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顺铂和达卡巴嗪区域灌注

Regional perfusion with cis-platinum and dacarbazine.

作者信息

Aigner K, Hild P, Henneking K, Paul E, Hundeiker M

出版信息

Recent Results Cancer Res. 1983;86:239-45. doi: 10.1007/978-3-642-82025-0_40.

DOI:10.1007/978-3-642-82025-0_40
PMID:6685902
Abstract

In 22 patients isolated extremity perfusion with cis-platinum for treatment of malignant melanoma was performed; 18 had local metastastic disease (M. D. Anderson stages II and III A, B, AB) and four were stage I. A further five patients were submitted to isolated DTIC perfusion. DTIC-perfused tumors showed regression rates of 30%-80%, followed by recurrences within 4 months. After cis-platinum perfusion stage-III AB cases tended to show tumor recurrence within 4 months, while to date stage-III A and stage-II cases have reached disease-free survival times of 17 and 20 months respectively. While in DTIC perfusion the tissue temperature may range between 40 degrees and 41 degrees C, in cis-platinum perfusions 40 degrees C should not be exceeded; otherwise neural damage will occur.

摘要

对22例患者进行了顺铂肢体隔离灌注以治疗恶性黑色素瘤;18例有局部转移性疾病(MD安德森分期II期和III A、B、AB期),4例为I期。另有5例患者接受了达卡巴嗪隔离灌注。接受达卡巴嗪灌注的肿瘤显示出30%-80%的消退率,随后在4个月内复发。顺铂灌注后,III AB期病例倾向于在4个月内出现肿瘤复发,而迄今为止,III A期和II期病例分别达到了17个月和20个月的无病生存期。在达卡巴嗪灌注时,组织温度可能在40摄氏度至41摄氏度之间,而在顺铂灌注时,不应超过40摄氏度;否则会发生神经损伤。

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1
Regional perfusion with cis-platinum and dacarbazine.顺铂和达卡巴嗪区域灌注
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[New modifications in isolated extremity perfusion ].
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引用本文的文献

1
Regional therapies for in-transit disease.区域内转移病灶的治疗方法。
Surg Oncol Clin N Am. 2015 Apr;24(2):309-22. doi: 10.1016/j.soc.2014.12.008. Epub 2015 Jan 30.
2
Isolated limb infusion as a model to test new agents to treat metastatic melanoma.孤立肢体灌注作为一种模型来测试治疗转移性黑色素瘤的新药物。
J Surg Oncol. 2014 Mar;109(4):357-65. doi: 10.1002/jso.23502. Epub 2013 Nov 20.
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Regional treatment strategies for in-transit melanoma metastasis.肢端黑素瘤转移的区域治疗策略。
Surg Oncol Clin N Am. 2011 Jan;20(1):79-103. doi: 10.1016/j.soc.2010.09.008.
4
Isolated regional perfusion in malignant melanoma of the extremities.肢体恶性黑色素瘤的孤立区域灌注。
World J Surg. 1987 Aug;11(4):527-33. doi: 10.1007/BF01655819.
5
Isolated limb perfusion for melanoma: effectiveness and toxicity of cisplatin compared with that of melphalan and other drugs.黑色素瘤的隔离肢体灌注:顺铂与美法仑及其他药物相比的有效性和毒性
World J Surg. 1992 Mar-Apr;16(2):227-33. doi: 10.1007/BF02071525.