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采用MOPP方案对复发性脑肿瘤患儿进行联合化疗。

Combination chemotherapy with MOPP in children with recurrent brain tumors.

作者信息

Cangir A, van Eys J, Berry D H, Hvizdala E, Morgan S K

出版信息

Med Pediatr Oncol. 1978;4(3):253-61. doi: 10.1002/mpo.2950040309.

DOI:10.1002/mpo.2950040309
PMID:683129
Abstract

Twenty-three children with CNS tumors were treated with combination chemotherapy including nitrogen mustard, vincristine sulfate, procarbazine, and prednisone (MOPP). All but one had progressive or recurrent tumors following surgery and irradiation. In addition, nine of these patients had prior chemotherapy. Seventeen out of 23 patients (73.4%) responded to MOPP chemotherapy including seven patients who had prior chemotherapy with single or multiple agents such as VCR, nitrosoureas, intrathecal methotrexate, and VM-26. Three comatose patients who were being kept on Decadron without benefit recovered from coma. At the time of this report 8 of the 17 responders are surviving without evidence of recurrence 7--30 months from the start of MOPP chemotherapy. In two of these children chemotherapy has been completely stopped.

摘要

23名患有中枢神经系统肿瘤的儿童接受了联合化疗,化疗药物包括氮芥、硫酸长春新碱、丙卡巴肼和泼尼松(MOPP方案)。除1名患者外,其余患者在手术和放疗后均出现肿瘤进展或复发。此外,这些患者中有9名曾接受过化疗。23名患者中有17名(73.4%)对MOPP化疗有反应,其中包括7名曾接受过如长春新碱、亚硝基脲、鞘内注射甲氨蝶呤和威猛(VM-26)等单药或多药化疗的患者。3名一直使用地塞米松但无效的昏迷患者从昏迷中苏醒。在本报告发布时,17名有反应的患者中有8名在开始MOPP化疗后7至30个月存活,且无复发迹象。在其中两名儿童中,化疗已完全停止。

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引用本文的文献

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MOPP chemotherapy without irradiation as primary postsurgical therapy for brain tumors in infants and young children.对于婴幼儿脑肿瘤,采用不进行放疗的MOPP化疗作为主要术后治疗方法。
J Neurooncol. 1997 May;32(3):243-52. doi: 10.1023/a:1005744527443.
2
Evaluation of response to postradiation eight in one chemotherapy in childhood brain tumors.
J Neurooncol. 1995 Oct;26(1):65-72. doi: 10.1007/BF01054770.
3
A long surviving case of recurrent medulloblastoma displaying effectiveness of ACNU/vincristine chemotherapy.一例长期存活的复发性髓母细胞瘤病例显示了阿糖胞苷/长春新碱化疗的有效性。
J Neurooncol. 1994;18(1):41-7. doi: 10.1007/BF01324602.
4
Combination chemotherapy with cyclophosphamide, vincristine, procarbazine, and prednisone (COPP) in children with brain tumors.
J Neurooncol. 1985;3(3):263-9. doi: 10.1007/BF00165188.
5
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6
Brain tumors.
Indian J Pediatr. 1987 Nov-Dec;54(6):883-7. doi: 10.1007/BF02761015.
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The chemotherapy of posterior fossa tumors in childhood.儿童后颅窝肿瘤的化疗
J Neurooncol. 1987;5(3):217-29. doi: 10.1007/BF00151225.
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Medulloblastoma: histological evaluation and prognosis. A clinical, immunohistochemical and electron microscopic study.
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