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顺二氯二氨合铂(II)单独及联合达卡巴嗪治疗播散性恶性黑色素瘤。

Cis-dichlorodiammineplatinum(II) alone and combined with DTIC for treatment of disseminated malignant melanoma.

作者信息

Goodnight J E, Moseley H S, Eilber F R, Sarna G, Morton D L

出版信息

Cancer Treat Rep. 1979 Nov-Dec;63(11-12):2005-7.

PMID:393385
Abstract

Twenty-one patients with disseminated malignant melanoma were treated with cis-dichlorodiammine-platinum(II) (cis-DDP): ten with cis-DDP alone at a dose of 20 mg/m2 iv x 4 days every 4 weeks and 11 with cis-DDP at a dose of 15 mg/m2 iv x 4 days combined with DTIC at a dose of 200 mg/m2 iv x 5 days every 4 weeks. Two of 21 patients (10%) showed a partial response to therapy. There were no complete responses and no apparent increases in length of survival for responders compared to nonresponders. One drug-related death occurred. Otherwise, drug toxicity was acceptable and appeared to be diminished by iv hydration and prolonged administration. In this study, cis-DDP was not effective for treatment of disseminated malignant melanoma.

摘要

21例播散性恶性黑色素瘤患者接受了顺式二氯二氨铂(II)(顺铂)治疗:10例单独使用顺铂,剂量为20mg/m²静脉注射,每4周连用4天;11例使用顺铂,剂量为15mg/m²静脉注射,每4周连用4天,并联合使用剂量为200mg/m²静脉注射、每4周连用5天的达卡巴嗪。21例患者中有2例(10%)对治疗有部分反应。没有完全缓解的病例,与无反应者相比,有反应者的生存期也没有明显延长。发生了1例与药物相关的死亡。除此之外,药物毒性是可以接受的,通过静脉补液和延长给药时间,毒性似乎有所减轻。在本研究中,顺铂对播散性恶性黑色素瘤的治疗无效。

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