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[采用两药或三药联合的随机系统性化疗治疗小细胞肺癌(SCLC)]

[Randomized systemic chemotherapy using two or three drug combination for small cell lung cancer (SCLC)].

作者信息

Eguchi K, Shimizu E, Shinkai T, Tominaga K, Saijo N, Shimabukuro Z, Shibuya M, Niitani H

出版信息

Gan No Rinsho. 1984 Feb;30(2):115-21.

PMID:6323783
Abstract

Randomized trials were sequentially performed in SCLC patients using a two-drug combination (ACNU . VCR, ADM . VCR) and a three-drug combination (ACNU . CPA . VCR, ACNU . ADM . VCR). The response rate for the two-drug regimen was 36.4% (8/22 cases) and that for the three-drug combination was 60.0% (15/25 cases). The median survival time of the two groups was 7 and 9 months, respectively. The group with PS. 0-1 showed a better prognosis than that with PS. 2-3 (p = 0.03). No fatal side effects were experienced in this protocol. These data suggest that the three-drug combination (ACNU . VCR . CPA) represents an active regimen for SCLC.

摘要

在小细胞肺癌患者中依次进行了随机试验,采用两药联合方案(嘧啶亚硝脲.长春新碱、阿霉素.长春新碱)和三药联合方案(嘧啶亚硝脲.环磷酰胺.长春新碱、嘧啶亚硝脲.阿霉素.长春新碱)。两药方案的缓解率为36.4%(22例中的8例),三药联合方案的缓解率为60.0%(25例中的15例)。两组的中位生存时间分别为7个月和9个月。PS评分为0 - 1的组比PS评分为2 - 3的组预后更好(p = 0.03)。该方案未出现致命的副作用。这些数据表明,三药联合方案(嘧啶亚硝脲.长春新碱.环磷酰胺)是小细胞肺癌的一种有效治疗方案。

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