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头颈部鳞状细胞癌的多药化疗与放疗治疗

[Treatment of squamous cell carcinoma of the head and neck with multi-drug chemotherapy and radiotherapy].

作者信息

Nishio M, Kagami Y, Narimatsu N, Asano K, Sanbe S, Somekawa Y

机构信息

Dept. of Radiology, National Sapporo Hospital, Hokkaido Cancer Center.

出版信息

Gan To Kagaku Ryoho. 1989 Sep;16(9):3111-8.

PMID:2476971
Abstract

Multi-drug chemotherapy containing cisplatin has been reported to be one of the most active chemotherapy regimens in advanced or recurrent head and neck squamous cell carcinoma. In this study, the current status of clinical investigation of combination chemotherapies is reviewed. And our data are presented in head and neck cancer with multi-drug chemotherapy containing cisplatin. Thirty-five patients of stage 3-4 and 70 patients with recurrent and/or metastatic head and neck squamous cell carcinoma were treated by multi-drug chemotherapy containing cisplatin, and radiotherapy and/or operation. The overall response rate was 71.4%, with 17.1% complete remission in previously untreated, locally advanced patients and 31.4% in recurrent or metastatic patients. Problems of chemotherapy combined with radiotherapy and future direction of clinical study in locally advanced or recurrent head and neck cancer are discussed.

摘要

据报道,含顺铂的多药化疗是晚期或复发性头颈部鳞状细胞癌中最有效的化疗方案之一。在本研究中,回顾了联合化疗的临床研究现状。并展示了我们在头颈部癌中使用含顺铂多药化疗的数据。35例3 - 4期患者和70例复发性和/或转移性头颈部鳞状细胞癌患者接受了含顺铂的多药化疗以及放疗和/或手术治疗。总体缓解率为71.4%,在既往未治疗的局部晚期患者中完全缓解率为17.1%,在复发或转移患者中为31.4%。讨论了化疗联合放疗的问题以及局部晚期或复发性头颈部癌临床研究的未来方向。

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