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骨肉瘤的辅助治疗:术前及术后治疗

Adjuvant therapy for osteosarcoma: preoperative and postoperative treatment.

作者信息

Eilber F R, Grant T, Morton D L

出版信息

Cancer Treat Rep. 1978 Feb;62(2):213-6.

PMID:346209
Abstract

Seventeen consecutive patients with osteogenic sarcoma participated in a prospective study to ascertain first, whether postoperative adjuvant chemotherapy or chemoimmunotherapy could reduce the incidence of distant metastases and second, whether in situ tumor cell destruction could be achieved with preoperative chemotherapy and radiation therapy. To date 14 of 17 patients (85%) are alive and free of disease for a median survival time of 11 months. Three patients developed recurrent disease, one with local recurrence in the tibia and two with pulmonary metastases. Limb salvage was attained in 12 patients by cadaver allografts and in one patient by radiation alone at 6 months.

摘要

17例骨肉瘤患者连续参与了一项前瞻性研究,目的首先是确定术后辅助化疗或化疗免疫疗法是否能降低远处转移的发生率,其次是确定术前化疗和放疗是否能实现原位肿瘤细胞破坏。迄今为止,17例患者中有14例(85%)存活且无疾病,中位生存时间为11个月。3例患者出现疾病复发,1例胫骨局部复发,2例肺转移。12例患者通过尸体同种异体移植实现了保肢,1例患者仅在6个月时接受放疗后实现了保肢。

相似文献

1
Adjuvant therapy for osteosarcoma: preoperative and postoperative treatment.骨肉瘤的辅助治疗:术前及术后治疗
Cancer Treat Rep. 1978 Feb;62(2):213-6.
2
Can cure in patients with osteosarcoma be achieved exclusively with chemotherapy and abrogation of surgery?骨肉瘤患者仅通过化疗和取消手术就能治愈吗?
Cancer. 2002 Nov 15;95(10):2202-10. doi: 10.1002/cncr.10944.
3
Combination chemotherapy for osteosarcoma.骨肉瘤的联合化疗
Cancer Treat Rep. 1978 Feb;62(2):251-7.
4
Adjuvant chemotherapy for osteogenic sarcoma.骨肉瘤的辅助化疗
Cancer Treat Rep. 1978 Feb;62(2):283-7.
5
[Preoperative and postoperative chemotherapy of osteogenic sarcoma of the limbs in children].[儿童肢体骨肉瘤的术前与术后化疗]
Med Clin (Barc). 1996 Jun 29;107(5):161-4.
6
[Neo-adjuvant therapy in childhood osteogenic sarcoma: a pilot study of selective postoperative chemotherapy based on response to preoperative high-dose methotrexate].儿童骨肉瘤的新辅助治疗:基于术前大剂量甲氨蝶呤反应的选择性术后化疗的初步研究
Gan To Kagaku Ryoho. 1986 May;13(5):1837-45.
7
Pattern of disease recurrence and prognostic factors in patients with osteosarcoma treated with contemporary chemotherapy.接受现代化疗的骨肉瘤患者的疾病复发模式及预后因素
Cancer. 2003 Dec 1;98(11):2447-56. doi: 10.1002/cncr.11799.
8
Adjuvant therapy for nonmetastatic osteogenic sarcoma: an evaluation of transfer factor versus combination chemotherapy.
Cancer Treat Rep. 1978 Feb;62(2):289-94.
9
Prognostic factors in the response of primary osteogenic sarcoma to preoperative chemotherapy (high-dose methotrexate with citrovorum factor).原发性骨肉瘤对术前化疗(大剂量甲氨蝶呤加亚叶酸)反应的预后因素
Natl Cancer Inst Monogr. 1981 Apr(56):221-6.
10
Treatment of osteogenic sarcoma. I. Effect of adjuvant high-dose methotrexate after amputation.骨肉瘤的治疗。I. 截肢术后辅助大剂量甲氨蝶呤的疗效。
Cancer Treat Rep. 1979 May;63(5):739-51.

引用本文的文献

1
The Current and Future Therapies for Human Osteosarcoma.人类骨肉瘤的当前和未来治疗方法
Curr Cancer Ther Rev. 2013 Feb;9(1):55-77. doi: 10.2174/1573394711309010006.
2
Methotrexate for high-grade osteosarcoma in children and young adults.甲氨蝶呤用于儿童和青年的高级别骨肉瘤治疗。
Cochrane Database Syst Rev. 2011 May 11;2011(5):CD006325. doi: 10.1002/14651858.CD006325.pub3.
3
The size of clinical trials in cancer research--what are the current needs? Medical Research Council Cancer Therapy Committee.癌症研究中临床试验的规模——当前的需求是什么?医学研究委员会癌症治疗委员会
Br J Cancer. 1989 Mar;59(3):396-400. doi: 10.1038/bjc.1989.79.
4
A trial of chemotherapy in patients with osteosarcoma (a report to the Medical Research Council by their Working Party on Bone Sarcoma.骨肉瘤患者化疗试验(骨肉瘤工作小组向医学研究委员会提交的报告)
Br J Cancer. 1986 Apr;53(4):513-8. doi: 10.1038/bjc.1986.81.