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[高恶性非霍奇金淋巴瘤的当前治疗可能性,特别提及自体造血干细胞移植]

[Current possibilities in the treatment of high-malignity non-Hodgkin lymphoma, with special reference to autologous hematopoietic stem cell transplantation].

作者信息

Rák K

机构信息

Debreceni OTE II. Belgyógyászati Klinika.

出版信息

Orv Hetil. 1994 Apr 17;135(16):843-7.

PMID:7909936
Abstract

The present combined radiochemotherapy results in a complete remission in 50-60 percent of patients suffering from high-grade non-Hodgkin's lymphoma but only about half of them are cured. The basic regimen for chemotherapy is still the CHOP. There are known "salvage"-protocols, among them the CEPP-regimen, for patients who relapsed. For the still chemosensitive patients a newer complex potentially curative treatment procedure is available. Stem cells harvested during the first or second, in certain cases in a subsequent good remission from the bone marrow or even more from the peripheral blood may be later useful in protecting patients from a severe myelodepression or mostly as a "haemopoietic rescue" in restoration of the bone marrow function after myeloablative conditioning. The present treatment strategy in progressive disorders is mainly based on the complementary effect of intensive radiochemotherapy, autologous stem-cell transplantation and the rational use of cytokines, mostly colony-stimulating factors.

摘要

目前的联合放化疗可使50%至60%的高级别非霍奇金淋巴瘤患者实现完全缓解,但其中只有约一半能被治愈。化疗的基本方案仍是CHOP。对于复发患者,有已知的“挽救”方案,其中包括CEPP方案。对于仍对化疗敏感的患者,有一种更新的、可能治愈的复杂治疗方法。在第一次或第二次,某些情况下在随后的良好缓解期从骨髓甚至更多地从外周血中采集的干细胞,稍后可能有助于保护患者免受严重的骨髓抑制,或主要作为清髓预处理后恢复骨髓功能的“造血救援”。目前针对进展性疾病的治疗策略主要基于强化放化疗、自体干细胞移植和合理使用细胞因子(主要是集落刺激因子)的互补作用。

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