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晚期霍奇金病化疗的可治愈性。美国国立癌症研究所接受MOPP方案治疗患者的长期随访。

Curability of advanced Hodgkin's disease with chemotherapy. Long-term follow-up of MOPP-treated patients at the National Cancer Institute.

作者信息

DeVita V T, Simon R M, Hubbard S M, Young R C, Berard C W, Moxley J H, Frei E, Carbone P P, Canellos G P

出版信息

Ann Intern Med. 1980 May;92(5):587-95. doi: 10.7326/0003-4819-92-5-587.

Abstract

The results of treatment of 198 patients with Hodgkin's disease with MOPP (mechlorethamine, vincristine, procarbazine, and prednisone) were analyzed. Eighty percent attained complete remission, and 68% of patients achieving a complete remission have remained disease free beyond 10 years from the end of treatment. Results of autopsy on patients who died of other causes while in clinical complete remission did not show evidence of residual tumors except in one patient. Asymptomatic patients and patients with mixed-cellularity or lymphocytic-depleted Hodgkin's disease do significantly better than symptomatic patients and those with nodular sclerosing histologic type. Advanced Hodgkin's disease appears to be curable by chemotherapy.

摘要

分析了198例霍奇金病患者采用MOPP方案(氮芥、长春新碱、丙卡巴肼和泼尼松)治疗的结果。80%的患者达到完全缓解,且68%达到完全缓解的患者自治疗结束后已无病生存超过10年。临床完全缓解时死于其他原因的患者尸检结果显示,除1例患者外,均未发现残留肿瘤的证据。无症状患者以及混合细胞型或淋巴细胞消减型霍奇金病患者的预后明显优于有症状患者以及结节硬化组织学类型的患者。晚期霍奇金病似乎可通过化疗治愈。

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