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阿斯基-罗萨伊肿瘤的治疗——需要更积极的治疗方法。

Treatment of Askin Rosai tumor--need for a more aggressive approach.

作者信息

Parikh P M, Charak B S, Banavali S D, Advani S H, Saikia T K, Gopal R, Borges A M, Chinoy R F, Desai P B

机构信息

Department of Medical Oncology, Tata Memorial Hospital, Bombay, India.

出版信息

J Surg Oncol. 1988 Oct;39(2):126-8. doi: 10.1002/jso.2930390212.

DOI:10.1002/jso.2930390212
PMID:2845198
Abstract

Fifteen cases of histologically proven Askin Rosai tumor were treated at Tata Memorial Hospital over a period of 3 years. Patients included 12 men and three women. Clinical features included chest wall mass (14), pain (11), bony involvement (6), fever (4), dyspnoea (4), weight loss (1), cough (1), and hemoptysis (1). Previously treated patients received different treatment protocols, which made evaluation difficult. Of our ten patients who have completed induction therapy, five received vincristine and cyclophosphamide, whereas the other five received more aggressive chemotherapy. Complete remission has been achieved in two and four of these patients, respectively. One patient in each group had recurrence of the disease, in both cases at the local site. Thus, from our preliminary data, we suggest that Askin Rosai tumor should be treated with complete surgical excision followed by an aggressive combination of chemotherapy and local radiotherapy.

摘要

在三年时间里,塔塔纪念医院收治了15例经组织学证实的阿斯金罗萨伊肿瘤患者。患者包括12名男性和3名女性。临床特征包括胸壁肿块(14例)、疼痛(11例)、骨质受累(6例)、发热(4例)、呼吸困难(4例)、体重减轻(1例)、咳嗽(1例)和咯血(1例)。先前接受治疗的患者采用了不同的治疗方案,这使得评估变得困难。在我们完成诱导治疗的10名患者中,5名接受了长春新碱和环磷酰胺治疗,而另外5名接受了更积极的化疗。这些患者中分别有2名和4名实现了完全缓解。每组各有1名患者疾病复发,均为局部复发。因此,根据我们的初步数据,我们建议阿斯金罗萨伊肿瘤应采用完整的手术切除,随后进行积极的化疗和局部放疗联合治疗。

相似文献

1
Treatment of Askin Rosai tumor--need for a more aggressive approach.阿斯基-罗萨伊肿瘤的治疗——需要更积极的治疗方法。
J Surg Oncol. 1988 Oct;39(2):126-8. doi: 10.1002/jso.2930390212.
2
[Combination chemotherapy with multimodality approaches for small cell carcinoma of the lung].
Gan No Rinsho. 1984 May;30(6 Suppl):734-40.
3
Combination cyclophosphamide, Adriamycin, and vincristine rapidly alternating with combination cisplatin and VP-16 in treatment of small cell lung cancer.
Am J Med. 1985 Sep;79(3):303-8. doi: 10.1016/0002-9343(85)90308-0.
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Pilot studies of superfractionated radiotherapy and combination chemotherapy in limited oat cell carcinoma of the bronchus.超分割放射治疗与联合化疗用于局限性支气管燕麦细胞癌的初步研究。
Int J Radiat Oncol Biol Phys. 1984 Oct;10(10):1941-5. doi: 10.1016/0360-3016(84)90275-x.
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[Askin tumor: two cases].[Askin瘤:两例报告]
Rev Pneumol Clin. 2002 Dec;58(6 Pt 1):347-50.
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Chemotherapy versus chemotherapy plus irradiation in limited small cell lung cancer. Results of a controlled trial with 5 years follow-up.局限期小细胞肺癌化疗与化疗加放疗对比:一项5年随访对照试验的结果
Br J Cancer. 1986 Jul;54(1):7-17. doi: 10.1038/bjc.1986.146.
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[Combination chemotherapy concurrent with small-dose radiation therapy of small cell carcinoma of the lung].[小细胞肺癌的联合化疗与小剂量放射治疗同步进行]
Gan No Rinsho. 1987 Aug;33(9):1044-8.
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A retrospective analysis of patients receiving surgery after chemotherapy for small cell lung cancer.对小细胞肺癌化疗后接受手术的患者进行回顾性分析。
Jpn J Clin Oncol. 1991 Feb;21(1):39-45.
9
Combined methotrexate and high-dose vincristine chemotherapy with radiation therapy for small cell bronchogenic carcinoma.甲氨蝶呤与大剂量长春新碱联合化疗加放疗治疗小细胞支气管癌
Cancer. 1985 Apr 1;55(7):1436-45. doi: 10.1002/1097-0142(19850401)55:7<1436::aid-cncr2820550703>3.0.co;2-9.
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Late intensive combined modality therapy followed by autologous bone marrow infusion in extensive-stage small-cell lung cancer.广泛期小细胞肺癌采用晚期强化联合治疗模式并继以自体骨髓输注
J Clin Oncol. 1986 Oct;4(10):1443-54. doi: 10.1200/JCO.1986.4.10.1443.

引用本文的文献

1
Malignant small cell tumour (Askin-Rosai) of the pericardium.心包恶性小细胞瘤(阿斯金-罗萨伊瘤)
Postgrad Med J. 1992 Feb;68(796):140-2. doi: 10.1136/pgmj.68.796.140.