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[子宫内膜癌的姑息化疗。多柔比星和顺铂联合应用的价值]

[Palliative chemotherapy of endometrial cancer. Value of combinations with doxorubicin and cisplatin].

作者信息

Chauvergne J, Granger C, Mage P, Pigneux J, David M

出版信息

Rev Fr Gynecol Obstet. 1986 Oct;81(10):547-51.

PMID:2431448
Abstract

The study of a series of 21 consecutive cases of adenocarcinomas of the endometrium requiring chemotherapy, has permitted to demonstrate the superior efficacy of an association of doxorubicin and cisplastin as compared to other plans containing only anthracyclin (45% of partial and complete remissions versus 20%); this difference, however, is not statistically significant. Intolerance reactions were similar in both groups. Confirming recent data from the literature, the results conclude in favor of: the determinant contribution of cisplastin to chemotherapy, the need of a strict selection of the patients intended for chemotherapy, the usefulness of induction chemotherapy trials, prior to pelvic radiotherapy in locally advanced forms, to improve their distant prognosis.

摘要

对21例连续的需要化疗的子宫内膜腺癌病例进行的研究表明,与仅含蒽环类药物的其他方案相比,阿霉素和顺铂联合使用具有更高的疗效(部分缓解和完全缓解率为45%,而仅含蒽环类药物的方案为20%);然而,这种差异无统计学意义。两组的不耐受反应相似。这些结果证实了文献中的最新数据,支持以下观点:顺铂对化疗有决定性作用,需要严格选择适合化疗的患者,对于局部晚期病例,在盆腔放疗前进行诱导化疗试验以改善其远处预后是有用的。

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