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不可手术切除支气管癌的综合化疗与放疗:50例初步结果(作者译)

[Integrated chemotherapy and radiotherapy of inoperable bronchial carcinoma: preliminary results in 50 cases (author's transl)].

作者信息

Seeber S, Schmidt C G, Holfeld H, Scherer E

出版信息

Dtsch Med Wochenschr. 1977 Feb 4;102(5):147-52. doi: 10.1055/s-0028-1104856.

Abstract

Fifty patients with inoperable bronchial carcinoma were treated with a combined schedule of adriamycin, cyclophosphamide and vincristine. In those cases with locally/regionally confined tumour spread this was followed - after three chemotherapy cycles - by radiotherapy to mediastinum, hilar region and tumour of 3000 rad focal dose. Remission was achieved in 25 of 27 patients with small-cell carcinoma: full clinical remission in 12, part remission in 13. Mean duration of the (in most instances still continuing) remission has so far been 4 + months. Mean survival time is, of course, not yet calculable. Only a few patients had to be admitted to hospital for short periods because of toxic reactions. Four full and 11 part remission (some still continuing) have so far been achieved in the group of larger-cell carcinoma (squamous cell, 4; large cells, 5; anaplastic, medium-large, undifferentiated or polymorph, 14).

摘要

50例无法手术的支气管癌患者接受了阿霉素、环磷酰胺和长春新碱联合方案治疗。对于局部/区域局限性肿瘤扩散的病例,在三个化疗周期后,对纵隔、肺门区域和肿瘤进行3000拉德局部剂量的放射治疗。27例小细胞癌患者中有25例实现缓解:12例完全临床缓解,13例部分缓解。到目前为止,(大多数情况下仍在持续)缓解的平均持续时间为4个多月。当然,平均生存时间尚未可计算。只有少数患者因毒性反应需要短期住院。在大细胞癌组(鳞状细胞癌4例;大细胞癌5例;间变性、中大型、未分化或多形性癌14例)中,目前已实现4例完全缓解和11例部分缓解(有些仍在持续)。

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