Bui B, Chauvergne J, Durand M, Brunet R
Bull Cancer. 1981;68(1):1-5.
From January 1976 to December 1979, 23 adults with advanced soft tissue sarcomas were treated with palliative chemotherapy associating cyclophosphamide, vincristine, adriamycin and dacarbazine (CYVADIC) according to two different schema administered successively. A higher than 50 per cent rate of tumoral response was observed in 52 per cent of cases with 13 per cent complete remissions. Median survival was 14 months in patients who responded to treatment, and 4 months in non-responders (p less than 0,01). Side effects were severe however, and it was necessary to discontinue treatment in 5 patients, and modify dosage in 9 other patients. The CYVADIC protocol is effective but requires some modifications to improve tolerance.
1976年1月至1979年12月,23例晚期软组织肉瘤成人患者接受了姑息化疗,联合使用环磷酰胺、长春新碱、阿霉素和达卡巴嗪(CYVADIC),按照先后两种不同方案给药。在52%的病例中观察到肿瘤反应率高于50%,其中13%完全缓解。治疗有反应的患者中位生存期为14个月,无反应者为4个月(p<0.01)。然而,副作用严重,有5例患者必须停止治疗,另有9例患者需要调整剂量。CYVADIC方案有效,但需要进行一些调整以提高耐受性。