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血红蛋白浓度在头颈癌米索硝唑增敏放疗结局中的作用:基于放射治疗肿瘤学组(RTOG)79-15号试验

The role of hemoglobin concentration in the outcome of misonidazole-sensitized radiotherapy of head and neck cancers: based on RTOG trial #79-15.

作者信息

Fazekas J T, Scott C, Marcial V, Davis L W, Wasserman T, Cooper J S

机构信息

Division of Radiation Oncology, Rutland Regional Medical Center, VT 05701.

出版信息

Int J Radiat Oncol Biol Phys. 1989 Dec;17(6):1177-81. doi: 10.1016/0360-3016(89)90523-3.

DOI:10.1016/0360-3016(89)90523-3
PMID:2689395
Abstract

Recent data from the DAHANCA (Danish Head and Neck Cancer) 2 study implies a positive effect of high hemoglobin concentration in concert with misonidazole for the treatment of head and neck cancers by radiotherapy. We have therefore reviewed and updated our analysis of RTOG protocol 79-15, which included the effect of misonidazole plus radiotherapy in a presumably similar population. Despite additional follow-up and more sophisticated analysis, our analysis does not demonstrate an influence of hemoglobin concentration on any of the outcome measures we examined. Possible explanations for the difference in findings of RTOG 79-15 and DAHANCA 2 are discussed. Radiation therapy of head and neck squamous cancers, Hypoxia and hemoglobin conc. in head and neck cancers, Oral cavity cancer, Effect of radiation therapy, Oropharynx cancer, Hemoglobin and radiotherapy, Hemoglobin concentration, Effect upon radiotherapy, Irradiation of oropharynx cancer, Hgb effect.

摘要

DAHANCA(丹麦头颈癌)2研究的最新数据表明,高血红蛋白浓度与米索硝唑联合使用对通过放射治疗头颈癌具有积极作用。因此,我们回顾并更新了对RTOG协议79 - 15的分析,该协议包括米索硝唑加放射治疗在可能相似人群中的效果。尽管进行了额外的随访和更复杂的分析,但我们的分析并未证明血红蛋白浓度对我们所检查的任何结果指标有影响。文中讨论了RTOG 79 - 15和DAHANCA 2研究结果差异的可能解释。头颈鳞状癌的放射治疗、头颈癌中的缺氧和血红蛋白浓度、口腔癌、放射治疗的效果、口咽癌、血红蛋白与放射治疗、血红蛋白浓度、对放射治疗的影响、口咽癌的照射、血红蛋白的作用

相似文献

1
The role of hemoglobin concentration in the outcome of misonidazole-sensitized radiotherapy of head and neck cancers: based on RTOG trial #79-15.血红蛋白浓度在头颈癌米索硝唑增敏放疗结局中的作用:基于放射治疗肿瘤学组(RTOG)79-15号试验
Int J Radiat Oncol Biol Phys. 1989 Dec;17(6):1177-81. doi: 10.1016/0360-3016(89)90523-3.
2
A phase I/II study of the hypoxic cell sensitizer misonidazole as an adjunct to high fractional dose radiotherapy in patients with unresectable squamous cell carcinoma of the head and neck: a RTOG randomized study (#79-04).一项关于低氧细胞增敏剂米索硝唑作为不可切除头颈部鳞状细胞癌患者高分割剂量放疗辅助治疗的I/II期研究:一项放射治疗肿瘤学组(RTOG)的随机研究(#79-04)
Int J Radiat Oncol Biol Phys. 1989 Feb;16(2):465-70. doi: 10.1016/0360-3016(89)90343-x.
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Failure of misonidazole-sensitized radiotherapy to impact upon outcome among stage III-IV squamous cancers of the head and neck.米索硝唑增敏放疗对头颈部 III-IV 期鳞状细胞癌患者的预后无显著影响。
Int J Radiat Oncol Biol Phys. 1987 Aug;13(8):1155-60. doi: 10.1016/0360-3016(87)90188-x.
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Hypoxic sensitizer and cytotoxin for head and neck cancer.用于头颈癌的低氧敏化剂和细胞毒素。
Ann Acad Med Singap. 1996 May;25(3):397-404.
5
Irradiation with misonidazole and hyperbaric oxygen: final report on a randomized trial in advanced head and neck cancer.米索硝唑与高压氧照射:晚期头颈癌随机试验的最终报告
Int J Radiat Oncol Biol Phys. 1986 Aug;12(8):1343-6. doi: 10.1016/0360-3016(86)90168-9.
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Radiation Therapy Oncology Group (RTOG) studies in head and neck cancer.放射治疗肿瘤学组(RTOG)关于头颈癌的研究。
Semin Oncol. 1988 Feb;15(1):39-60.
7
The value of adjuvant misonidazole in the definitive irradiation of advanced head and neck squamous cancer: an RTOG pilot study (#78-02).辅助米索硝唑在晚期头颈部鳞状细胞癌根治性放疗中的价值:一项放射治疗肿瘤学组的试点研究(#78 - 02)
Int J Radiat Oncol Biol Phys. 1981 Dec;7(12):1703-8. doi: 10.1016/0360-3016(81)90196-6.
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A study of the effect of misonidazole in conjunction with radiotherapy for the treatment of head and neck cancer. MRC working party on misonidazole in head and neck cancer.一项关于米索硝唑联合放射治疗头颈部癌疗效的研究。医学研究委员会头颈部癌米索硝唑研究工作组。
Br J Radiol. 1984 Jul;57(679):585-95. doi: 10.1259/0007-1285-57-679-585.
9
Does transfusion improve the outcome for HNSCC patients treated with radiotherapy? - results from the randomized DAHANCA 5 and 7 trials.放疗联合输血是否能改善头颈部鳞癌患者的预后?——来自随机对照 DAHANCA 5 和 7 期临床试验的结果。
Acta Oncol. 2011 Oct;50(7):1006-14. doi: 10.3109/0284186X.2011.592650. Epub 2011 Jul 26.
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Hyperfractionated radiotherapy with or without misonidazole: results of a prospective randomized study in stage III-IV squamous cell carcinoma of the head and neck.伴有或不伴有米索硝唑的超分割放疗:头颈部 III-IV 期鳞状细胞癌前瞻性随机研究结果
Int J Radiat Oncol Biol Phys. 1984 Oct;10(10):1845-9. doi: 10.1016/0360-3016(84)90260-8.

引用本文的文献

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Impact of anemia in patients with head and neck cancer treated with radiation therapy.贫血对头颈部癌放疗患者的影响。
Curr Treat Options Oncol. 2005 Jan;6(1):31-45. doi: 10.1007/s11864-005-0011-4.
2
The influence of chronic anaemia on the radiosensitivity of two mouse tumours.慢性贫血对两种小鼠肿瘤放射敏感性的影响。
Br J Cancer. 1991 Apr;63(4):499-502. doi: 10.1038/bjc.1991.119.