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米索硝唑与放疗治疗3级和4级脑星形细胞瘤的随机研究。

A randomized study of misonidazole and radiotherapy for grade 3 and 4 cerebral astrocytoma.

作者信息

Bleehen N M, Wiltshire C R, Plowman P N, Watson J V, Gleave J R, Holmes A E, Lewin W S, Treip C S, Hawkins T D

出版信息

Br J Cancer. 1981 Apr;43(4):436-42. doi: 10.1038/bjc.1981.64.

DOI:10.1038/bjc.1981.64
PMID:7016157
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2010639/
Abstract

The results are reported of a small clinical trial carried out to assess the potential value of the hypoxic cell radiosensitizer misonidazole in the radiation treatment of Grade 3 and 4 supratentorial astrocytomas. A total of 55 patients were randomly allocated to one of 3 treatment groups. No significant differences were seen between the median survivals of patients in the 2 control radiation groups and that of the third group in which oral misonidazole at a dose of 3 g/m2 preceded each of 4 weekly radiation doses. Possible reasons why no improvement was seen are discussed in detail.

摘要

报告了一项小型临床试验的结果,该试验旨在评估乏氧细胞放射增敏剂米索硝唑在3级和4级幕上星形细胞瘤放射治疗中的潜在价值。总共55名患者被随机分配到3个治疗组之一。在两个对照放疗组患者的中位生存期与第三组(在每周4次放疗剂量的每次之前口服3 g/m²米索硝唑)患者的中位生存期之间未观察到显著差异。详细讨论了未见改善的可能原因。

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A randomized study of misonidazole and radiotherapy for grade 3 and 4 cerebral astrocytoma.米索硝唑与放疗治疗3级和4级脑星形细胞瘤的随机研究。
Br J Cancer. 1981 Apr;43(4):436-42. doi: 10.1038/bjc.1981.64.
2
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本文引用的文献

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TREATMENT OF MALIGNANT GLIOMATA.恶性胶质瘤的治疗
J Neurosurg. 1964 Jun;21:497-505. doi: 10.3171/jns.1964.21.6.0497.
2
Should we treat glioblastoma multiforme? A study of survival in 425 cases.我们应该治疗多形性胶质母细胞瘤吗?425例患者的生存情况研究。
Am J Roentgenol Radium Ther Nucl Med. 1962 Mar;87:473-9.
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Misonidazole in fractionated radiotherapy: are many small fractions best?米索硝唑在分次放射治疗中的应用:多次小剂量分割是否最佳?
Br J Radiol. 1980 Oct;53(634):981-90. doi: 10.1259/0007-1285-53-634-981.
4
Isoeffect curve for radiation myelopathy.放射性脊髓病的等效应曲线。
Br J Radiol. 1980 Feb;53(626):168-9. doi: 10.1259/0007-1285-53-626-168.
5
The Cambridge glioma trial of misonidazole and radiation therapy with associated pharmacokinetic studies.米索硝唑与放射治疗联合应用的剑桥胶质瘤试验及相关药代动力学研究。
Cancer Clin Trials. 1980 Fall;3(3):267-73.
6
Misonidazole also radiosensitizes some normal tissue.甲硝唑也会使一些正常组织产生放射增敏作用。
Br J Radiol. 1980 Jan;53(625):44-5. doi: 10.1259/0007-1285-53-625-44.
7
Fast neutron therapy for advanced brain tumors.晚期脑肿瘤的快中子治疗。
Int J Radiat Oncol Biol Phys. 1980 Mar;6(3):333-5. doi: 10.1016/0360-3016(80)90142-x.
8
Fast neutrons compared with megavoltage x-rays in the treatment of patients with supratentorial glioblastoma: a controlled pilot study.在幕上胶质母细胞瘤患者治疗中快中子与兆伏级X射线的比较:一项对照性初步研究。
Int J Radiat Oncol Biol Phys. 1980 Mar;6(3):261-6. doi: 10.1016/0360-3016(80)90131-5.
9
The neurotoxicity of misonidazole: potential modifying role of phenytoin sodium and dexamethasone.米索硝唑的神经毒性:苯妥英钠和地塞米松的潜在调节作用。
Br J Radiol. 1980 Feb;53(626):172-3. doi: 10.1259/0007-1285-53-626-172.
10
A simplification in the use of the NSD concept in practical radiotherapy.在实际放射治疗中NSD概念使用的简化。
Br J Radiol. 1973 Jul;46(547):529-37. doi: 10.1259/0007-1285-46-547-529.