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长春新碱、环磷酰胺、丙卡巴肼和泼尼松龙联合化疗治疗霍奇金病

[Combination chemotherapy of Hodgkin's disease with vincristine, cyclophosphamide, procarbazine, and prednisolone].

作者信息

Aiba K, Ogawa M, Inagaki J, Horikoshi N, Ezaki K, Inoue K, Dohmyo M, Nagata T, Miyamoto H, Kobayashi T, Kuraishi Y

出版信息

Gan To Kagaku Ryoho. 1982 Nov;9(11):1928-32.

PMID:6897857
Abstract

Nineteen patients with stages II B-IV of Hodgkin's disease were treated with a combination of vincristine, cyclophosphamide, procarbazine, and prednisolone (CVPP regimen), given in a 3 week intervals for 3 months. Eighteen patients were available for responses. A complete remission (CR) was obtained in 9 (50%) out of 18 patients. The median duration of CR and relapse-free survival were 7 months and 26+ months, respectively. Hematologic toxicity was mild, although occasionally cumulative for aged patients and for previously treated patients. Other toxicities such as alopecia and neurotoxicity were troublesome but reversible. Thus, a further study by modification of the regimen warranted to improve the response rate and relapse-free survival.

摘要

19例ⅡB - Ⅳ期霍奇金病患者接受了长春新碱、环磷酰胺、丙卡巴肼和泼尼松龙联合治疗(CVPP方案),每3周给药1次,共3个月。18例患者可供评估疗效。18例患者中有9例(50%)获得完全缓解(CR)。CR的中位持续时间和无复发生存期分别为7个月和26 +个月。血液学毒性较轻,尽管老年患者和既往接受过治疗的患者偶尔会出现累积毒性。其他毒性如脱发和神经毒性虽令人困扰但可逆转。因此,有必要对该方案进行调整以进一步研究,从而提高缓解率和无复发生存率。

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