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用博来霉素、依托泊苷和顺铂(BEP)治疗转移性生殖细胞睾丸肿瘤。

The treatment of metastatic germ-cell testicular tumours with bleomycin, etoposide and cis-platin (BEP).

作者信息

Peckham M J, Barrett A, Liew K H, Horwich A, Robinson B, Dobbs H J, McElwain T J, Hendry W F

出版信息

Br J Cancer. 1983 May;47(5):613-9. doi: 10.1038/bjc.1983.99.

DOI:10.1038/bjc.1983.99
PMID:6189504
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2011384/
Abstract

Between July 1979 and December 1981, 43 patients with metastatic germ-cell tumours (36 testicular non-seminomas and 7 testicular seminomas) were treated with 2-6 cycles of bleomycin, etoposide and cis-platin (BEP). Forty (93%) are alive, 37 (86%) with no evidence of disease. Of 36 men with testicular non-seminoma 30 (83.3%) are alive and disease-free at 8-38 months (median 17.0 months). In the latter group 25/28 (89.3%) who had had no prior irradiation are alive and disease-free. Fourteen non-seminoma patients had small volume metastases and 13 are in complete remission, as are 12/14 patients with bulky disease. All 7 patients with advanced seminoma are alive and disease-free. It is concluded that BEP is a well tolerated and effective first line treatment for patients with metastatic germ-cell tumours.

摘要

1979年7月至1981年12月期间,43例转移性生殖细胞肿瘤患者(36例睾丸非精原细胞瘤和7例睾丸精原细胞瘤)接受了2 - 6个周期的博来霉素、依托泊苷和顺铂(BEP)治疗。40例(93%)存活,37例(86%)无疾病证据。36例睾丸非精原细胞瘤男性患者中,30例(83.3%)在8 - 38个月(中位时间17.0个月)时存活且无疾病。在后一组中,28例中25例(89.3%)未曾接受过放疗,存活且无疾病。14例非精原细胞瘤患者有小体积转移灶,13例完全缓解,14例有大块病灶的患者中12例也完全缓解。所有7例晚期精原细胞瘤患者均存活且无疾病。结论是,BEP是转移性生殖细胞肿瘤患者耐受性良好且有效的一线治疗方案。