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化疗在非转移性鼻咽癌中的当前作用

Current Role of Chemotherapy in Nonmetastatic Nasopharyngeal Cancer.

作者信息

Bhattacharyya Tapesh, Babu Geethu, Kainickal Cessal Thommachan

机构信息

Division of Radiation Oncology, Tata Medical Center, Kolkata, India.

Division of Radiation Oncology, Regional Cancer Centre, Trivandrum, India.

出版信息

J Oncol. 2018 Oct 1;2018:3725837. doi: 10.1155/2018/3725837. eCollection 2018.

DOI:10.1155/2018/3725837
PMID:30364069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6188855/
Abstract

Nasopharyngeal carcinoma is highly radio- and chemosensitive tumor with its unique clinical and biological behavior. Treatment of stage I disease is radical radiotherapy alone. For stage II disease treatment is radiotherapy with or without chemotherapy. The standard of care for locally advanced nasopharyngeal cancer (stages III-IVB) is concurrent chemoradiation. Optimum timing and sequence of chemotherapy are not yet well-defined. The role of adjuvant and induction chemotherapy is debatable. Here we are going to highlight the role of chemotherapy in nasopharyngeal carcinoma, its benefit, and controversies regarding timing and sequences.

摘要

鼻咽癌是一种对放疗和化疗高度敏感的肿瘤,具有独特的临床和生物学行为。I期疾病的治疗是单纯根治性放疗。II期疾病的治疗是放疗加或不加化疗。局部晚期鼻咽癌(III-IVB期)的标准治疗是同步放化疗。化疗的最佳时机和顺序尚未明确界定。辅助化疗和诱导化疗的作用存在争议。在此,我们将重点阐述化疗在鼻咽癌中的作用、其益处以及关于时机和顺序的争议。

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本文引用的文献

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PLoS One. 2018 Mar 22;13(3):e0194733. doi: 10.1371/journal.pone.0194733. eCollection 2018.
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Induction chemotherapy for locally advanced nasopharyngeal carcinoma treated with concurrent chemoradiation: A systematic review and meta-analysis.同期放化疗治疗局部晚期鼻咽癌的诱导化疗:系统评价和荟萃分析。
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Induction chemotherapy plus concurrent chemoradiotherapy versus concurrent chemoradiotherapy alone in locoregionally advanced nasopharyngeal carcinoma: a phase 3, multicentre, randomised controlled trial.诱导化疗加同期放化疗对比单纯同期放化疗治疗局部晚期鼻咽癌:一项 3 期、多中心、随机对照临床试验。
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Chemotherapy and radiotherapy in nasopharyngeal carcinoma: an update of the MAC-NPC meta-analysis.鼻咽癌的化学治疗与放射治疗:MAC-NPC 荟萃分析更新。
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Clinical utility of plasma Epstein-Barr virus DNA and ERCC1 single nucleotide polymorphism in nasopharyngeal carcinoma.血浆 Epstein-Barr 病毒 DNA 和 ERCC1 单核苷酸多态性在鼻咽癌中的临床应用。
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Int J Radiat Oncol Biol Phys. 2015 Apr 1;91(5):952-60. doi: 10.1016/j.ijrobp.2015.01.002.
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Preliminary results of trial NPC-0501 evaluating the therapeutic gain by changing from concurrent-adjuvant to induction-concurrent chemoradiotherapy, changing from fluorouracil to capecitabine, and changing from conventional to accelerated radiotherapy fractionation in patients with locoregionally advanced nasopharyngeal carcinoma.NPC-0501试验的初步结果,该试验评估了局部晚期鼻咽癌患者从同步辅助放化疗改为诱导-同步放化疗、从氟尿嘧啶改为卡培他滨以及从常规放疗分割改为加速放疗分割后的治疗获益情况。
Cancer. 2015 Apr 15;121(8):1328-38. doi: 10.1002/cncr.29208. Epub 2014 Dec 19.