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以阿霉素为主的几种方案治疗恶性肿瘤的初步报告

PRELIMINARY REPORT OF VARIOUS ADRIAMYCIN CONTAINING PROTOCOLS IN THE TREATMENT OF MALIGNANT TUMORS

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【摘要】 <正> 阿霉素是一种较新的抗肿瘤蒽环类抗菌素(1967),1969年首先由意大利Bonadonna报道临床试用结果。根据十多年来临床应用的经验,目前可以认为阿霉素是一种抗瘤谱较广的抗癌药,在治疗急慢性白血病、恶性淋巴瘤(包括何杰金氏病)、乳腺癌、软组织肿

【Abstract】 This is a report on the result of various adriamycin containing protocols in the treat-ment of 42 cases of malignant tumors including 24 cases of non-Hodgkin lymphoma, 3cases of Hodgkin disease, 8 cases of breast cancer, 2 cases of tumors of GI tract, 2 cases ofmetastatic tumor, and 3 cases of soft tissue sarcoma. All patients except 4 had prior chemo-therapy. The total response rate was 64%. The response rate of non--Hodgkin lymphomawas 70.8%. The ADM + Ara - C + 6GT protocol yielded the best result in non-Hodgkinlymphoma. The response rate in breast cancer patients was discouraging, no patient achievedpartial regression. In one half of the 56 patients who were given adriamycin, the leukocytecount fell to below 3,000, but returned to normal before the start of the next treatment,alopecia was seen in 27% patients. In EKG follow--up, 16% patients showed myocardialchanges such as low voltage, T wave change, conduction block or premature beat.Adriamycin is considered to be one of the best antitumor agents.

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