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低剂量干扰素-β辅助治疗II期和III期黑色素瘤:一项回顾性分析结果

Adjuvant therapy with low-dose interferon-beta for stage II and III melanoma: results of a retrospective analysis.

作者信息

Yanagi T, Hata H, Homma E, Kitamura S, Imafuku K, Shimizu H

机构信息

Department of Dermatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

出版信息

Clin Exp Dermatol. 2017 Oct;42(7):781-785. doi: 10.1111/ced.13179. Epub 2017 Jun 25.

Abstract

Interferon (IFN)-alfa as an adjuvant therapy has been found to improve relapse-free survival in patients with malignant melanoma (MM). However, the efficacy of IFN-beta has not been studied in detail. This study evaluated the contribution of adjuvant IFN-beta therapy to improvements in the prognosis of patients with MM. We reviewed 63 patients with resected stage II/III primary MM at our institution. Of these, 36 had been treated with IFN-beta adjuvant therapy (subcutaneous injection, 3 × 10 IU/day, 10 days), while 27 patients had undergone observation alone. In comparisons of all patients (stage II/III), overall survival and relapse-free survival were significantly better in the IFN-beta group than in the observation group (P < 0.001 for both). The 75-month overall survival rate was 41.2% in the observation group and 68.7% in the IFN-beta group. Adjuvant therapy with IFN-beta may become a new treatment option for patients with stage II/III MM.

摘要

干扰素(IFN)-α作为辅助治疗已被发现可提高恶性黑色素瘤(MM)患者的无复发生存率。然而,IFN-β的疗效尚未得到详细研究。本研究评估了辅助IFN-β治疗对MM患者预后改善的贡献。我们回顾了我院63例接受手术切除的II/III期原发性MM患者。其中,36例接受了IFN-β辅助治疗(皮下注射,3×10 IU/天,共10天),而27例患者仅接受观察。在所有患者(II/III期)的比较中,IFN-β组的总生存期和无复发生存期均显著优于观察组(两者P均<0.001)。观察组的75个月总生存率为41.2%,IFN-β组为68.7%。IFN-β辅助治疗可能成为II/III期MM患者的一种新的治疗选择。

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