在复发性/转移性头部和部状细胞癌中,金的耐药性和敏感性
Yuto Horichi1, Hidetoshi Matsui1, Yuta Yamamura1
1Department of Head and Neck Surgery, Hyogo Cancer Center, 13-70 Kitaohji, Akashi, Hyogo 673-8558, Japan.
Auris, nasus, larynx
|June 18, 2023
概括
对于复发性/转移性头角状细胞癌,不到6个月的无间隔 (PFI) 表明抗性. 基于的化学疗法对患有6个月或更长时间PFI的患者来说是一个有效的选择.
科学领域:
- 在瘤学瘤学.
- 医学瘤学 医学瘤学
- 头部和部癌症研究研究
背景情况:
- 基于的化疗 (PBCT) 是对复发性/转移性头支状细胞癌 (R/MHNSCC) 的标准治疗方法.
- 在R/MHNSCC中基于无区间 (PFI) 的PBCT重试的有效性尚未得到充分证实.
- 了解基于PFI的敏感性对于优化R/MHNSCC的治疗策略至关重要.
研究的目的:
- 根据R/MHNSCC患者的PFI评估敏度的差异.
- 确定在R/MHNSCC中成功使用PBCT重新挑战的最佳PFI值.
主要方法:
- 在2001年至2020年期间,80名R/MHNSCC患者接受PBCT治疗的回顾性分析.
- 在重新挑战组 (之前的PBCT) 和对照组 (没有之前的PBCT) 之间的治疗疗效的比较.
- 根据PFI重新挑战组的分层 (<6个月,6-11个月,≥12个月).
主要成果:
- 与对照组相比,患有PFI <6个月的患者的整体存活率显著较短,疾病控制率较低.
- 在对照组和患有PFI 6-11个月或PFI ≥12个月的患者之间没有观察到结果的显著差异.
- 重新挑战组 (55名患者) 和对照组 (25名患者) 根据PFI显示出不同的生存模式.
结论:
- 低于6个月的PFI表明R/MHNSCC的抗性,导致PBCT再试验后的预后较差.
- 超过6个月的PFI可能表明白金敏感性,使PBCT重新挑战成为潜在的有效治疗选择.
- 在确定R/MHNSCC白金再挑战疗法的疗效方面,PFI是关键因素.
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