Maluf Júnior P, Assis M T, Britto J L, Cristofani L, Odone Filho V
Unidade de Onco-Hematologia, Instituto da Criança, Prof. Pedro de Alcantara, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo.
Rev Hosp Clin Fac Med Sao Paulo. 1993 Jul-Aug;48(4):152-5.
In the recent few years the treatment of the stages I and II of non-Hodgkin lymphomas with the simultaneous use of several drugs showed improvement of results. In the period between 1977 and 1992 three consecutive chemotherapy programs have been developed in the "Instituto da Criança-HC-FMUSP". Between 1977 and 1980 five patients belonging to stage II were treated according to the LSA 2 L-Protocol; complete remission was attained in all of them and three patients have been kept in remission so far. In 1980-1984 period a new regimen (Protocol-I-80) was instituted using the same remission induction strategy as before adding a consolidation with Cyclo and Adria combination and a continuation phase with 6-MP+MTX; five out of six patients have survived free of events till now. In the 1984-1992 period a new protocol was designed (VM-26+ARA-C) replacing Cyclo+Adria. Five patients were included and all of them are disease free survivors.
近年来,同时使用多种药物治疗非霍奇金淋巴瘤的I期和II期显示出治疗效果有所改善。1977年至1992年期间,“儿童研究所-圣保罗大学医学院医院”制定了三个连续的化疗方案。1977年至1980年期间,根据LSA 2 L方案治疗了5例II期患者;所有患者均实现完全缓解,其中3例患者至今仍处于缓解状态。在1980 - 1984年期间,采用了一种新方案(方案I - 80),使用与之前相同的缓解诱导策略,增加了环磷酰胺和阿霉素联合巩固治疗以及6 - 巯基嘌呤+甲氨蝶呤维持治疗阶段;6例患者中有5例至今无事件生存。在1984 - 1992年期间,设计了一个新方案(威猛+阿糖胞苷)取代环磷酰胺+阿霉素。纳入了5例患者,所有患者均为无病生存者。