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晚期多发性骨髓瘤的序贯半身放疗

Sequential hemi-body radiotherapy in advanced multiple myeloma.

作者信息

Jaffe J P, Bosch A, Raich P C

出版信息

Cancer. 1979 Jan;43(1):124-8. doi: 10.1002/1097-0142(197901)43:1<124::aid-cncr2820430119>3.0.co;2-n.

DOI:10.1002/1097-0142(197901)43:1<124::aid-cncr2820430119>3.0.co;2-n
PMID:83903
Abstract

Eleven patients with advanced multiple myeloma refractory to standard chemotherapy were treated with a regimen of sequential hemi-body radiotherapy consisting of 800 rad midplane in a single dose to each half. 9/10 patients experienced significant relief of skeletal pain and there were 5/11 objective tumor responses with one complete remission. Treatment-related morbidity was significant and consisted primarily of nausea and emesis, bone marrow suppression, and pneumonitis. This therapy is helpful in the management of advanced myeloma, and should be studied earlier in the course of the disease.

摘要

11例对标准化疗难治的晚期多发性骨髓瘤患者接受了序贯半身放疗方案,即每侧单次给予中平面800拉德的剂量。10例患者中有9例骨骼疼痛显著缓解,11例患者中有5例出现客观肿瘤反应,其中1例完全缓解。与治疗相关的发病率较高,主要包括恶心、呕吐、骨髓抑制和肺炎。这种疗法有助于晚期骨髓瘤的治疗,应在疾病进程中更早地进行研究。

相似文献

1
Sequential hemi-body radiotherapy in advanced multiple myeloma.晚期多发性骨髓瘤的序贯半身放疗
Cancer. 1979 Jan;43(1):124-8. doi: 10.1002/1097-0142(197901)43:1<124::aid-cncr2820430119>3.0.co;2-n.
2
The role of radiation therapy in the management of plasma cell tumors.放射治疗在浆细胞肿瘤管理中的作用。
Cancer. 1980 Feb 15;45(4):647-52. doi: 10.1002/1097-0142(19800215)45:4<647::aid-cncr2820450405>3.0.co;2-e.
3
Systemic (half-body) radiation therapy: response and toxicity.全身(半身)放射治疗:疗效与毒性
Int J Radiat Oncol Biol Phys. 1978 Nov-Dec;4(11-12):937-50. doi: 10.1016/0360-3016(78)90003-2.
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Impact of radiotherapy on pain relief and recalcification in plasma cell neoplasms: long-term experience.放疗对浆细胞肿瘤缓解疼痛和再钙化的影响:长期经验。
Strahlenther Onkol. 2011 Feb;187(2):114-9. doi: 10.1007/s00066-010-2155-9. Epub 2011 Jan 24.
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Systemic irradiation in multiple myeloma: a report on nineteen cases.多发性骨髓瘤的全身照射:19例报告。
Br J Haematol. 1984 Nov;58(3):423-31. doi: 10.1111/j.1365-2141.1984.tb03989.x.
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Half body radiation in plasma cell myeloma.浆细胞骨髓瘤中的半身辐射。
Clin Radiol. 1983 Sep;34(5):507-10. doi: 10.1016/s0009-9260(83)80151-2.
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[Palliative radiation therapy for multiple myeloma].[多发性骨髓瘤的姑息性放射治疗]
Nihon Igaku Hoshasen Gakkai Zasshi. 1996 Dec;56(14):1056-60.
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The role of radiotherapy in the management of multiple myeloma.放射治疗在多发性骨髓瘤管理中的作用。
Blood Rev. 1991 Jun;5(2):84-9. doi: 10.1016/0268-960x(91)90039-f.
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Effects of Radiotherapy in the treatment of multiple myeloma: a retrospective analysis of a Single Institution.放疗在多发性骨髓瘤治疗中的作用:单机构回顾性分析
Radiat Oncol. 2015 Mar 28;10:71. doi: 10.1186/s13014-015-0374-z.
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[Radiotherapy for myeloma].
Nihon Rinsho. 1995 Mar;53(3):653-7.

引用本文的文献

1
Multiple myeloma: current treatment.多发性骨髓瘤:当前的治疗方法。
Postgrad Med J. 1994 Jun;70(824):404-10. doi: 10.1136/pgmj.70.824.404.