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异环磷酰胺和环磷酰胺在小细胞支气管癌(SCLC)根治性手术后多模式治疗中的作用。

The role of ifosfamide and cyclophosphamide in the multi-modality treatment after surgery for cure for small-cell bronchial carcinomas (SCLC).

作者信息

Karrer K, Denck H, Karnicka-Mlodkowska H, Drings P, Orel J, Salzer G M, Thermann M, Lattuneddu A, Sun Y, Hata E

机构信息

Institute for Epidemiology of Neoplasms of the University of Vienna, Austria.

出版信息

Med Oncol Tumor Pharmacother. 1989;6(2):143-9. doi: 10.1007/BF02985237.

DOI:10.1007/BF02985237
PMID:2545979
Abstract

For the optimisation of the therapy for small cell bronchial carcinomas (SCLC), surgery is used to eliminate the primary tumor and its regional lymph nodes and chemo- and radiotherapy for the general treatment of micrometastasis. After patho-histological examination of the operation specimen, randomization for two arms is performed for a standard chemotherapy (CAV) or a sequential chemotherapy using three different drug combinations. Thereafter all disease-free patients receive prophylactic cranial irradiation (PCI). Preliminary evaluations in December 1987, of 112 patients from 19 cooperating departments show that the survival rate projected for 2 yr of 43 patients at stage pT1-3 N0 M0 is 76%, of 43 patients at stage pT1-3 N1 M0 it is 63% and of 26 patients at stage pT1-3 N2 M0 it is 38%.

摘要

为优化小细胞支气管癌(SCLC)的治疗方案,采用手术切除原发性肿瘤及其区域淋巴结,并采用化疗和放疗来全面治疗微转移。对手术标本进行病理组织学检查后,将患者随机分为两组,分别接受标准化疗(CAV)或使用三种不同药物组合的序贯化疗。此后,所有无病患者均接受预防性颅脑照射(PCI)。1987年12月对来自19个合作科室的112例患者进行的初步评估显示,pT1-3 N0 M0期43例患者的2年预计生存率为76%,pT1-3 N1 M0期43例患者为63%,pT1-3 N2 M0期26例患者为38%。

相似文献

1
The role of ifosfamide and cyclophosphamide in the multi-modality treatment after surgery for cure for small-cell bronchial carcinomas (SCLC).异环磷酰胺和环磷酰胺在小细胞支气管癌(SCLC)根治性手术后多模式治疗中的作用。
Med Oncol Tumor Pharmacother. 1989;6(2):143-9. doi: 10.1007/BF02985237.
2
The importance of surgery as the first step in multimodality treatment of small cell bronchial carcinoma. The ISC Lung Cancer Study Group.手术作为小细胞支气管癌多模式治疗第一步的重要性。国际肺癌研究组。
Int J Clin Pharmacol Res. 1990;10(5):257-63.
3
Surgery for cure followed by combined modality treatment for small cell bronchial carcinoma. ISC Lung Cancer Study Group.
Int J Clin Pharmacol Res. 1988;8(6):415-21.
4
Experience of a German multicenter study group with ifosfamide in small cell lung cancer.德国多中心研究小组使用异环磷酰胺治疗小细胞肺癌的经验。
Semin Oncol. 1989 Feb;16(1 Suppl 3):9-18.
5
The importance of surgical and multimodality treatment for small cell bronchial carcinoma.手术及多模式治疗在小细胞支气管癌中的重要性。
J Thorac Cardiovasc Surg. 1989 Feb;97(2):168-76.
6
Cisplatin/etoposide versus ifosfamide/etoposide combination chemotherapy in small-cell lung cancer: a multicenter German randomized trial.顺铂/依托泊苷与异环磷酰胺/依托泊苷联合化疗治疗小细胞肺癌:一项德国多中心随机试验
J Clin Oncol. 1987 Dec;5(12):1880-9. doi: 10.1200/JCO.1987.5.12.1880.
7
Cyclic-alternating versus response-oriented chemotherapy in small-cell lung cancer: a German multicenter randomized trial of 321 patients.小细胞肺癌中循环交替化疗与反应导向化疗的比较:一项针对321例患者的德国多中心随机试验
J Clin Oncol. 1991 Apr;9(4):614-24. doi: 10.1200/JCO.1991.9.4.614.
8
The effect of dose of thoracic irradiation on recurrence in patients with limited stage small cell lung cancer. Initial results of a Canadian Multicenter Randomized Trial.
Int J Radiat Oncol Biol Phys. 1988 Feb;14(2):219-26. doi: 10.1016/0360-3016(88)90424-5.
9
Alternating chemotherapy and thoracic radiotherapy with concurrent cisplatin-etoposide for limited-stage small-cell carcinoma of the lung.交替化疗与胸部放疗联合顺铂-依托泊苷治疗局限期小细胞肺癌。
Semin Oncol. 1986 Sep;13(3 Suppl 3):24-30.
10
Surgery for cure followed by chemotherapy in small cell carcinoma of the lung. For the ISC-Lung Cancer Study Group.肺癌小细胞癌的根治性手术及术后化疗。国际肺癌研究组。
Acta Oncol. 1995;34(7):899-906. doi: 10.3109/02841869509127202.

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Early lung cancer detection: results of the initial (prevalence) radiologic and cytologic screening in the Mayo Clinic study.早期肺癌检测:梅奥诊所研究中首次(患病率)放射学和细胞学筛查的结果
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Survival of operated bronchus carcinoma patients: a prospective study.手术治疗的支气管癌患者的生存率:一项前瞻性研究。
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