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[霍奇金病患者继发性恶性肿瘤的发生]

[Development of a secondary malignant tumor in patients with Hodgkin's disease].

作者信息

Kuhn E, Stefanits K, Dérczy K

机构信息

Pécsi Orvostudományi Egyetem Radiológiai Klinika.

出版信息

Orv Hetil. 1990 Apr 8;131(14):739-42.

PMID:2183143
Abstract

Six out of 204 patients with Hodgkin's disease developed second malignant tumours 25, 30, 61, 65, 68 and 130 months following their treatment. The length of follow-up ranged between 24-233 months with a mean value of 95.8 months. Half of the tumours appeared within the volume irradiated. Five patients received radio- and polychemotherapy, only but one radiotherapy alone. The location of tumours found was as follows: 1 melanoma of the skin, 1 adenocarcinoma of the nasopharynx, 1 cancer of the rectum, 1 renal cell cancer as well as two cancers of the lung. Four patients are living following treatment of their secondary tumour. Until now no case of acute leukaemia could be observed.

摘要

204例霍奇金病患者中有6例在治疗后25、30、61、65、68和130个月发生了第二原发性肿瘤。随访时间为24至233个月,平均为95.8个月。一半的肿瘤出现在照射野内。5例患者接受了放疗和多药化疗,仅1例单独接受了放疗。所发现肿瘤的部位如下:1例皮肤黑色素瘤、1例鼻咽癌、1例直肠癌、1例肾细胞癌以及2例肺癌。4例患者在继发肿瘤治疗后仍存活。到目前为止,未观察到急性白血病病例。

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1
[Development of a secondary malignant tumor in patients with Hodgkin's disease].[霍奇金病患者继发性恶性肿瘤的发生]
Orv Hetil. 1990 Apr 8;131(14):739-42.
2
[Thoracic tumors after treatment for Hodgkin disease].[霍奇金病治疗后的胸部肿瘤]
Ann Chir. 1995;49(3):225-31.
3
Incidence of second solid cancer in patients after treatment of Hodgkin's disease.霍奇金淋巴瘤患者治疗后第二原发性实体癌的发病率。
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[Secondary breast cancer after treatment for Hodgkin's disease. About seven cases].霍奇金病治疗后发生的继发性乳腺癌。约7例
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Prospective study of combined modality treatment or radiotherapy alone in the management of early-stage adult Hodgkin's disease.成人早期霍奇金淋巴瘤综合治疗与单纯放疗前瞻性研究。
Int J Radiat Oncol Biol Phys. 2004 Nov 1;60(3):839-46. doi: 10.1016/j.ijrobp.2004.04.002.
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Preoperative hyperfractionated chemoradiation for locally recurrent rectal cancer in patients previously irradiated to the pelvis: A multicentric phase II study.术前超分割放化疗用于既往盆腔放疗后的局部复发性直肠癌患者:一项多中心II期研究。
Int J Radiat Oncol Biol Phys. 2006 Mar 15;64(4):1129-39. doi: 10.1016/j.ijrobp.2005.09.017. Epub 2006 Jan 18.
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The risk of acute leukemia in patients treated for Hodgkin's disease is significantly higher aft [see bined modality programs than after chemotherapy alone and is correlated with the extent of radiotherapy and type and duration of chemotherapy: a case-control study.一项病例对照研究表明,接受霍奇金淋巴瘤联合治疗方案的患者发生急性白血病的风险显著高于单纯接受化疗的患者,且该风险与放疗范围、化疗类型及疗程相关。
Haematologica. 1998 Sep;83(9):812-23.
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Mycosis fungoides associated with B-cell malignancies.蕈样肉芽肿合并B细胞恶性肿瘤。
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