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顺铂和甲氨蝶呤用于治疗泌尿道移行细胞癌

Cis-platin and methotrexate in the treatment of transitional cell carcinoma of the urinary tract.

作者信息

Carmichael J, Cornbleet M A, MacDougall R H, Allan S G, Duncan W, Chisholm G D, Smyth J F

出版信息

Br J Urol. 1985 Jun;57(3):299-302. doi: 10.1111/j.1464-410x.1985.tb06348.x.

DOI:10.1111/j.1464-410x.1985.tb06348.x
PMID:3873976
Abstract

Nineteen patients with recurrent or metastatic transitional cell carcinoma of the urinary tract were treated with a 3-weekly combination of methotrexate 200 mg/m2 as a 24-h infusion with folinic acid rescue and cis-platin 100 mg/m2. An objective response rate of 68% was obtained, with 4 patients (21%) achieving complete remission. Pulmonary disease and lymph node metastases were particularly sensitive to this therapy. The median duration of response was 21 weeks with a median survival of 54 weeks in the responding patients. This regimen warrants further investigation in the treatment of invasive bladder carcinoma.

摘要

19例复发性或转移性泌尿道移行细胞癌患者接受了如下治疗:每3周联合使用甲氨蝶呤200mg/m²,24小时静脉输注,并使用亚叶酸钙解救,以及顺铂100mg/m²。客观缓解率为68%,4例患者(21%)实现完全缓解。肺部疾病和淋巴结转移对该治疗尤为敏感。缓解患者的中位缓解持续时间为21周,中位生存期为54周。该方案值得在浸润性膀胱癌的治疗中进一步研究。

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引用本文的文献

1
Invasive bladder cancer--possible future treatment considerations.浸润性膀胱癌——未来可能的治疗考量
Urol Res. 1986;14(4):191-4. doi: 10.1007/BF00441112.
2
Three-drug combination chemotherapy for advanced urothelial tract carcinoma.三联药物联合化疗用于晚期尿路上皮癌
Cancer Chemother Pharmacol. 1987;20 Suppl:S20-3. doi: 10.1007/BF00262479.
3
Chemotherapy of advanced transitional-cell carcinoma of the bladder.晚期膀胱移行细胞癌的化疗
Cancer Chemother Pharmacol. 1992;30 Suppl:S99-110. doi: 10.1007/BF00686953.