CCCG方案治疗T-NHL-Ⅲ Ⅳ期的临床观察
The Clinical Study on the Treatment of Ⅲ、Ⅳ Stage T-NHL Using CCCG Regimen
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摘要: 目的:观察中国儿童肿瘤协作组(CCCG)化疗方案在治疗晚期恶性淋巴瘤(T-NHL)的疗效。方法:1998年9月至2002年9月收治的Ⅲ、Ⅳ期T-NHL24例,根据适应证要求、治疗前检查及疗效评估标准,11例纳入本方案治疗。结果:11例患者中,完成化疗并持续缓解7例,CR最长者58个月;死亡4例:2例分别持续缓解16个月和24个月最终死于肿瘤复发;1例死于药物毒性;1例死于进展。结论:CCCG方案能提高晚期T-NHL的生存率,延长生存期,但化疗药物不良反应和骨髓抑制严重。Abstract: Objective: To observe treatment effetiveness of Ⅲ and Ⅳstage T- NHL using CCCG regimen. Methods: From Sept 1998 to Sept 2002, 24 cases with Ⅲ and Ⅳ stage T-NHL were admitted in the hospital. According indications, examination before treatment and assessment standard about effectiveness, 11 cases were brought into this CCCG regimen group. Results: Continuous remission occurred in seven cases and the longest time of CR was 58 months; the remaining four were dead (among which two have kept continuous remission for 15 and 24 months respectively and they died of recurrence; one died of drug toxicity and one died of progression). Conclusion: CCCG regimen can improve survival rate and prolong survival time. Because of drug toxicity and serious myelosuppression, it is difficult to be generalized widespreadly in hospitals at lower level.