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[一项关于胃癌术后辅助免疫化疗的多机构研究]

[A multi-institutional study on postoperative adjuvant immunochemotherapy of gastric cancer].

作者信息

Nakajima T, Inokuchi K, Hattori T, Inoue K, Taguchi T, Kondo T, Abe O, Kikuchi K, Tanabe T, Ogawa N

出版信息

Gan To Kagaku Ryoho. 1985 Sep;12(9):1850-63.

PMID:3929694
Abstract

An analysis of 3,630 gastric cancer cases from 412 institutions who were treated with 6 randomly-assigned protocols was carried out to study the effect of daily PSK and Futraful administration and the adjuvant effect of PSK and/or Picibanil (OK 5 KE) combined with MMC and FT. Evaluation of immunochemotherapy was made on the basis of three-year survival rates and immunoparameters. The most positive results were found in survival rates favoring the combined therapy (FT + PSK) over single administration (FT) to relatively early-stage patients (30%, difference), PSK, MMC and FT combination (10%), and PSK, OK, MMC and FT (22%), over single chemotherapy alone. Serum alpha-2 globulin levels, indicative of immunosuppression, were lower in PSK-administered cases. The overall findings indicated that PSK and/or OK with MMC and FT are effective in prolonging the lives of post-operative patients.

摘要

对来自412个机构的3630例胃癌病例进行了分析,这些病例采用6种随机分配的方案进行治疗,以研究每日服用PSK和氟尿嘧啶的效果以及PSK和/或匹鲁卡品(OK 5 KE)与丝裂霉素和氟尿嘧啶联合使用的辅助效果。基于三年生存率和免疫参数对免疫化疗进行了评估。在相对早期患者中,联合治疗(氟尿嘧啶+PSK)比单一用药(氟尿嘧啶)的生存率最具优势(30%,差异),PSK、丝裂霉素和氟尿嘧啶联合治疗(生存率为10%),以及PSK、OK、丝裂霉素和氟尿嘧啶联合治疗(生存率为22%)比单纯单一化疗更具优势。服用PSK的病例中,指示免疫抑制的血清α-2球蛋白水平较低。总体研究结果表明,PSK和/或OK与丝裂霉素和氟尿嘧啶联合使用可有效延长术后患者的生命。

相似文献

1
[A multi-institutional study on postoperative adjuvant immunochemotherapy of gastric cancer].[一项关于胃癌术后辅助免疫化疗的多机构研究]
Gan To Kagaku Ryoho. 1985 Sep;12(9):1850-63.
2
[A multi-institutional study on postoperative adjuvant immunochemotherapy of gastric cancer (II)].[一项关于胃癌术后辅助免疫化疗的多机构研究(II)]
Gan To Kagaku Ryoho. 1987 Mar;14(3 Pt 1):716-22.
3
[Multi-institutional cooperative study of adjuvant immunochemotherapy in gastric cancer--five-year survival rate].[胃癌辅助免疫化疗的多机构合作研究——五年生存率]
Gan To Kagaku Ryoho. 1989 Apr;16(4 Pt 1):799-806.
4
[Comparison of immunochemotherapy and chemotherapy of stage IV gastric carcinoma].[IV期胃癌免疫化疗与化疗的比较]
Gan No Rinsho. 1985 Nov;31(14):1805-9.
5
Postoperative adjuvant immunochemotherapy with mitomycin C, futraful and PSK for gastric cancer. An analysis of data on 579 patients followed for five years.丝裂霉素C、氟尿嘧啶和云芝多糖K用于胃癌术后辅助免疫化疗。对579例患者随访五年的数据进行分析。
Jpn J Surg. 1988 Nov;18(6):681-6. doi: 10.1007/BF02471530.
6
Postoperative adjuvant immunochemotherapy with mitomycin C, tegafur, PSK and/or OK-432 for gastric cancer, with special reference to the change in stimulation index after gastrectomy.胃癌术后使用丝裂霉素C、替加氟、PSK和/或OK-432进行辅助免疫化疗,特别提及胃切除术后刺激指数的变化。
Jpn J Surg. 1990 Mar;20(2):127-36. doi: 10.1007/BF02470759.
7
[Surgery and adjuvant therapy of gastric cancer].
Gan To Kagaku Ryoho. 1986 Apr;13(4 Pt 2):1555-63.
8
[Cooperative studies on surgical adjuvant immunochemotherapy for prevention of postoperative recurrence of gastric cancer].胃癌术后复发预防的手术辅助免疫化疗合作研究
Gan To Kagaku Ryoho. 1984 Jan;11(1):60-8.
9
[A case report of hemolytic uremic syndrome (HUS) induced by antineoplastic agents].[抗肿瘤药物诱发溶血性尿毒症综合征(HUS)的病例报告]
Nihon Gan Chiryo Gakkai Shi. 1990 Jul 20;25(7):1487-91.
10
[[Cooperative study on surgical adjuvant immunochemotherapy for prevention of postoperative recurrence of gastric cancer (II). Cooperative study group on surgical adjuvant immunochemotherapy for prevention of postoperative recurrence of gastric cancer supported by the Ministry of Health and Welfare (Kondo's group])].[胃癌术后复发预防的外科辅助免疫化疗协作研究(II)。厚生省资助的胃癌术后复发预防外科辅助免疫化疗协作研究组(近藤组)]
Gan To Kagaku Ryoho. 1990 Dec;17(12):2397-403.

引用本文的文献

1
Efficacy of adjuvant immunochemotherapy with polysaccharide K for patients with curative resections of gastric cancer.多糖K辅助免疫化疗对胃癌根治性切除患者的疗效
Cancer Immunol Immunother. 2007 Jun;56(6):905-11. doi: 10.1007/s00262-006-0248-1. Epub 2006 Nov 15.
2
Postoperative adjuvant immunochemotherapy with mitomycin C, futraful and PSK for gastric cancer. An analysis of data on 579 patients followed for five years.丝裂霉素C、氟尿嘧啶和云芝多糖K用于胃癌术后辅助免疫化疗。对579例患者随访五年的数据进行分析。
Jpn J Surg. 1988 Nov;18(6):681-6. doi: 10.1007/BF02471530.