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在非转移性肌肉侵入性膀癌中的顺序与并发化疗疗方案的比较
Heidi M Vieira1, David P Kasper1, Runqiu Wang2
1Department of Radiation Oncology, University of Nebraska Medical Center, Omaha, NE, USA.
Radiation oncology journal
|October 4, 2023
概括
膀癌放射治疗前的顺序化疗显示出与同时治疗相似的生存结果. 这表明化疗可能有助于在放射治疗之前降低瘤的发展阶段,即使是在疾病更晚的患者中也是如此.
科学领域:
- 在瘤学瘤学.
- 尿道瘤学 尿道瘤学
背景情况:
- 肌肉侵入性膀癌往往需要激进囊切除术,这是一种具有显著发病率和死亡率的程序.
- 三种疗法 (化疗辐射后透尿管切除) 提供了节约膀的替代方案,但最佳化疗和辐射测序尚不清楚.
研究的目的:
- 为了比较顺序与并发化疗在非转移性肌肉侵入性膀癌的生存结果.
- 评估化疗时间相对于辐射对患者存活时间的影响.
主要方法:
- 来自国家癌症数据库的2227名非转移性膀癌患者的回顾性分析.
- 顺序化疗 (在放射治疗前14天开始) 和并发化疗 (在放射治疗后14天内开始) 之间的整体存活率的比较.
主要成果:
- 顺序组更年轻,病情更为晚期.
- 在顺序和并发化学辐射组之间没有观察到总生存时间的显著差异 (p=0.533).
结论:
- 放射前的化疗与同时的化疗相比,不会对存活率产生负面影响.
- 顺序化疗可能对膀癌患者的下降瘤有益,需要进一步调查.
- 需要进一步的多机构试验来指导临床决策,以确定治疗顺序.
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