Jahn H, Ruffert K, Syrbe G, Kühn R, Jorke D
Department of Internal Medicine, Friedrich Schiller University, Jena, GDR.
Arch Geschwulstforsch. 1988;58(2):113-20.
Malignant non-Hodgkin's lymphoma (NHL) patients were enrolled and analyzed retrospectively in 2 successive study groups. The first group consisted of 57 patients divided into low- and high-grade malignant NHL according to the Kiel classification, the second one included 104 patients divided into low-, intermediate-, and high-grade malignant NHL. The more individualized and more intensive polychemotherapy of the 2nd group yielded clearly better treatment results compared to the first group, especially in high-grade malignant NHL. The complete remissions rose from 32% to 59%, the recurrence rates fell from 62% to 20%, the 5-year survival time of patients under age 30 increased from 0 to 48%. In intermediate-grade malignant NHL, intensive therapy yield results that are as beneficial as those of mild therapy in low-grade malignant NHL (5-year survival rate 62% and 65%, respectively).
恶性非霍奇金淋巴瘤(NHL)患者被纳入两个连续的研究组并进行回顾性分析。第一组由57例患者组成,根据基尔分类法分为低度和高度恶性NHL,第二组包括104例患者,分为低度、中度和高度恶性NHL。与第一组相比,第二组更个体化、更强化的多药化疗产生了明显更好的治疗效果,尤其是在高度恶性NHL中。完全缓解率从32%提高到59%,复发率从62%降至20%,30岁以下患者的5年生存率从0提高到48%。在中度恶性NHL中,强化治疗产生的结果与低度恶性NHL中的温和治疗结果一样有益(5年生存率分别为62%和65%)。