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[环磷酰胺、阿霉素、顺铂、尼莫司汀和甲氨蝶呤联合化疗(EACAM)治疗晚期肺腺癌]

[Combination chemotherapy with cyclophosphamide, adriamycin, cisplatin, nimustine, and methotrexate (EACAM) in advanced adenocarcinoma of the lung].

作者信息

Nakanishi F, Mogi H, Sugiishi M, Sugiura I, Ogasawara T, Kinoshita T, Hoshino A

出版信息

Gan To Kagaku Ryoho. 1986 Dec;13(12):3413-8.

PMID:3466573
Abstract

Twenty-eight patients with advanced adenocarcinoma of the lung were treated with the combination chemotherapy "EACAM" consisting of cyclophosphamide (333 mg/m2 X 1), adriamycin (27 mg/m2 X 1), cisplatin (25 mg X 5), nimustine (33 mg/m2 X 1), and methotrexate (27 mg/m2 X 3). This regimen was repeated once every 4 or 5 weeks. One complete response (CR) and 10 partial responses (PR) were obtained in 27 evaluable patients and the response rate was 40.7%. The 50% survival time for all of the evaluable cases was 64 weeks. The 50% survival time for the responding patients (93 weeks) was significantly superior (p = 0.002) to that of the nonresponding patients (52 weeks). Alopecia, myelosuppression and mild G I trouble were observed, but these presented no obstacle to the continuation of the therapy. The combination chemotherapy "EACAM" is therefore considered to be a very effective and tolerable treatment for advanced adenocarcinoma of the lung, and can help in achieving our aim of prolonging the survival time of such patients.

摘要

28例晚期肺腺癌患者接受了由环磷酰胺(333mg/m²×1)、阿霉素(27mg/m²×1)、顺铂(25mg×5)、尼莫司汀(33mg/m²×1)和甲氨蝶呤(27mg/m²×3)组成的联合化疗方案“EACAM”。该方案每4或5周重复一次。27例可评估患者中获得1例完全缓解(CR)和10例部分缓解(PR),缓解率为40.7%。所有可评估病例的50%生存时间为64周。缓解患者的50%生存时间(93周)显著优于(p = 0.002)未缓解患者(52周)。观察到脱发、骨髓抑制和轻度胃肠道不适,但这些并未妨碍治疗的继续进行。因此,联合化疗方案“EACAM”被认为是治疗晚期肺腺癌非常有效且耐受性良好的方法,有助于实现延长此类患者生存时间的目标。

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