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III级和IV级手术切除星形细胞瘤的综合治疗。术后放疗价值的确认及博来霉素对生存时间无增效作用:斯堪的纳维亚胶质母细胞瘤研究组的一项前瞻性多中心试验

Combined modality therapy of operated astrocytomas grade III and IV. Confirmation of the value of postoperative irradiation and lack of potentiation of bleomycin on survival time: a prospective multicenter trial of the Scandinavian Glioblastoma Study Group.

作者信息

Kristiansen K, Hagen S, Kollevold T, Torvik A, Holme I, Nesbakken R, Hatlevoll R, Lindgren M, Brun A, Lindgren S, Notter G, Andersen A P, Elgen K

出版信息

Cancer. 1981 Feb 15;47(4):649-52. doi: 10.1002/1097-0142(19810215)47:4<649::aid-cncr2820470405>3.0.co;2-w.

DOI:10.1002/1097-0142(19810215)47:4<649::aid-cncr2820470405>3.0.co;2-w
PMID:6164465
Abstract

In a controlled, prospective, randomized investigation, started in 1974, 118 patients with supratentorial astrocytoma Grade III--IV were divided into three groups. Groups 1 and 2 received 45 Gy postoperatively to the whole supratentorial brain. Bleomycin in 15-mg doses and a total dose of 180 mg or placebo was given intravenously three times a week, one hour prior to radiotherapy, during weeks 1, 2, 4 and 5. Group 3 received conventional care but no radiotherapy or chemotherapy. Median survival rates of patients were 10.8 months in Groups 1 and 2, and 5.2 months in Groups 3, a statistically significant difference. With regard to performance, the patients in Group 3 deteriorated faster than patients in Groups 1 and 2. Bleomycin had no positive or negative influence on survival.

摘要

在一项始于1974年的对照、前瞻性、随机调查中,118例幕上III - IV级星形细胞瘤患者被分为三组。第1组和第2组术后接受全幕上脑45 Gy的放疗。在第1、2、4和5周,每周三次在放疗前一小时静脉注射15毫克剂量的博来霉素,总剂量为180毫克或安慰剂。第3组接受常规护理,但不进行放疗或化疗。第1组和第2组患者的中位生存期为10.8个月,第3组为5.2个月,差异有统计学意义。在身体状况方面,第3组患者比第1组和第2组患者恶化得更快。博来霉素对生存期没有正面或负面影响。

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