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[辅助性α干扰素用于复发风险高的肾癌:多中心试点研究]

[Adjuvant interferon alpha in renal carcinoma with a high risk of recurrence. Multicenter pilot study].

作者信息

Pizzocaro G, Piva L, Faustini M, Nicolai N, Salvioni R, Pisani E, Maggioni A, Mandressi A, Dormia E, Minervini S

机构信息

Istituto Nazionale Tumori, Milano.

出版信息

Arch Ital Urol Androl. 1993 Apr;65(2):173-6.

PMID:8330063
Abstract

Twenty-eight consecutive patients submitted to radical nephrectomy for Robson's stage II-III renal cell carcinoma underwent adjuvant recombinant a-2b interferon, 5 MUI s.c. 3 times a week, for 6 consecutive months. Home-feasibility of this therapy resulted easy. The most frequent acute (flu-like syndrome) and late (myalgia, fatigue, anorexia) side effects did not affect normal daily life of patients. Eight (28.5%) patients had WHO grade < or = 2 biochemical and hematological toxicity, that normalized after a reduction or a temporarily suspension of therapy. Twenty-seven patients were evaluable for response. Out of these, 7 (26%) relapsed after a 16 months median follow-up.

摘要

连续28例因罗布森II - III期肾细胞癌接受根治性肾切除术的患者接受了辅助性重组α-2b干扰素治疗,剂量为5百万国际单位,皮下注射,每周3次,连续6个月。这种治疗在家庭中实施很容易。最常见的急性(流感样综合征)和晚期(肌痛、疲劳、厌食)副作用并未影响患者的正常日常生活。8例(28.5%)患者出现世界卫生组织1级或2级生化和血液学毒性,在减少剂量或暂时中断治疗后恢复正常。27例患者可评估疗效。其中,中位随访16个月后,7例(26%)复发。

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