侯芸, 王华庆, 张会来, 钱正子, 周世勇, 邱立华, 付凯, 刘贤明, 崔秀珍. CTVP方案治疗侵袭性B细胞非霍奇金淋巴瘤85例临床疗效分析[J]. 中国肿瘤临床, 2011, 38(18): 1099-1102. DOI: 10.3969/j.issn.1000-8179.2011.18.011
引用本文: 侯芸, 王华庆, 张会来, 钱正子, 周世勇, 邱立华, 付凯, 刘贤明, 崔秀珍. CTVP方案治疗侵袭性B细胞非霍奇金淋巴瘤85例临床疗效分析[J]. 中国肿瘤临床, 2011, 38(18): 1099-1102. DOI: 10.3969/j.issn.1000-8179.2011.18.011
Yun HOU, Huaqing WANG, Huilai ZHANG, Zhengzi QIAN, Shiyong ZHOU, Lihua QIU, Kai FU, Xianming LIU, Xiuzhen CUI. CTVP Regimen in the Treatment for Non-Hodgkin's Lymphoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2011, 38(18): 1099-1102. DOI: 10.3969/j.issn.1000-8179.2011.18.011
Citation: Yun HOU, Huaqing WANG, Huilai ZHANG, Zhengzi QIAN, Shiyong ZHOU, Lihua QIU, Kai FU, Xianming LIU, Xiuzhen CUI. CTVP Regimen in the Treatment for Non-Hodgkin's Lymphoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2011, 38(18): 1099-1102. DOI: 10.3969/j.issn.1000-8179.2011.18.011

CTVP方案治疗侵袭性B细胞非霍奇金淋巴瘤85例临床疗效分析

CTVP Regimen in the Treatment for Non-Hodgkin's Lymphoma

  • 摘要: 评估含吡喃阿霉素(THP)及长春地辛(VDS)的CTVP方案治疗非霍奇金淋巴瘤(NHL)的近期疗效、远期生存及不良反应。方法:收集2000年1月至2005年12月间应用CTVP方案治疗的资料完整的侵袭性B细胞NHL患者85例,分析其近期疗效、远期生存及不良反应。结果:85例患者中初治74例,复治11例,全部病例均可评价疗效,一线治疗CR 55.4%,有效率68.9%,临床受益率86.0%,二线治疗有效率45.5%,临床受益率63.6%。随访至2009年12月,中位随访时间为69个月(6~102个月),1、3、5年生存率分别为82.4%、71.5%和60.7%,中位生存期75个月(6~99个月),骨髓抑制、胃肠道反应、乏力、外周神经毒性和脱发为主要不良反应。结论:采用含THP和VDS的CTVP方案治疗NHL疗效较好,毒性较低,远期生存率较高,值得临床进一步研究。

     

    Abstract: To analyze the efficacy and toxicity of the CTVP  regimen in the treatment of non-Hodgkin's lymphoma ( NHL ). Methods: From January 2000 to December 2005, 85 patients with NHL were treated with the CTVP regimen with or without radiotherapy for the involved field. The clinical characteristics, response, toxicity, and long-term survival results were analyzed retrospectively. Results: Of the 85 patients, 74 received initial treatment, 11 were treated again. A total of 85 patients were eligible. The clinical benefit rate of the first-line therapy was 86.0%, the response rate was 68.9%, and the complete response rate was 55.4%. The clinical benefit rate of the second-line therapy was 63.6%; the response rate was 45.5%. The median follow-up duration in this series was 69 months ( range: 6-102 months ). The overall 1-, 3-, 5-year survival rates were 82.4%, 71.5%, and 60.7%, respectively, with a median survival time of 75 months ( 6-99 ). The major toxic effects of the regimen were myelosuppression, GI toxicity, fatigue, neurotoxicity, and alopecia. Conclusion: The CTVP regimen is effective and well tolerated by the non-Hodgkin's lymphoma patients.

     

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