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白细胞介素-2对犬周围神经鞘瘤边缘性手术切除后的影响:一项双盲随机研究。

The effect of interleukin-2 on canine peripheral nerve sheath tumours after marginal surgical excision: a double-blind randomized study.

作者信息

Haagsman Annika N, Witkamp Astrid C S, Sjollema Bart E, Kik Marja J L, Kirpensteijn Jolle

出版信息

BMC Vet Res. 2013 Aug 8;9:155. doi: 10.1186/1746-6148-9-155.

Abstract

BACKGROUND

The objective of this study was to evaluate the effect on outcomes of intraoperative recombinant human interleukin-2 injection after surgical resection of peripheral nerve sheath tumours. In this double-blind trial, 40 patients due to undergo surgical excision (<5 mm margins) of presumed peripheral nerve sheath tumours were randomized to receive intraoperative injection of interleukin-2 or placebo into the wound bed.

RESULTS

There were no significant differences in any variable investigated or in median survival between the two groups. The median recurrence free interval was 874 days (range 48-2141 days), The recurrence-free interval and overall survival time were significantly longer in dogs that undergone the primary surgery by a specialist-certified surgeon compared to a referring veterinarian regardless of whether additional adjunct therapy was given.

CONCLUSION

Overall, marginal excision of peripheral nerve sheath tumours in dogs resulted in a long survival time, but adjuvant treatment with recombinant human interleukin-2 (rhIL-2) did not provide a survival advantage.

摘要

背景

本研究的目的是评估手术切除周围神经鞘瘤后术中注射重组人白细胞介素-2对预后的影响。在这项双盲试验中,40例拟接受手术切除(切缘<5mm)周围神经鞘瘤的患者被随机分为两组,分别在伤口床接受术中注射白细胞介素-2或安慰剂。

结果

两组之间在任何研究变量或中位生存期方面均无显著差异。无复发生存期的中位数为874天(范围48 - 2141天)。无论是否给予额外的辅助治疗,与由转诊兽医进行初次手术的犬相比,由专科认证外科医生进行初次手术的犬的无复发生存期和总生存时间显著更长。

结论

总体而言,犬周围神经鞘瘤的边缘切除导致较长的生存时间,但重组人白细胞介素-2(rhIL-2)辅助治疗并未提供生存优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ba0/3751239/ef44012deaef/1746-6148-9-155-1.jpg

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