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阿霉素与顺二氨二氯铂(II)联合治疗晚期、耐药性卵巢癌(作者译)

[Combination of adriamycin and cis-diammine-dichloro-platinum (II) in the treatment of advanced, therapy-resistant, ovarian carcinoma (author's transl)].

作者信息

Cavalli F, Stoller U, Tschopp L, Sonntag R W, Brunner K W

出版信息

Dtsch Med Wochenschr. 1978 Jun 2;103(22):927-31. doi: 10.1055/s-0028-1104800.

Abstract

Adriamycin (doxorubicin, Adriblastin) and cis-diammine-dichloro-platinum (II) (DDP, NSC 119 875) were used in the treatment of 18 patients with ovarian carcinoma, usually after intensive pre-treatment, both in a dosage of 50 mg/m2 once every 4 weeks. Forced diuresis was initiated at the same time. On average three such treatments were given. Six patients showed partial remission defined as decrease of tumour mass by more than 50% or as almost complete disappearance of ascites during more than two months without concomitant diuretic treatment. The remission time was 2+, 3, 3+, 3.5, 7+, and 9+ months. In all patients severe gastrointestinal toxicity occurred, however the myelosuppressive action was only moderate. Nephrotoxicity was negligible. Combined chemotherapy with Adriblastin and DDP thus seems effective even in intensively pretreated patients with ovarian carcinoma.

摘要

阿霉素(多柔比星、阿霉素)和顺二氨二氯铂(II)(顺铂,NSC 119875)用于治疗18例卵巢癌患者,通常在强化预处理后使用,剂量均为50mg/m²,每4周一次。同时开始强制利尿。平均进行了三次这样的治疗。6例患者出现部分缓解,定义为肿瘤肿块减少超过50%或腹水在两个多月内几乎完全消失,且无需同时进行利尿治疗。缓解时间分别为2+、3、3+、3.5、7+和9+个月。所有患者均出现严重的胃肠道毒性,但骨髓抑制作用仅为中度。肾毒性可忽略不计。因此,阿霉素和顺铂联合化疗即使对经过强化预处理的卵巢癌患者似乎也有效。

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