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[神经母细胞瘤研究NBL79 - 儿科肿瘤学会——1年后的报告(作者译)]

[Neuroblastoma study NBL79-society of pediatric oncology -- report after 1 year (author's transl)].

作者信息

Berthold F, Treuner J, Niethammer D, Lampert F

出版信息

Klin Padiatr. 1981 May;193(3):198-201. doi: 10.1055/s-2008-1034459.

Abstract

Within 1 year 74 children with neuroblastoma were registered, 30 patients with stage I-III (= 41%) and 44 with stage IV-metastatic disease (= 59%). An aggressive chemotherapy regimen employing Adriamycine, Cyclophosphamide, Vincristine, and Dacarbazine yielded 10/24 partial and 9/24 complete remissions after 9 weeks. 5/24 children were treated less than 9 weeks so far. At the end of the chemotherapy protocol (week 33) 6 recurrences were observed; 3 of these children died. 5 patients remained in complete remission, 1 in partial remission. 12/24 of patients were not evaluable because of treatment less than 33 weeks so far. The one year run of the study is too short to evaluate the benefit of Interferon (randomized trial). The toxicity of the regimen is tolerable, including bone marrow depression, vomiting and hyperpyrexia. Breaking off therapy was only necessary in one patient.

摘要

在1年时间里,登记了74例神经母细胞瘤患儿,其中30例为I - III期(占41%),44例为IV期转移性疾病(占59%)。采用阿霉素、环磷酰胺、长春新碱和达卡巴嗪的积极化疗方案,9周后有10/24例部分缓解,9/24例完全缓解。到目前为止,5/24例患儿接受治疗的时间不到9周。在化疗方案结束时(第33周),观察到6例复发;其中3例患儿死亡。5例患者仍处于完全缓解状态,1例部分缓解。由于到目前为止治疗时间不足33周,12/24例患者无法评估。该研究进行1年的时间太短,无法评估干扰素的益处(随机试验)。该方案的毒性是可耐受的,包括骨髓抑制、呕吐和高热。仅1例患者需要中断治疗。

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