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美国睾丸癌的治疗策略。

Treatment strategies of testicular cancer in the United States.

作者信息

Einhorn L H

出版信息

Int J Androl. 1987 Feb;10(1):399-405. doi: 10.1111/j.1365-2605.1987.tb00210.x.

DOI:10.1111/j.1365-2605.1987.tb00210.x
PMID:2438232
Abstract

The treatment of testicular cancer has dramatically improved during the past decade. Combination chemotherapy with PVB was instituted at Indiana University in 1974. Subsequent studies demonstrated that: post PVB, surgery can cure patients; vinblastine dosage can be lowered from 0.4 to 0.3 mg/kg without sacrificing cure potential; maintenance vinblastine is not necessary; VP-16 can be substituted for vinblastine with equivalent cure rates and decreased neuromuscular toxicity.

摘要

在过去十年中,睾丸癌的治疗取得了显著进展。1974年,印第安纳大学开始采用顺铂、长春花碱和博来霉素联合化疗(PVB)。随后的研究表明:接受PVB化疗后,手术可治愈患者;长春花碱剂量可从0.4毫克/千克降至0.3毫克/千克,而不影响治愈可能性;无需维持使用长春花碱;用依托泊苷替代长春花碱可获得相同的治愈率,且神经肌肉毒性降低。

相似文献

1
Treatment strategies of testicular cancer in the United States.美国睾丸癌的治疗策略。
Int J Androl. 1987 Feb;10(1):399-405. doi: 10.1111/j.1365-2605.1987.tb00210.x.
2
Chemotherapy of disseminated germ cell tumors.播散性生殖细胞肿瘤的化疗
Cancer. 1987 Aug 1;60(3 Suppl):570-3. doi: 10.1002/1097-0142(19870801)60:3+<570::aid-cncr2820601523>3.0.co;2-r.
3
Treatment of testicular cancer: a new and improved model.睾丸癌的治疗:一种新的改良模型。
J Clin Oncol. 1990 Nov;8(11):1777-81. doi: 10.1200/JCO.1990.8.11.1777.
4
A randomized trial of cisplatin, vinblastine, and bleomycin versus vinblastine, cisplatin, and etoposide in the treatment of advanced germ cell tumors of the testis: a Southwest Oncology Group study.顺铂、长春花碱和博来霉素对比长春花碱、顺铂和依托泊苷治疗晚期睾丸生殖细胞肿瘤的随机试验:一项西南肿瘤协作组研究
J Clin Oncol. 1991 Jan;9(1):70-6. doi: 10.1200/JCO.1991.9.1.70.
5
[Effectiveness of chemotherapy by the AVM protocol (adriamycin, vincristine and methotrexate) after unsuccessful treatment of patients with non-seminoma using PVB (cisplatin, vinblastine and bleomycin)].在使用PVB(顺铂、长春碱和博来霉素)治疗非精原细胞瘤患者失败后,采用AVM方案(阿霉素、长春新碱和甲氨蝶呤)进行化疗的疗效
Nowotwory. 1984 Oct-Dec;34(4):329-34.
6
[VP-16 salvage therapy of PVB regimen-resistant testicular germ cell tumors].[依托泊苷挽救治疗对PVB方案耐药的睾丸生殖细胞肿瘤]
Nihon Hinyokika Gakkai Zasshi. 1987 Jul;78(7):1227-31. doi: 10.5980/jpnjurol1928.78.7_1227.
7
Curing metastatic testicular cancer.治愈转移性睾丸癌。
Proc Natl Acad Sci U S A. 2002 Apr 2;99(7):4592-5. doi: 10.1073/pnas.072067999. Epub 2002 Mar 19.
8
Cisplatin, vinblastine, and bleomycin versus vinblastine, cisplatin, and etoposide in the treatment of advanced germ cell tumors of the testis.顺铂、长春碱和博来霉素与长春碱、顺铂和依托泊苷治疗晚期睾丸生殖细胞肿瘤的对比
J Clin Oncol. 1991 Jun;9(6):1092-4. doi: 10.1200/JCO.1991.9.6.1092.
9
Prognostic factors for favorable outcome in disseminated germ cell tumors.播散性生殖细胞肿瘤预后良好的预后因素。
J Clin Oncol. 1986 Mar;4(3):400-7. doi: 10.1200/JCO.1986.4.3.400.
10
Poor prognosis germ cell tumors of the testes: improved results with high dose regimens.
Prog Clin Biol Res. 1988;269:419-27.

引用本文的文献

1
From teratocarcinomas to embryonic stem cells.从畸胎癌到胚胎干细胞。
Philos Trans R Soc Lond B Biol Sci. 2002 Apr 29;357(1420):405-17. doi: 10.1098/rstb.2002.1058.
2
Long-term follow-up of pulmonary function in patients cured from testicular cancer with combination chemotherapy including bleomycin.接受含博来霉素联合化疗治愈的睾丸癌患者肺功能的长期随访
Br J Cancer. 1993 Sep;68(3):555-8. doi: 10.1038/bjc.1993.385.