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对奇瓦·L·M和冈萨雷斯 - 马丁·A所著题为《热灌注化疗(HIPEC)治疗晚期复发性卵巢癌的批判性评估》的综述的评论

Commment on the review entitled "A critical appraisal of hyperthermic intraperitoneal chemotherapy (HIPEC) in the treatment of advanced and recurrent ovarian cancer" by Chiva LM and Gonzalez-Martin A.

作者信息

Deraco Marcello, Kusamura Shigeki, Baratti Dario

机构信息

Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Department of surgery, Colorectal Cancer Unit, Peritoneal Surface Malignancies Program, Via Venezian, 1, Milano, MI Cap 20133, Italy.

出版信息

Gynecol Oncol Rep. 2015 Nov 28;15:7-8. doi: 10.1016/j.gore.2015.11.002. eCollection 2016 Jan.

Abstract

•We raised some methodological concerns and made some comments on the systematic review by Chiva and colleague.•To state that Cytoreduction & HIPEC is not beneficial in front line and platinum sensitive recurrence is highly disputable.•Anyway, the combined treatment should be offered in the context of clinical trial; randomized data are urgently needed.

摘要

•我们提出了一些方法学方面的问题,并对奇瓦及其同事的系统评价发表了一些评论。

•声称细胞减灭术及热灌注化疗对一线铂敏感复发患者无益处,这极具争议性。

•无论如何,联合治疗应在临床试验的背景下进行;迫切需要随机对照数据。

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本文引用的文献

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Neoadjuvant chemotherapy or primary surgery in advanced ovarian cancer.晚期卵巢癌的新辅助化疗或初次手术
N Engl J Med. 2010 Dec 9;363(24):2370-1; author reply 2372. doi: 10.1056/NEJMc1011061.

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