Quan K
Shaanxi Tumour Research Institute, Xian, China.
Eur J Surg Suppl. 1994(574):37-40.
Electrochemical therapy (ECT) was used for the treatment of 144 cases of soft tissue and superficial malignant tumours. All tumours were cytologically verified and included 39 soft-tissue sarcomas, ten head-neck cancers, 21 malignant melanomas, seven skin cancers, three cervical cancers, two breast cancers, 27 recurrent cancers and 35 metastatic cancers. The TNM stage of primary cancers were: T1: n = 28, T2: n = 36, T3: n = 12, and T4: n = 6. Among these, 23 cases were lymph nodes metastases and 12 systemic metastases. There were 43 cases of localised recurrent cancer and 19 cases of generalised metastatic disease. ECT was used to treat 128 cases once, nine cases twice, four cases three times and three four times. All patients received systemic chemotherapy for one to two cycles, and three of them were also treated by radiotherapy. The short-term effectiveness rate was 86.87% (125/144) with 81 complete response (CR) (tumour disappeared completely), accounting for 58.3% of all cases, 41 partial response (PR) (tumour regressed to more than half of its original size) accounting for 28.5%. Fourteen (9.7%) no change (NC); tumour regressed to less than half of its original size) and five (4.5%) progressive disease (PD); tumour did not regress or even increased in size). The short-term effectiveness rate in relation to tumour size was 94.5% (120/127) for tumour diameters of < 7 cm and 29.4% (5/17) for tumour diameters > 7 cm (p < 0.001). The long-term effectiveness, that is the survival rates for 1, 2, 3 and 4 years, was 83.3% (120/144), 74.1% (89/120), 84.3% (75/89) and 73.3% (55/75), respectively.(ABSTRACT TRUNCATED AT 250 WORDS)
电化学疗法(ECT)用于治疗144例软组织和浅表恶性肿瘤。所有肿瘤均经细胞学证实,包括39例软组织肉瘤、10例头颈癌、21例恶性黑色素瘤、7例皮肤癌、3例宫颈癌、2例乳腺癌、27例复发性癌和35例转移性癌。原发性癌的TNM分期为:T1:n = 28,T2:n = 36,T3:n = 12,T4:n = 6。其中,23例有淋巴结转移,12例有全身转移。有43例局部复发性癌和19例广泛性转移性疾病。ECT治疗128例1次,9例2次,4例3次,3例4次。所有患者均接受1至2个周期的全身化疗,其中3例还接受了放疗。短期有效率为86.87%(125/144),完全缓解(CR)81例(肿瘤完全消失),占所有病例的58.3%,部分缓解(PR)41例(肿瘤缩小至原大小的一半以上),占28.5%。14例(9.7%)无变化(NC)(肿瘤缩小至原大小的一半以下),5例(4.5%)疾病进展(PD)(肿瘤未缩小甚至增大)。肿瘤直径<7 cm的短期有效率为94.5%(120/127),肿瘤直径>7 cm的为29.4%(5/17)(p<0.001)。长期有效率,即1年、2年、3年和4年生存率分别为83.3%(120/144)、74.1%(89/120)、84.3%(75/89)和73.3%(55/75)。(摘要截断于250字)