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[干扰素-β对恶性黑色素瘤的治疗反应]

[Therapeutic response of interferon-beta in malignant melanoma].

作者信息

Ishihara K

出版信息

Gan To Kagaku Ryoho. 1986 Apr;13(4 Pt 1):1010-6.

PMID:2421645
Abstract

Therapeutic responses to systemic administration of interferon-beta (IFN-beta) were studied in 13 patients with malignant melanoma. Of 4 patients with stage IV malignant melanoma receiving systemic IFN-beta therapy alone, none showed any effective result (1MR, 3NC). Treatment with IFN-beta combined with chemotherapy, e.g. DTIC, produced a clinical improvement in 2 of 5 patients with malignant melanoma (1CR, 1PR, 2NC and 1PD). IFN-beta therapy has been performed by intravenous drip infusion concomitantly with chemotherapy before or after surgery, for prevention of metastasis in 4 cases of malignant melanoma (stage Ib, 1 case; stage II, 2 cases; stage III, 1 case). Three patients with stage Ib to II have been progressing favorably without metastasis over the past 3 years and 2 months. Patients receiving indomethacin suppositories for fever associated with IFN-beta therapy were examined for plasma and urinary IFN-beta activity levels. No significant difference was observed whether indomethacin was administered or not. Indomethacin is therefore considered to have no appreciable influence on IFN-beta therapy.

摘要

对13例恶性黑色素瘤患者进行了干扰素-β(IFN-β)全身给药的治疗反应研究。在仅接受全身IFN-β治疗的4例IV期恶性黑色素瘤患者中,无一例显示出任何有效结果(1例病情稳定,3例无变化)。IFN-β联合化疗(如达卡巴嗪)治疗,使5例恶性黑色素瘤患者中的2例病情得到临床改善(1例完全缓解,1例部分缓解,2例无变化,1例病情进展)。对于4例恶性黑色素瘤患者(Ib期1例;II期2例;III期1例),在手术前或手术后,通过静脉滴注IFN-β联合化疗,以预防转移。在过去3年零2个月中,3例Ib期至II期患者病情进展顺利,无转移。对接受吲哚美辛栓剂治疗与IFN-β治疗相关发热的患者,检测了血浆和尿液中的IFN-β活性水平。无论是否使用吲哚美辛,均未观察到显著差异。因此,认为吲哚美辛对IFN-β治疗没有明显影响。

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