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[MOPP联合鞘内注射甲氨蝶呤治疗儿童脑肿瘤的联合化疗]

[Combination chemotherapy with MOPP and intrathecal methotrexate in children with brain tumors].

作者信息

Sato J, Ninomiya T, Saijo T, Akita H, Miki Y, Hirose M, Hashimoto T, Miyao M, Matsumoto K

出版信息

Gan To Kagaku Ryoho. 1986 Oct;13(11):3266-70.

PMID:3777962
Abstract

Five children with brain tumors, who had had no prior chemotherapy, were treated with combination chemotherapy including nitrogen mustard, vincristine sulfate, procarbazine, prednisolone (MOPP) and intrathecal methotrexate. Four had progressive tumor or metastatic deposits, (one medulloblastoma, one malignant choroid plexus papilloma, and two were not explored) but responded to chemotherapy. One child with medulloblastoma underwent resection, which was considered to be macroscopically radical, and demonstrated objective improvement of neurological findings after chemotherapy. Toxicities were not severe enough to require termination of the chemotherapy.

摘要

五名未曾接受过化疗的脑肿瘤患儿接受了联合化疗,包括氮芥、硫酸长春新碱、丙卡巴肼、泼尼松龙(MOPP)和鞘内注射甲氨蝶呤。四名患儿有肿瘤进展或转移灶(一名髓母细胞瘤、一名恶性脉络丛乳头状瘤,另外两名未进行探查),但对化疗有反应。一名患有髓母细胞瘤的患儿接受了切除术,该手术在宏观上被认为是根治性的,并且在化疗后神经学检查结果有客观改善。毒性反应并不严重,无需终止化疗。

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