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疾病分期为I至II期的侵袭性非霍奇金淋巴瘤患者的放化疗治疗

[Chemoradiation treatment of patients with aggressive non-Hodgkin's lymphomas in stages I to II of the disease].

作者信息

Sotnikov V M, Polianskaia A M, Pan'shin G A, Ingberman Ia Kh, Kaplanskaia I B

出版信息

Ter Arkh. 1989;61(7):20-3.

PMID:2588136
Abstract

Altogether 91 patients underwent treatment. Polychemotherapy (COP, ACOP) and radiotherapy were provided to 43 patients. Of these, 26 patients were irradiated locally and 17 were subjected to extensive radiation. Radiotherapy was given to 48 patients. Of these, 36 patients were subjected to irradiation of the local lesions whereas 12 underwent extensive radiation. Complete remissions were attained in 81 and 75% of the patients, respectively. The 5-year survival amounted to 65 and 34% (p less than 0.05), the 5-year survival without any relapses to 55 and 25% (p less than 0.01). In the IA stage, the 5-year survival was 89 and 44% (p less than 0.05) and the 5-year survival without relapses 63 and 13% (p less than 0.05). In the IIA stage, a statistically significant increase of the 5-year survival was also reached. No material differences could be seen in the results of the treatment depending on the scope of radiation. Drug + radiation treatment turned out most effective for the local stages of aggressive non-Hodgkin's lymphomas.

摘要

共有91例患者接受了治疗。43例患者接受了多药化疗(COP、ACOP)和放疗。其中,26例患者接受局部照射,17例接受广泛照射。48例患者接受了放疗。其中,36例患者接受局部病灶照射,12例接受广泛照射。患者的完全缓解率分别为81%和75%。5年生存率分别为65%和34%(p<0.05),5年无复发生存率分别为55%和25%(p<0.01)。在IA期,5年生存率分别为89%和44%(p<0.05),5年无复发生存率分别为63%和13%(p<0.05)。在IIA期,5年生存率也有统计学意义的显著提高。根据照射范围,治疗结果未见实质性差异。药物+放疗治疗对侵袭性非霍奇金淋巴瘤的局部阶段最为有效。

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