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晚期霍奇金病综合治疗的长期缓解

Long term remissions with combined modality therapy for advanced Hodgkin's disease.

作者信息

Prosnitz L R, Farber L R, Fischer J J, Bertino J R, Fischer D B

出版信息

Cancer. 1976 Jun;37(6):2826-33. doi: 10.1002/1097-0142(197606)37:6<2826::aid-cncr2820370638>3.0.co;2-f.

DOI:10.1002/1097-0142(197606)37:6<2826::aid-cncr2820370638>3.0.co;2-f
PMID:949702
Abstract

A new treatment program for advanced Hodgkin's disease employing five-drug combination chemotherapy and low dose radiation to the sites of bulk disease (nodal or parenchymal) was designed in 1969. Eighty patients have now been treated, 60 of whom have achieved a complete remission. More significantly, only 5 of the 60 completed responders have relapsed with follow-up from 1-6 years. The cumulative survival at 5 years of patients entering complete remission is 92%. For those patients not sustaining a complete remission, it is 19% at 2 years. This program has resulted in substantially lower relapse rates than previously reported by other investigators, probably because of the administration of radiotherapy in the manner described. Hopefully, a significant number of these patients may be cured of their disease.

摘要

1969年设计了一种针对晚期霍奇金病的新治疗方案,采用五种药物联合化疗并对大块病灶部位(淋巴结或实质脏器)进行低剂量放疗。目前已有80例患者接受了治疗,其中60例实现了完全缓解。更值得注意的是,在这60例完全缓解的患者中,仅有5例在1至6年的随访期内复发。进入完全缓解状态的患者5年累积生存率为92%。对于那些未实现完全缓解的患者,2年生存率为19%。该方案导致的复发率显著低于其他研究者先前报告的水平,这可能是由于采用了上述方式进行放射治疗。有望大量此类患者能够治愈疾病。

相似文献

1
Long term remissions with combined modality therapy for advanced Hodgkin's disease.晚期霍奇金病综合治疗的长期缓解
Cancer. 1976 Jun;37(6):2826-33. doi: 10.1002/1097-0142(197606)37:6<2826::aid-cncr2820370638>3.0.co;2-f.
2
[Treatment of Hodgkin's disease. Experience of the Hôpital Saint-Louis].[霍奇金淋巴瘤的治疗。圣路易医院的经验]
Rev Prat. 1974 Oct 11;24(45):3971-8.
3
Low dose radiation therapy and combination chemotherapy in the treatment of advanced Hodgkin's disease.低剂量放射治疗与联合化疗治疗晚期霍奇金病
Radiology. 1973 Apr;107(1):187-93. doi: 10.1148/107.1.187.
4
Letter: Chemotherapy of Hodgkin's disease.
N Engl J Med. 1974 Dec 12;291(24):1309. doi: 10.1056/NEJM197412122912416.
5
Towards curative treatment of advanced Hodgkin's disease.迈向晚期霍奇金淋巴瘤的治愈性治疗
S Afr Med J. 1975 Sep 6;49(38):1545-9.
6
Hodgkin's disease: results of treatment with combination chemotherapy.霍奇金病:联合化疗的治疗结果
Med J Aust. 1977 Dec 17;2(25):821-5. doi: 10.5694/j.1326-5377.1977.tb99332.x.
7
Combination chemotherapy in advanced and recurrent Hodgkin's disease.晚期及复发性霍奇金病的联合化疗
Natl Cancer Inst Monogr. 1973 May;36:395-402.
8
Combination chemotherapy of Hodgkin's disease.
Cancer. 1974 Jun;33(6):1499-504. doi: 10.1002/1097-0142(197406)33:6<1499::aid-cncr2820330605>3.0.co;2-9.
9
[Chemotherapy of Hodgkin's disease].
Rev Prat. 1974 Oct 11;24(45):3957-60, 3963-4, 3967-8.
10
Combinaed chemotherapy with cyclophosphamide, vinblastine, procarbazine, and prednisone (CVPP) for patients with advanced Hodgkin's disease. An alternative program to MOPP.对于晚期霍奇金病患者,采用环磷酰胺、长春花碱、丙卡巴肼和泼尼松联合化疗(CVPP)。这是一种替代MOPP方案的治疗计划。
Cancer. 1976 Jul;38(1):42-8. doi: 10.1002/1097-0142(197607)38:1<42::aid-cncr2820380108>3.0.co;2-u.

引用本文的文献

1
Hodgkin's Disease: Treatment and Prognosis.霍奇金淋巴瘤:治疗与预后。
Can Fam Physician. 1982 Mar;28:487-91.
2
[Treatment results of Hodgkin's disease, stages I and II (author's transl)].霍奇金病I期和II期的治疗结果(作者译)
Klin Wochenschr. 1981 May 15;59(10):469-75. doi: 10.1007/BF01696208.
3
Second malignancies in Hodgkin's disease: a complication of certain forms of treatment.霍奇金淋巴瘤的第二原发性恶性肿瘤:某些治疗方式的一种并发症。
Br Med J. 1980 Jan 26;280(6209):216-9. doi: 10.1136/bmj.280.6209.216.
4
[Stage IIIB and IVB Hodgkin's disease. Response to chemotherapy, relapses, survival rates (author's transl)].[III B期和IV B期霍奇金病。对化疗的反应、复发情况、生存率(作者译)]
Klin Wochenschr. 1981 Jul 1;59(13):737-42. doi: 10.1007/BF01721261.
5
Chemotherapy of Hodgkin's disease.
J R Coll Physicians Lond. 1980 Jan;14(1):26-33.
6
Chemotherapy treated Hodgkins disease--a fifteen year review.
Ir J Med Sci. 1986 Sep;155(9):300-7. doi: 10.1007/BF02960708.
7
Extended-field isocentric irradiation for Hodgkin's disease.霍奇金病的扩大野等中心照射
J Natl Med Assoc. 1987 Sep;79(9):969-80.
8
The role of staging laparotomy in combined modality therapy of Hodgkins disease: A new treatment plan based on a 6-year experience.分期剖腹术在霍奇金病综合治疗中的作用:基于6年经验的新治疗方案。
World J Surg. 1978 Jan;2(1):101-7. doi: 10.1007/BF01574473.
9
[Hodgkin's disease. Results in diagnosis and treatment (author's transl)].[霍奇金病。诊断与治疗结果(作者译)]
Klin Wochenschr. 1979 Apr 17;57(8):371-81. doi: 10.1007/BF01480475.