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[恶性骨与软组织肿瘤患者的术后动脉内化疗]

[Post-operative intra-arterial chemotherapy in patients with malignant bone and soft tissue tumors].

作者信息

Yoh S, Arinaga M, Takagishi N, Isayama T, Soejima O, Fukabori Y, Yoshitake K, Izaki T

机构信息

Dept. of Orthopedic Surgery, School of Medicine, Fukuoka University, Japan.

出版信息

Gan To Kagaku Ryoho. 1989 Aug;16(8 Pt 2):2718-21.

PMID:2782883
Abstract

Fourteen patients with bone and soft tissue sarcoma were treated with post-operative intra-arterial chemotherapy. Three drugs (Adriamycin, vincristine, carboquone or THP-adriamycin, cisplatin, vindesine) or two drugs (cisplatin, vindesine) were used post-operatively for patients with local recurrence, patients with poor response of pre-operative intra-arterial chemotherapy or patients with intra-lesional or marginal surgical margin. Of the 14 patients treated with post-operative intra-arterial chemotherapy, 8 (57.1%) were continuously disease-free (7.1%) were disease-free after treatment of lung metastasis, 2 (14.3%) had a local recurrence and/or multiple distant metastasis, and 3 (21.4%) died with multiple distant metastases. The rate of local recurrence was 14.3%. The Kaplar-Meier disease free survival curves showed 59.6%). Evaluation of limb function were excellent or good in 9 (69.2%) of 13 patients treated with limb-saving procedures.

摘要

14例骨肉瘤和软组织肉瘤患者接受了术后动脉内化疗。对于局部复发患者、术前动脉内化疗反应不佳患者或手术切缘为瘤内或边缘性的患者,术后使用三种药物(阿霉素、长春新碱、卡波醌或吡柔比星、顺铂、长春地辛)或两种药物(顺铂、长春地辛)。在接受术后动脉内化疗的14例患者中,8例(57.1%)持续无病生存,1例(7.1%)在肺转移治疗后无病生存,2例(14.3%)出现局部复发和/或多处远处转移,3例(21.4%)死于多处远处转移。局部复发率为14.3%。Kaplar-Meier无病生存曲线显示(此处原文似乎有误,未完整表述)。在接受保肢手术的13例患者中,9例(69.2%)的肢体功能评估为优秀或良好。

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