Bramwell V H, Santoro A, Rouesse J, Mouridsen H, Steward W, Van Oosterom A, Somers R, Buesa J, Mulder J, Schutte J
Department of Medical Oncology, London Regional Cancer Center, Ontario, Canada.
Semin Surg Oncol. 1988;4(1):45-52. doi: 10.1002/ssu.2980040110.
Despite the low incidence of sarcomas, the Soft Tissue and Bone Sarcoma Group has established itself as one of the more active cooperative groups of the European Organization for Research and Treatment of Cancer. Performing over a 10 yr period three phase III protocols (total entry 750 patients), three randomized phase II studies (464 patients), a pilot combination study (185 patients), and 12 phase II studies (406 patients). The new randomized phase III protocol for advanced soft-tissue sarcoma will provide an interesting test of the validity of the current membership policy, which has not discouraged the participation of enthusiastic new members. For extremity sarcomas, improved surgical techniques have increased the number of patients retaining functional limbs but have maintained excellent rates of local control. However, systemic metastasis remains a significant problem and presents a challenge for future adjuvant studies.
尽管肉瘤的发病率较低,但软组织和骨肉瘤研究组已成为欧洲癌症研究与治疗组织中较为活跃的合作组之一。在10年期间开展了三项III期方案(共纳入750例患者)、三项随机II期研究(464例患者)、一项试点联合研究(185例患者)以及12项II期研究(406例患者)。针对晚期软组织肉瘤的新随机III期方案将对当前成员政策的有效性进行有趣的检验,该政策并未阻碍热情的新成员参与。对于肢体肉瘤,改进的手术技术增加了保留功能肢体的患者数量,同时保持了良好的局部控制率。然而,全身转移仍然是一个重大问题,对未来的辅助研究构成挑战。