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全身热疗联合抗癌化疗治疗晚期癌症的临床疗效

[Clinical effects of total-body hyperthermia combined with anticancer chemotherapy for far-advanced cancer].

作者信息

Koga S

出版信息

Nihon Geka Gakkai Zasshi. 1984 Sep;85(9):1162-5.

PMID:6503979
Abstract

We treated 27 patients with far-advanced cancer with extracorporeally induced total-body hyperthermia combined with anticancer chemotherapy (TBHC). All of them under went unsuccessful anticancer chemotherapy. Excluding 7 patients who could not be evaluated, a partial response was obtained in 7 of 20 patients (35%). Considering that the patients in our series were in the terminal stage of cancer, our results are encouraging. However, despite the regression of the mass in some patients, the survival time after TBHC was not always prolonged. A characteristic complication of TBHC was the weakness of the muscles in the lower extremities. The occurrence of muscle weakness could be prevented by administration of phosphate. To improve the therapeutic effects of TBHC, there are some problems to be solved. In combined anticancer chemotherapy, the selection of anticancer drugs and the timing of their administration are of importance. Thus, the optimal heating method and the combined anticancer chemotherapy are the areas requiring further study to determine the clinical efficacy of TBHC in patients.

摘要

我们对27例晚期癌症患者采用体外诱导全身热疗联合抗癌化疗(TBHC)进行治疗。他们此前的抗癌化疗均未成功。排除7例无法评估的患者后,20例患者中有7例(35%)获得了部分缓解。鉴于我们系列研究中的患者均处于癌症晚期,我们的结果令人鼓舞。然而,尽管部分患者的肿块有所消退,但TBHC后的生存时间并非总是延长。TBHC的一个典型并发症是下肢肌肉无力。给予磷酸盐可预防肌肉无力的发生。为提高TBHC的治疗效果,还有一些问题有待解决。在联合抗癌化疗中,抗癌药物的选择及其给药时机至关重要。因此,最佳加热方法和联合抗癌化疗是需要进一步研究以确定TBHC对患者临床疗效的领域。

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