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用阿克拉霉素、山嵛酸阿糖胞苷、依托泊苷和泼尼松龙对难治性非霍奇金淋巴瘤进行挽救性化疗。

Salvage chemotherapy of refractory non-Hodgkin's lymphoma with aclacinomycin, behenoyl ara-C, etoposide, and prednisolone.

作者信息

Yoshida T, Nakamura S, Ohtake S, Kobayashi K, Kanno M, Matsuda T, Matano S, Kondo K, Okafuji K, Kanai M

机构信息

Third Department of Internal Medicine, Kanazawa University School of Medicine, Japan.

出版信息

Cancer Chemother Pharmacol. 1989;25(2):135-8. doi: 10.1007/BF00692354.

DOI:10.1007/BF00692354
PMID:2598400
Abstract

A total of 40 patients with recurrent non-Hodgkin's lymphoma were treated with ABEP combination chemotherapy (aclarubicin, N4-behenoyl-1-beta-D-arabinofuranosylcytosine, etoposide, and prednisolone). A complete remission (CR) was achieved in 37.5% of the patients and partial remission, in 15.0%. The ABEP regimen proved to be effective in T-cell as well as B-cell lymphoma. It appears that the ABEP regimen may be partially non-cross-resistant with front-line doxorubicin-containing combinations. Survival for 39 months was achieved in 42.0% of the CR responders compared with 6.7% of partial responders (PRs) and nonresponders (NRs) (P less than 0.01). Disease-free survival for 45 months was seen in 66% of the CR patients. The ABEP regimen was effective in the treatment of patients with recurrent or refractory lymphoma, enabling hope for long-term survival in the majority of CR cases.

摘要

共有40例复发性非霍奇金淋巴瘤患者接受了ABEP联合化疗(阿克拉霉素、N4-二十二烷酰-1-β-D-阿拉伯呋喃糖基胞嘧啶、依托泊苷和泼尼松龙)。37.5%的患者实现了完全缓解(CR),15.0%的患者实现了部分缓解。ABEP方案在T细胞淋巴瘤和B细胞淋巴瘤中均被证明有效。ABEP方案似乎与含一线阿霉素的联合方案有部分非交叉耐药性。CR反应者中有42.0%存活39个月,而部分反应者(PR)和无反应者(NR)中这一比例为6.7%(P<0.01)。66%的CR患者无病生存期达45个月。ABEP方案对复发性或难治性淋巴瘤患者的治疗有效,使大多数CR病例有长期生存的希望。

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Cancer Chemother Pharmacol. 1989;25(2):135-8. doi: 10.1007/BF00692354.
2
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引用本文的文献

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本文引用的文献

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[Etoposide VP 16--213)--a podophyllotoxinderivative with high antitumor activity (author's transl)].依托泊苷(VP 16-213)——一种具有高抗肿瘤活性的鬼臼毒素衍生物(作者译)
Klin Wochenschr. 1981 Nov 2;59(21):1177-88. doi: 10.1007/BF01721212.
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Cyclophosphamide, vincristine, methotrexate with leucovorin rescue, and cytarabine (COMLA) combination sequential chemotherapy for advanced diffuse histiocytic lymphoma.环磷酰胺、长春新碱、甲氨蝶呤联合亚叶酸钙解救及阿糖胞苷(COMLA)联合序贯化疗治疗晚期弥漫性组织细胞淋巴瘤。
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Pharmacokinetics of N4-behenoyl-1-beta-D-arabinofuranosylcytosine in patients with acute leukemia.
急性白血病患者中N4-山嵛酰基-1-β-D-阿拉伯呋喃糖基胞嘧啶的药代动力学
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Action mechanism of antileukemic agents with special reference to nucleic acid metabolism of leukemic cells.抗白血病药物的作用机制,特别涉及白血病细胞的核酸代谢。
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5
Diffuse aggressive lymphomas: increased survival after alternating flexible sequences of proMACE and MOPP chemotherapy.弥漫性侵袭性淋巴瘤:采用交替灵活的ProMACE和MOPP化疗方案后生存率提高。
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8
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