赵晓东, 张毅, 张巧. Ⅲ期卵巢上皮癌维持化疗的初步探讨[J]. 中国肿瘤临床, 2006, 33(1): 32-34.
引用本文: 赵晓东, 张毅, 张巧. Ⅲ期卵巢上皮癌维持化疗的初步探讨[J]. 中国肿瘤临床, 2006, 33(1): 32-34.
Zhao Xiaodong, Zhang Yi, Zhang Qiao. Preliminary Approach of the Maintenance Chemotherapy on Stage-Ⅲ Epithelial Ovarian Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(1): 32-34.
Citation: Zhao Xiaodong, Zhang Yi, Zhang Qiao. Preliminary Approach of the Maintenance Chemotherapy on Stage-Ⅲ Epithelial Ovarian Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2006, 33(1): 32-34.

Ⅲ期卵巢上皮癌维持化疗的初步探讨

Preliminary Approach of the Maintenance Chemotherapy on Stage-Ⅲ Epithelial Ovarian Carcinoma

  • 摘要: 目的:晚期卵巢癌随着术后一线化疗方案的不断成熟,一线化疗后完全缓解率逐渐增高,如何维持完全缓解,延长生存时间日益重要。本文拟探讨“维持化疗”在这方面的作用。方法:回顾性分析47例铂类联合一线化疗后临床完全缓解的Ⅲ期卵巢上皮癌,其中21例行铂类联合“维持化疗”,26例观察,比较两组的预后。结果:21例维持化疗患者的总体无进展生存时间(progression-freesurvival,PFS)和总生存时间(overallsurvival,OS)与26例观察组无显著差异。但是,进一步将维持化疗组患者分成残留病灶≤2cm和残留病灶>2cm两个亚组,对于残留病灶>2cm者,维持化疗组PFS显著长于观察组(110周:56周,P=0.004),OS也显著长于观察组(223周:157周,P=0.015)。对于残留病灶≤2cm者,两组的PFS和OS无显著差异。结论:对于一线化疗后临床完全缓解患者,如果残留病灶>2cm,维持化疗可以改善预后。但是,对于残留病灶≤2cm者维持化疗没有意义。

     

    Abstract: Objectives: To investigate the role of maintenance chemotherapy on the stage- Ⅲ ovarian carcinoma. Methods: Retrospective analysis of 47 cases of stage- Ⅲ ovarian carcinoma with clinical complete remission after the first-line chemotherapy. Among the patients, 21 were treated with the maintenance chemotherapy, while others were free of treatment until recurrence. The two groups were compared each other with respect to progression-free survival (PFS) and overall survivals (OS). Results: The median of the PFS was 110 weeks and 56 weeks, the median of the OS was 223 weeks and 157 weeks respectively, both in favor of maintenance group in the subgroup of suboptimal surgery (residual focus >2cm), P=0.004 and P=0.015 respectively. The difference between the two groups in the subgroup of optimal surgery (residual focus ≤2cm) was not significant. Conclusion: Patients of stage Ⅲ ovarian carcinoma with clinical complete remission maybe benefit from the maintenance chemotherapy, if the residual focus >2cm. To those with the residual foci less than 2cm, the maintenance chemotherapy will be valueless.

     

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