Extra J M, Espie M, Calvo F, Marty M
Clinique des Agents Anticancéreux, Hôpital Saint-Louis, Paris, France.
Nouv Rev Fr Hematol (1978). 1988;30(1-2):123-30.
Cisplatin is one of the best available cytotoxic agents particularly in testicular, ovarian and head and neck cancer. However gastrointestinal and renal toxicities preclude greater utilisation. High dose cisplatin (200 mg/m2) has serious neurological side effects. Carboplatin gives the same therapeutic results as cisplatin in ovarian, small cell lung and head and neck cancers with a better tolerance, the main toxicity being haematological. Iproplatin seems to have no advantage over carboplatin. New derivates such as diaminocyclo-hexane-platinum seem to be promising in preclinical and phase I studies.
顺铂是目前可用的最佳细胞毒性药物之一,尤其在睾丸癌、卵巢癌和头颈癌的治疗中效果显著。然而,其胃肠道和肾脏毒性限制了它的更广泛应用。高剂量顺铂(200mg/m²)会产生严重的神经副作用。卡铂在卵巢癌、小细胞肺癌和头颈癌的治疗中与顺铂疗效相同,但耐受性更好,主要毒性为血液学毒性。异丙铂似乎并不比卡铂有优势。新型衍生物如二氨基环己烷铂在临床前和I期研究中似乎很有前景。