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支气管源性小细胞间变性癌的预防性放疗。一项针对接受联合化疗患者的局部放疗与扩大放疗(包括预防性脑放疗)的对比试验。

Prophylactic irradiation in bronchogenic small cell anaplastic carcinoma. A comparative trial of localized versus extensive radiotherapy including prophylactic brain irradiation in patients receiving combination chemotherapy.

作者信息

Hansen H H, Dombernowsky P, Hirsch F R, Hansen M, Rygård J

出版信息

Cancer. 1980 Jul 15;46(2):279-84. doi: 10.1002/1097-0142(19800715)46:2<279::aid-cncr2820460210>3.0.co;2-w.

DOI:10.1002/1097-0142(19800715)46:2<279::aid-cncr2820460210>3.0.co;2-w
PMID:6992979
Abstract

A total of 114 patients with bronchogenic small cell anaplastic carcinoma and staged as having regional disease all underwent combination chemotherapy consisting of CCNU, cyclophosphamide, and methotrexate. They were randomized to receive either radiotherapy to the primary tumor and regional lymph nodes (4000 rad) or extensive radiotherapy, which included the brain, adrenals, and upper retroperitoneal lymph nodes. Fifteen patients were free of disease after 18 months of chemotherapy and the treatment was discontinued. Only 3 patients subsequently relapsed. No difference was observed between the two groups of patients in median survival time, response rate, duration of response or relapse pattern, including the frequency of brain metastasis.

摘要

共有114例支气管源性小细胞间变性癌且分期为局部病变的患者均接受了由洛莫司汀、环磷酰胺和甲氨蝶呤组成的联合化疗。他们被随机分为两组,一组接受针对原发肿瘤和区域淋巴结的放疗(4000拉德),另一组接受扩大放疗,包括脑部、肾上腺和上腹膜后淋巴结。15例患者在化疗18个月后疾病缓解,治疗停止。随后只有3例患者复发。两组患者在中位生存时间、缓解率、缓解持续时间或复发模式(包括脑转移频率)方面均未观察到差异。

相似文献

1
Prophylactic irradiation in bronchogenic small cell anaplastic carcinoma. A comparative trial of localized versus extensive radiotherapy including prophylactic brain irradiation in patients receiving combination chemotherapy.支气管源性小细胞间变性癌的预防性放疗。一项针对接受联合化疗患者的局部放疗与扩大放疗(包括预防性脑放疗)的对比试验。
Cancer. 1980 Jul 15;46(2):279-84. doi: 10.1002/1097-0142(19800715)46:2<279::aid-cncr2820460210>3.0.co;2-w.
2
Upper hemibody and local chest irradiation as consolidation following response to high-dose induction chemotherapy for small cell bronchogenic carcinoma--a pilot study.
Cancer Treat Rep. 1982 Aug;66(8):1609-12.
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Methotrexate in the chemotherapy of lung cancer.甲氨蝶呤在肺癌化疗中的应用。
Cancer Treat Rep. 1981;65 Suppl 1:161-3.
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Chemotherapy for bronchogenic carcinoma. Methotrexate, doxorubicin, cyclophosphamide, and lomustine.支气管源性癌的化疗。甲氨蝶呤、阿霉素、环磷酰胺和洛莫司汀。
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Combination chemotherapy of advanced lung cancer: a randomized trial.晚期肺癌的联合化疗:一项随机试验。
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Cancer Treat Rep. 1982 Feb;66(2):221-30.
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Cancer. 1980 Jul 15;46(2):256-60. doi: 10.1002/1097-0142(19800715)46:2<256::aid-cncr2820460206>3.0.co;2-q.
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Comparison of chemotherapy alone versus chemotherapy and radiation therapy of extensive small cell carcinoma of the lung.广泛期小细胞肺癌单纯化疗与化疗联合放疗的比较。
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A randomized study of radiation treatment in small cell bronchial carcinoma treated with two types of four-drug chemotherapy regimens.一项关于小细胞支气管癌采用两种含四种药物化疗方案治疗时进行放射治疗的随机研究。
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JAMA. 1977 Jun 20;237(25):2730-3.

引用本文的文献

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Management of brain metastasis with magnetic resonance imaging and stereotactic irradiation attenuated benefits of prophylactic cranial irradiation in patients with limited-stage small cell lung cancer.磁共振成像和立体定向放射治疗脑转移瘤对局限期小细胞肺癌患者预防性颅脑照射的益处产生了削弱作用。
BMC Cancer. 2015 Aug 15;15:589. doi: 10.1186/s12885-015-1593-2.
2
[Small cell lung cancer].[小细胞肺癌]
Wien Klin Wochenschr. 2007;119(23-24):697-710. doi: 10.1007/s00508-007-0913-1.
3
Prophylactic cranial irradiation in small cell lung cancer: a systematic review of the literature with meta-analysis.
小细胞肺癌的预防性颅脑照射:一项文献系统综述及荟萃分析
BMC Cancer. 2001;1:5. doi: 10.1186/1471-2407-1-5. Epub 2001 Jun 19.
4
Brain CT-scanning and neurological examination in small cell bronchogenic carcinoma.小细胞支气管癌的脑部CT扫描及神经学检查
J Neurooncol. 1983;1(3):197-202. doi: 10.1007/BF00165603.
5
[Short-term induction and cyclic maintenance therapy in inoperable small cell bronchial cancer].[不可切除的小细胞支气管癌的短期诱导和循环维持治疗]
Klin Wochenschr. 1982 Aug 16;60(16):829-38. doi: 10.1007/BF01728349.
6
Doxorubicin, Cyclophosphamide and VP16-213 (ACE) in the treatment of small cell lung cancer.阿霉素、环磷酰胺和依托泊苷(ACE方案)治疗小细胞肺癌
Cancer Chemother Pharmacol. 1982;7(2-3):187-93. doi: 10.1007/BF00254546.
7
Chemotherapy of lung cancer.肺癌的化疗
Yale J Biol Med. 1981 Jul-Aug;54(4):283-92.
8
Radiotherapy alone or with chemotherapy in the treatment of small-cell carcinoma of the lung: the results at 36 months. 2nd report to the Medical Research Council on the 2nd small-cell study.单纯放疗或联合化疗治疗小细胞肺癌:36个月的结果。医学研究委员会关于第二项小细胞肺癌研究的第二次报告
Br J Cancer. 1981 Nov;44(5):611-7. doi: 10.1038/bjc.1981.245.
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Treatment policy of surgery in small cell carcinoma of the lung: retrospective analysis of a series of 874 consecutive patients.小细胞肺癌的手术治疗策略:对874例连续患者的系列回顾性分析
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Cranial irradiation in small cell lung cancer.小细胞肺癌的颅脑照射
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