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大剂量阿霉素(ADM)和顺铂(DDP)治疗晚期软组织肉瘤和侵袭性胸腺瘤:一项初步研究。

High-dose adriamycin (ADM) and cis-platinum (DDP) in advanced soft-tissue sarcomas and invasive thymomas. A pilot study.

作者信息

Klippstein T H, Mitrou P S, Kochendörfer K J, Bergmann L

出版信息

Cancer Chemother Pharmacol. 1984;13(2):78-81. doi: 10.1007/BF00257118.

DOI:10.1007/BF00257118
PMID:6540630
Abstract

Eighteen previously untreated patients with advanced unresectable or metastatic soft-tissue sarcomas (STS) and two patients with locally invasive thymoma were treated with a combination of adriamycin (ADM) 80 mg/m2 on day 1 and cis-platinum (DDP) 120 mg/m2 on day 1. The regimen was repeated at 4-weeks intervals. In STS the overall remission rate was 44%, with 21% complete remissions. The overall survival was 15 months (3-35+), responders surviving a median of 20 months (3-35+) and nonresponders, a median of 9 months (3-20+). Tumor responses lasted a median of 8 months (3-35+). Two patients with liposarcoma have now survived disease-free for at least 2 years and are potentially cured. The two patients with thymoma experienced complete remission lasting 4+ and 20+ months. Substantial hematologic toxicity was prominent, due to the high-doses used in this combination regimen.

摘要

18例先前未经治疗的晚期不可切除或转移性软组织肉瘤(STS)患者和2例局部侵袭性胸腺瘤患者接受了如下联合治疗:阿霉素(ADM)80mg/m²于第1天给药,顺铂(DDP)120mg/m²于第1天给药。该方案每4周重复一次。在STS患者中,总缓解率为44%,完全缓解率为21%。总生存期为15个月(3 - 35 +),缓解者的中位生存期为20个月(3 - 35 +),未缓解者的中位生存期为9个月(3 - 20 +)。肿瘤反应持续的中位时间为8个月(3 - 35 +)。2例脂肪肉瘤患者现已无病生存至少2年,可能已治愈。2例胸腺瘤患者经历了持续4 +和20 +个月的完全缓解。由于该联合方案使用的剂量较高,严重的血液学毒性较为突出。

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