Kase T, Kuwabara T, Kuroda K, Takanami M, Yagishita T, Sawamura Y, Tajima M, Matsushima M, Shirai M, Kaneko I
Department of Urology, Toho University School of Medicine.
Hinyokika Kiyo. 1990 Jul;36(7):765-70.
Combination therapy consisting of cis-diamine-dichloroplatinum (CDDP) and radiotherapy was used to treat bladder cancer. The subjects were 20 patients with bladder cancer we experienced since September, 1986. They were between 33 and 83 years old and consisted of 13 males and 7 females. Among the histotypes and grades, there were 3 cases of G2, 7 of G2-G3 and 10 of G3 metastatic epithelial carcinoma. The classification of primary tumors was T2 in six cases, T3a in 12 cases and T4 in two cases. In 12 cases where the bladder was preserved, this therapy was performed after TUR biopsy or TUR, and the effects were evaluated after observation periods of 5-17 months. Side effects caused by CDDP were anorexia in 15 cases, nausea and vomiting in 10 cases, leukopenia in 10 cases and thrombocytopenia in four cases. Those caused by the radiotherapy were diarrhea in seven cases and skin disorders in six cases. All of these side effects were mild and the patients recovered spontaneously.
采用顺二氯二氨铂(CDDP)与放疗相结合的联合疗法治疗膀胱癌。研究对象为1986年9月以来我们收治的20例膀胱癌患者。他们年龄在33岁至83岁之间,其中男性13例,女性7例。在组织学类型和分级方面,有3例G2级、7例G2 - G3级和10例G3级转移性上皮癌。原发肿瘤的分类为6例T2期、12例T3a期和2例T4期。在12例保留膀胱的病例中,该疗法在经尿道活检或经尿道切除术(TUR)后进行,并在5至17个月的观察期后评估疗效。由CDDP引起的副作用包括15例厌食、10例恶心呕吐、10例白细胞减少和4例血小板减少。由放疗引起的副作用包括7例腹泻和6例皮肤疾病。所有这些副作用均较轻,患者可自行恢复。