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长春新碱与依托泊苷:一种用于广泛期小细胞肺癌且毒性降低的有效化疗方案。

Vincristine and etoposide: an effective chemotherapy regimen with reduced toxicity in extensive small-cell lung cancer.

作者信息

Morgan D A, Gilson D, Fletcher J

机构信息

Hogarth Centre of Radiotherapy and Oncology, General Hospital, Nottingham, England.

出版信息

Eur J Cancer Clin Oncol. 1987 Jun;23(6):619-21. doi: 10.1016/0277-5379(87)90256-2.

DOI:10.1016/0277-5379(87)90256-2
PMID:2820741
Abstract

Chemotherapy prolongs survival of patients with small-cell lung cancer, but very few are cured, and the treatment is unpleasant. Thirty patients, 28 with advanced disease, were treated with etoposide 250 mg/m2 orally, daily for 5 days, plus vincristine 2 mg intravenously on the first day, the cycle being repeated 3-weekly, to a maximum of 6. There was a response rate of 70%, a median survival of 249 days, and an 11% 2-year survival. Symptomatic side-effects were less pronounced than with most other regimens of comparable efficacy.

摘要

化疗可延长小细胞肺癌患者的生存期,但很少能治愈,而且治疗过程令人不适。30例患者,其中28例为晚期患者,接受依托泊苷250mg/m²口服,每日1次,共5天,加长春新碱2mg静脉注射,第1天用药,每3周重复1个周期,最多6个周期。有效率为70%,中位生存期为249天,2年生存率为11%。有症状的副作用比大多数疗效相当的其他方案要轻。

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1
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Eur J Cancer Clin Oncol. 1987 Jun;23(6):619-21. doi: 10.1016/0277-5379(87)90256-2.
2
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引用本文的文献

1
Randomised trial of four-drug vs less intensive two-drug chemotherapy in the palliative treatment of patients with small-cell lung cancer (SCLC) and poor prognosis. Medical Research Council Lung Cancer Working Party.小细胞肺癌(SCLC)且预后较差患者姑息治疗中四药联合与低强度两药化疗的随机试验。医学研究委员会肺癌工作组
Br J Cancer. 1996 Feb;73(3):406-13. doi: 10.1038/bjc.1996.71.
2
Treatment of small cell lung cancer by eight weeks chemotherapy.采用八周化疗治疗小细胞肺癌。
Med Oncol Tumor Pharmacother. 1989;6(4):279-83. doi: 10.1007/BF02985162.
3
Chemotherapy in lung cancer.
肺癌的化疗
Postgrad Med J. 1989 May;65(763):291-8. doi: 10.1136/pgmj.65.763.291.
4
A phase II study of oral etoposide in elderly patients with small cell lung cancer.口服依托泊苷治疗老年小细胞肺癌的II期研究。
Thorax. 1989 Aug;44(8):631-3. doi: 10.1136/thx.44.8.631.