期刊文献+

同步放化疗治疗中晚期宫颈癌近期疗效观察 被引量:3

下载PDF
导出
摘要 [目的]探讨同步放化疗治疗中晚期宫颈癌的临床价值。[方法]98例Ⅱb~Ⅲb期宫颈癌以就诊顺序随机分为同步放化疗组(A组)和单纯放疗组(B组),同步放化疗组50例,单放组48例。放疗方法两组均采用6MeV的医用直线加速器,予以根治性放射治疗(盆腔前后对穿野加腔内照射);化疗方法:同步放化疗组DDP40mg/m2/W静滴,化疗仅在外照射期间进行。[结果]治疗结束时放化疗组和单放组的有效率分别为100%和95.8%(P=0.158),完全缓解率分别为84%和66.7%(P=0.039);治疗结束后3个月放化疗组和单放组的有效率分别为100%和97.9%(P=0.158),完全缓解率分别为92%和75%(P=0.022)。放化疗组骨髓抑制及消化道反应发生率均高于单放组(P<0.05),经对症治疗后患者均可耐受。[结论]同步放化疗治疗中晚期宫颈癌可提高近期完全缓解率,急性毒副反应可以耐受,在中晚期宫颈癌的治疗中是安全可行的。
出处 《求医问药(下半月刊)》 2012年第1期54-55,共2页 Seek Medical and Ask The Medicine
  • 相关文献

参考文献9

  • 1Goonatillake S,Khong R,Hoskin E. Chemoradiation in gynaecological cancer[J].Clinical Oncology,2009.566-572.doi:10.1016/j.clon.2009.06.005.
  • 2Parkin DM,Bray F,Ferlay J. Global cancer statistics,2002[J].CA:A Cancer Journal for Clinicians,2005,(2):74-108.doi:10.3322/canjclin.55.2.74.
  • 3Vokes EE,Weichselbaum RR. Concomitant chemotherapy:rational and clinical experience in patients with solid tumors[J].Journal of Clinical Oncology,1999,(05):911-934.
  • 4Whitney CW,Sause W,Bundy BN. Randomized comparison of fluorouracil plus cisplatin versus hydroxyurea as an adjunct to radiationg theraphy in stage ⅡB-ⅣA carcinoma of the cervix with negative para-aortic lymph nodes:a Gynecologic Oncology Group and Southwest Oncology Group study[J].Journal of Clinical Oncology,1999.1339-1348.
  • 5Rose PG,Bundy BN,Watkins EB. Concurrent cisplatinbased radiothrrapy and chemotherapy for locally advanced cervical[J].New England Journal of Medicine,1999.1144-1153.doi:10.1056/NEJM199904153401502.
  • 6Eifel PJ. Chemoradiotherapy in the treatment of cervical ca J][J].Seminars in Radiation Oncology,2006,(16):1772-1851.
  • 7Monk BJ,Tewari KS,Koh WJ. Multimodality therapy for locally advanced cervical carcinoma:state of the art and future directions[J].Journal of Clinical Oncology,2007.2952-2965.doi:10.1200/JCO.2007.10.8324.
  • 8Lukka H,Hirte H,Fyles A. Concurrent cisplatin-based chemotherapy plus radiotherapy for cervical cancer:a meta-analysis[J].Clinical Oncology(royal College of Radiologists),2002.203-212.
  • 9高莹,刘孜,陈宏伟.中晚期宫颈癌同期放化疗近期疗效分组对照分析[J].中国实用妇科与产科杂志,2009,25(1):46-48. 被引量:6

二级参考文献9

  • 1Green JA, Kinan JM. Survival anti recurrence after concomitant chemotherapy and radiotherapy for cancer of the uterine cervix:a systematic review and meta analysis[J].Lancet, 2001,358 (9284) :781-786.
  • 2Eifel PJ. Chemoradiotherapy in the treatment of cervical cancer [J]. Semin Radiat Oncol,2006, 3(16) :177-185.
  • 3Peters WA, Liu PY, Barrett R J, et al. Concurrent chemotherapy and pelvic radiation therapy compared with pelvic radiation therapy alone as adjuvant therapy after radical surgery in high-risk early-stagc cancer of the cervix[ J]. Clin Oncol,2000, 18 (8) : 1606-1613.
  • 4Mylin A, TolTes MD, Anuja JMD, et al. Comparison of treatment tolerance and outcomes in patients with cervical cancer treated with concurrent chemnradiotherapy in a prospective randomized trial or with standard treatment [J]. Int J Radiol Oncol, 2008,70 (1) :118-125.
  • 5Me-Yeon Lee, Hong-Gyun W, Kyubo K,et al. Concurrent radiotherapy with paclitaxel/carboplatin chemotherapy as a definitive treatment for squamous cell carcinoma of the uterine cervix [ J ]. Gvnecol Oncol,2007,104 ( 1 ) :95-99.
  • 6Young SK, Seong SS, Jon-Hyun N,et al. Prospective randomized comparison of monthly fluorouracil and eisplatin versus weekly cisplatin concurrent with pelvic radiotherapy and high- dose rate hrachytherapy for locally advanced cervical cancer[ J]. Gynecol Oncol,2008, 108 ( 1 ) :195-200.
  • 7Pohlmann P, Dileone LP, Cancella AI, et al. Phase Ⅱ trial of cispahin plus decitabine,a new DNA hypomethylating agent,in patients with advanced squamous cell carcinoma of the cervix[ J ]. Am J Clin Oncol,2002,25 ( 5 ) :496-501.
  • 8Ghaemmaghami F, Behatash Z, Yarandi F, et al. First-line chemotherapy with 5-FU and platinum for advanced and recurred cancer of the cervix: a phase Ⅱ study [ J ]. J Ohstet Gynaccol,2003,23 (4) :422-425.
  • 9Yong BK, Jae HC, Ki CK,et al. Concurrent chemoradiotherapy followed by adjuvant chemotherapy in uterine cervical cancer patients with high-risk factors [ J ]. Gynecol Oncol, 2007, 104 ( 1 ) :58-63.

共引文献5

同被引文献19

引证文献3

二级引证文献31

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部