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卡铂、甲氨蝶呤和长春碱用于晚期膀胱移行细胞癌门诊患者的治疗。

Carboplatin, methotrexate, and vinblastine in outpatients with advanced transitional cell carcinoma of the bladder.

作者信息

Pronzato P, Landucci M, Vaira F, Vigani A, Bertelli G

机构信息

Unità Operativa di Oncologia Medica, Ospedale S. Andrea, La Spezia, Italy.

出版信息

Am J Clin Oncol. 1995 Jun;18(3):223-5. doi: 10.1097/00000421-199506000-00008.

DOI:10.1097/00000421-199506000-00008
PMID:7747710
Abstract

Twenty outpatients with locally advanced (inoperable) or metastatic transitional cell carcinomas of the bladder were treated with carboplatin (300 mg/m2 i.v., day 1) + methotrexate (40 mg/m2 days 1 and 8) + vinblastine (6 mg/m2 days 1 and 8) (CaMV), every 4 weeks. One patient died of disease progression before completing at least 2 cycles of chemotherapy. Seven patients (35%) obtained a partial response; 8 had disease stabilization (40%) and 4 progressed (20%). Median duration of response was 3 months (range: 3-9), and median overall survival was 12+ months (range: 1-18+). None of the patients suffered grade IV toxicities, and no nephro-, neuro-, or ototoxicity was observed.

摘要

二十名患有局部晚期(无法手术)或转移性膀胱移行细胞癌的门诊患者接受了卡铂(300mg/m²静脉注射,第1天)+甲氨蝶呤(40mg/m²第1天和第8天)+长春碱(6mg/m²第1天和第8天)(CaMV)治疗,每4周进行一次。一名患者在完成至少2个周期化疗前死于疾病进展。7名患者(35%)获得部分缓解;8名病情稳定(40%),4名病情进展(20%)。中位缓解持续时间为3个月(范围:3 - 9个月),中位总生存期为12 +个月(范围:1 - 18 +个月)。没有患者出现IV级毒性反应,也未观察到肾毒性、神经毒性或耳毒性。

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