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[非霍奇金淋巴瘤的治疗]

[Therapy of non-Hodgkin lymphomas].

作者信息

Fleischer J

出版信息

Z Gesamte Inn Med. 1979 Jul 1;34(13):173-6.

PMID:94197
Abstract

The survey is introduced by references to the relations between special diagnostic findings and life expectancy. Also the contribution of the clinician to the diagnostics of the non-Hodgkin-lymphomas is dealt with. Five standpoints are to be regarded in the new management of chemotherapy: 1. The polychemotherapy is more effective than the monotherapy. 2. Massive-dose therapies of middle degree are more favourable than frequent, low-dosed cytostatic dosages. 3. Connection of the polychemotherapy with the radiotherapy in stage III and IV. 4. Particularly in the lymphomas with a high degree of malignancy polychemotherapy already in stage II following the radiation. 5. Especially intensive polychemotherapy in the lymphomas with a high degree of malignancy. The hitherto got findings in the polychemotherapy of the non-Hodgkin-lymphomas are reported. Here particularly the COP-scheme proved to be favourable, if necessary in connection with bleomycin, adriamycin or methotrexat; also BCNU or dakarbacin are possible. Own propositions, separated for lymphomas for low and high malignancy, respectively, take into consideration also the GDR-preparation Cytostasan.

摘要

该调查通过提及特殊诊断结果与预期寿命之间的关系来展开。同时也探讨了临床医生在非霍奇金淋巴瘤诊断中的作用。在化疗的新管理中应考虑五个观点:1. 联合化疗比单一疗法更有效。2. 中等剂量的大剂量疗法比频繁的低剂量细胞毒性药物剂量更有利。3. 在III期和IV期将联合化疗与放疗相结合。4. 特别是在高度恶性的淋巴瘤中,放疗后II期即开始联合化疗。5. 在高度恶性的淋巴瘤中尤其采用强化联合化疗。报告了迄今为止在非霍奇金淋巴瘤联合化疗中获得的结果。在此,COP方案被证明是有利的,如有必要可与博来霉素、阿霉素或甲氨蝶呤联合使用;BCNU或达卡巴嗪也可行。分别针对低恶性和高恶性淋巴瘤提出的建议也考虑了民主德国的制剂Cytostasan。

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