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[甲状腺癌的化疗结果]

[Results of chemotherapy in thyroid cancer].

作者信息

Benker G, Reinwein D

出版信息

Dtsch Med Wochenschr. 1983 Mar 18;108(11):403-6. doi: 10.1055/s-2008-1069567.

Abstract

Doxorubicin chemotherapy was performed in 52 patients with thyroid malignancies. Data from 47 patients could be evaluated. 16 remissions and partial remissions were seen, 15 cases had a progressive course, and in 16 patients there was no change of tumour size during the period of treatment. Results of treatment were worse in locally invasive tumour growth and reduced general state of health as well as in anaplastic carcinomas. Results were best in follicular and C-cell carcinomas. The mean survival time of patients responding to treatment was longer than in non-responders. The main indication for treatment is alleviation of tumour symptoms (bone pain, threatening fractures, pressure due to tumour); further indications are anaplastic carcinomas because of their bad prognosis and C-cell carcinomas because of their comparatively satisfactory response.

摘要

对52例甲状腺恶性肿瘤患者进行了阿霉素化疗。47例患者的数据可进行评估。观察到16例缓解和部分缓解,15例病情进展,16例患者在治疗期间肿瘤大小无变化。局部浸润性肿瘤生长、健康状况下降以及间变性癌患者的治疗效果较差。滤泡癌和C细胞癌的治疗效果最佳。对治疗有反应的患者的平均生存时间长于无反应者。治疗的主要指征是缓解肿瘤症状(骨痛、有威胁性的骨折、肿瘤压迫);其他指征是预后不良的间变性癌和反应相对满意的C细胞癌。

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