Medicine (Dermatology), University of Arizona Medical Center, Tucson.

出版信息

J Am Acad Dermatol. 1990 Mar;22(3):496-500. doi: 10.1016/0190-9622(90)70070-x.

Abstract

This open label study evaluated the effect of nine intralesional injections of two different doses of interferon gamma on basal cell carcinomas in 29 patients. One group of 15 patients received interferon gamma, 0.01 mg (20,000 IU), intralesionally three times a week for 3 weeks. Fourteen patients received interferon gamma, 0.05 mg (100,000 IU), intralesionally in the same dosage schedule. Excisional biopsy specimens 12 weeks after therapy showed no evidence of tumor remaining in 7 of 14 patients (50%) treated with the higher dose of interferon gamma, whereas only 1 of 15 patients (7%) treated with low-dose interferon gamma was cured according to histologic criteria (p = 0.025). Seventy-six percent of patients reported at least one adverse reaction, but most were considered mild by the patient and the investigator.

摘要

这项开放性标签研究评估了对29例基底细胞癌患者进行9次瘤内注射两种不同剂量干扰素γ的效果。一组15例患者每周接受3次瘤内注射0.01毫克(20,000国际单位)干扰素γ,共3周。14例患者按相同给药方案接受瘤内注射0.05毫克(100,000国际单位)干扰素γ。治疗12周后的切除活检标本显示,接受高剂量干扰素γ治疗的14例患者中有7例(50%)无肿瘤残留迹象,而根据组织学标准,接受低剂量干扰素γ治疗的15例患者中只有1例(7%)治愈(p = 0.025)。76%的患者报告至少有一次不良反应,但患者和研究者大多认为这些反应为轻度。

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