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[手术治疗前晚期子宫内膜癌的动脉内灌注化疗]

[Intra-arterial infusion chemotherapy for advanced endometrial cancer before surgical treatment].

作者信息

Ono I, Kuwae C, Kaneko M, Ishibashi T, Minaguchi R, Kobayashi T, Kohyama A, Kitada H, Ohtsuka H

机构信息

Dept. of Gynecology, Tokyo Metropolitan Fuchu Hospital.

出版信息

Gan To Kagaku Ryoho. 1998 Jul;25(9):1318-21.

PMID:9703817
Abstract

Nine cases of advanced uterine body cancer (stage III: 8, stage IVa: 1) were treated by intra-arterial infusion chemotherapy before curative operation. This treatment produced primary tumors smaller than half sizes in eight cases. Necrotic changes were found in over two-thirds of the lesions in six cases. This chemotherapy enabled us to operate curatively in seven cases. After the operations, we performed various types of treatment including intra-arterial infusion chemotherapy. No evidences of disease have been found in four cases, but there is no significant difference between the groups receiving and not receiving the intra-arterial infusion chemotherapy (n = 16) in terms of survival rate of stage III. Further study of the prognosis is necessary.

摘要

9例晚期子宫体癌(Ⅲ期:8例,Ⅳa期:1例)在根治性手术前行动脉内灌注化疗。该治疗使8例患者的原发肿瘤缩小至原来大小的一半以下。6例患者超过三分之二的病灶出现坏死改变。该化疗使7例患者能够接受根治性手术。术后,我们进行了包括动脉内灌注化疗在内的各种治疗。4例患者未发现疾病迹象,但在Ⅲ期患者的生存率方面,接受和未接受动脉内灌注化疗的两组(n = 16)之间没有显著差异。有必要对预后进行进一步研究。

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