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用补骨脂素加紫外线A疗法治疗皮肤T细胞淋巴瘤。

Treatment of cutaneous T cell lymphomas with PUVA.

作者信息

Rabbiosi G, Carcaterra A, Bellosta M

出版信息

Int J Tissue React. 1986;8(2):141-3.

PMID:3486168
Abstract

A series of 39 patients with CTCL was treated with PUVA over a period of 5 years, comprising 6 patients in stage IA, 13 in stage IB, 15 in stage IIA and 5 in stage IIB. PUVA treatments were administered four times weekly until clearing; a maintenance therapy employed 2 to 1 exposures per week for 2 months. Complete clinical and histological examinations were taken. We obtained a complete remission in all stage IA patients, and a partial remission in stage IB and IIA patients, who required longer treatment schedules and more frequent maintenance therapy. Stage IIB patients required additional local and/or systemic therapy to achieve a partial remission. Recurrences were observed in 33% stage IA patients, in 84% stage IB patients and in all stage IIA and IIB patients. They responded to new induction phases only in early-stage CTCL. PUVA is well accepted by patients, and compares well with other treatments.

摘要

39例蕈样肉芽肿患者在5年期间接受了补骨脂素加紫外线A(PUVA)治疗,其中IA期6例,IB期13例,IIA期15例,IIB期5例。PUVA治疗每周进行4次,直至皮疹消退;维持治疗每周进行2至1次,持续2个月。进行了完整的临床和组织学检查。所有IA期患者均获得完全缓解,IB期和IIA期患者部分缓解,这些患者需要更长的治疗疗程和更频繁的维持治疗。IIB期患者需要额外的局部和/或全身治疗以实现部分缓解。IA期患者复发率为33%,IB期患者为84%,IIA期和IIB期患者全部复发。他们仅在蕈样肉芽肿早期对新的诱导治疗阶段有反应。PUVA疗法患者接受度良好,与其他治疗方法相比效果较好。

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