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霍奇金淋巴瘤的当前治疗方法。

Current management of Hodgkin's disease.

作者信息

Behrens B C, Young R C, DeVita V T

出版信息

Drugs. 1985 Oct;30(4):355-67. doi: 10.2165/00003495-198530040-00004.

DOI:10.2165/00003495-198530040-00004
PMID:3905335
Abstract

The prognosis of patients with Hodgkin's disease has dramatically improved over the past few decades. Treatment with currently standard radiotherapy or combination chemotherapy programmes will result in durable complete remissions and probable cure in most patients. However, these programmes are intensive, technically demanding, and associated with a risk of certain acute side effects and long term complications which vary in nature and severity according to the specific therapy employed. The outlook for the few patients who do not achieve complete remission with induction therapy, or for those who later relapse (especially after complete remissions induced by chemotherapy), is less optimistic. Current trials of innovative induction and salvage therapies may lead to improved treatment approaches for such patients.

摘要

在过去几十年中,霍奇金淋巴瘤患者的预后有了显著改善。采用目前标准的放射治疗或联合化疗方案进行治疗,大多数患者会实现持久的完全缓解并有可能治愈。然而,这些方案强度大、技术要求高,且伴有某些急性副作用和长期并发症的风险,这些副作用和并发症的性质和严重程度会因所采用的具体治疗方法而有所不同。对于少数诱导治疗未达到完全缓解的患者,或那些后来复发的患者(尤其是化疗诱导完全缓解后复发的患者),前景则不太乐观。目前关于创新诱导和挽救治疗的试验可能会为这类患者带来改进的治疗方法。

相似文献

1
Current management of Hodgkin's disease.霍奇金淋巴瘤的当前治疗方法。
Drugs. 1985 Oct;30(4):355-67. doi: 10.2165/00003495-198530040-00004.
2
The risk of acute leukemia in patients treated for Hodgkin's disease is significantly higher aft [see bined modality programs than after chemotherapy alone and is correlated with the extent of radiotherapy and type and duration of chemotherapy: a case-control study.一项病例对照研究表明,接受霍奇金淋巴瘤联合治疗方案的患者发生急性白血病的风险显著高于单纯接受化疗的患者,且该风险与放疗范围、化疗类型及疗程相关。
Haematologica. 1998 Sep;83(9):812-23.
3
The role of MOPP chemotherapy in early stage Hodgkin's disease.MOPP化疗在早期霍奇金病中的作用。
Hematol Oncol. 1984 Jan-Mar;2(1):66-9. doi: 10.1002/hon.2900020109.
4
Immunoblastic lymphoma following therapy for Hodgkin's disease. A case report.霍奇金病治疗后发生的免疫母细胞淋巴瘤。病例报告。
Haematologica. 1986 Jan-Feb;71(1):50-2.
5
Low risk of secondary leukemias after chemotherapy without mechlorethamine in childhood Hodgkin's disease. German-Austrian Pediatric Hodgkin's Disease Group.儿童霍奇金淋巴瘤化疗时不使用氮芥后继发白血病风险低。德奥儿童霍奇金淋巴瘤研究组
J Clin Oncol. 1997 Jun;15(6):2247-53. doi: 10.1200/JCO.1997.15.6.2247.
6
Hodgkin's disease, splenectomy and secondary leukemia.霍奇金淋巴瘤、脾切除术与继发性白血病。
Haematologica. 1993 Jul-Aug;78(4):258-9.
7
[Acute leukemia in patients treated for Hodgkin's disease].[接受霍奇金病治疗患者中的急性白血病]
Recenti Prog Med. 1988 Jan;79(1):32-7.
8
Two cycles of MOPP and definitive radiotherapy for stage IIIA and IIIB Hodgkin's disease.针对IIIA期和IIIB期霍奇金淋巴瘤采用两个周期的MOPP方案及根治性放疗。
Recent Results Cancer Res. 1989;117:197-204. doi: 10.1007/978-3-642-83781-4_21.
9
The intergroup Hodgkin's disease in children. A study of stages I and II.儿童组间霍奇金淋巴瘤。Ⅰ期和Ⅱ期研究。
Cancer. 1990 Mar 15;65(6):1429-37. doi: 10.1002/1097-0142(19900315)65:6<1429::aid-cncr2820650630>3.0.co;2-b.
10
Hodgkin's disease and acute leukemia. Is it a true association?霍奇金病与急性白血病。这是一种真正的关联吗?
Arch Med Res. 1992 Spring;23(1):65-8.

本文引用的文献

1
Complications of chemotherapy in the treatment of Hodgkin's disease.霍奇金淋巴瘤治疗中化疗的并发症
Semin Oncol. 1980 Jun;7(2):184-6.
2
Complications of radiation treatment of Hodgkin's disease.霍奇金淋巴瘤放射治疗的并发症
Semin Oncol. 1980 Jun;7(2):174-83.
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Prognostic significance of mediastinal involvement in Hodgkin's disease treated with curative radiotherapy.根治性放疗治疗霍奇金病时纵隔受累的预后意义
Cancer. 1980 Dec 1;46(11):2403-9. doi: 10.1002/1097-0142(19801201)46:11<2403::aid-cncr2820461116>3.0.co;2-9.
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Curative potential of combined modality therapy for advanced Hodgkin's disease.晚期霍奇金淋巴瘤综合治疗的治愈潜力
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A new effective four-drug combination of CCNU (1-[2-chloroethyl]-3-cyclohexyl-1-nitrosourea) (NSC-79038), vinblastine, prednisone, and procarbazine for the treatment of advanced Hodgkin's disease.一种用于治疗晚期霍奇金病的新的有效四联药物组合,由洛莫司汀(1-[2-氯乙基]-3-环己基-1-亚硝基脲)(NSC-79038)、长春碱、泼尼松和丙卡巴肼组成。
Cancer. 1980 Aug 15;46(4):654-62. doi: 10.1002/1097-0142(19800815)46:4<654::aid-cncr2820460405>3.0.co;2-a.
6
Anatomic substages of stage III-A Hodgkin's disease. A collaborative study.Ⅲ-A期霍奇金病的解剖学子分期。一项合作研究。
Ann Intern Med. 1980 Feb;92(2 Pt 1):159-65. doi: 10.7326/0003-4819-92-2-159.
7
Radiation-related thyroid dysfunction: implications for the treatment of Hodgkin's disease.放射性甲状腺功能障碍:对霍奇金淋巴瘤治疗的影响
Ann Intern Med. 1980 Jan;92(1):91-8. doi: 10.7326/0003-4819-92-1-91.
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Second malignant neoplasms in patients treated for Hodgkin's disease with radiotherapy or radiotherapy and chemotherapy.
Cancer. 1981 Dec 1;48(11):2386-93. doi: 10.1002/1097-0142(19811201)48:11<2386::aid-cncr2820481109>3.0.co;2-b.
9
Long-term follow up of ovarian function in women treated with MOPP chemotherapy for Hodgkin's disease.接受MOPP化疗治疗霍奇金病的女性卵巢功能的长期随访
Am J Med. 1981 Oct;71(4):552-6. doi: 10.1016/0002-9343(81)90205-9.
10
Long-term survival of patients with Hodgkin's disease. Treatment with cyclophosphamide, vinblastine, procarbazine, and prednisone.霍奇金病患者的长期生存。环磷酰胺、长春碱、丙卡巴肼和泼尼松治疗。
Arch Intern Med. 1981 Jun;141(7):897-900.