Article Summary
傅媛媛 肖青△ 刘芬 吴昊 罗国平.Hyper-CVAD/MA治疗复发或难治性弥漫大B 细胞淋巴瘤的临床研究[J].现代生物医学进展英文版,2016,16(10):1894-1897.
Hyper-CVAD/MA治疗复发或难治性弥漫大B 细胞淋巴瘤的临床研究
The Efficacy and Safety of Hyper-CVAD/MA Regimen in the Treatment ofRecurrent or Refractory Diffuse Large B-cell Lymphoma
  
DOI:
中文关键词: 弥漫大B细胞淋巴瘤  复发/难治  Hyper-CVAD/MA 方案
英文关键词: Diffuse large B-cell lymphoma  Recurrent  Refractory  Hyper-CVAD/MA regimen
基金项目:重庆市卫生局重点项目课题(2013-1-013)
Author NameAffiliation
傅媛媛 肖青△ 刘芬 吴昊 罗国平 重庆医科大学附属第一医院血液内科 
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中文摘要:
      目的:探讨Hyper-CVAD/MA方案治疗复发或难治弥漫大B细胞淋巴瘤(diffuse large B-cell lymphoma,DLBCL)的疗效及安 全性。方法:观察26 例经系统化疗后复发或难治的DLBCL患者接受Hyper-CVAD/MA 方案化疗,21-28 天为1 周期,连续2 个周 期评价疗效及安全性,分析生存情况。结果:全组26 例患者中,总有效率为46.15 %,其中完全缓解(complete remission,CR)3 例 (11.54 %),部分缓解(partial remission,PR) 9例(34.61 %),全组患者中位生存时间为10(2-25)个月,1 年和2 年总生存率分别为 28.57 %、14.29 %。不良反应主要表现为III-IV 度骨髓抑制及继发的肺部感染,其他包括胃肠道反应、口腔炎、肝功能异常等。结论: Hyper-CVAD/MA 治疗复发难治DLBCL有一定的疗效,且患者可耐受,可作为二线方案的一个选择。
英文摘要:
      Objective:To evaluate the clinical efficacy and safety of Hyper-CVAD/MA regimen in patients with recurrent or refractory diffuse large B-cell lymphoma (DLBCL).Methods:All 26patients with recurrent or refractory DLBCL were treated with Hyper-CVAD/MA regimen after routine treatment. 21-28 days consisted of one cycle, and the therapeutic efficacy and adverse effect were observed after two cycles.Results:In 26 cases, the overall response rate was 46.15 %. Three patients (11.54 %) achieved a complete remission and9 (34.61 %) achieved a partial remission. The median time of the OS (overall survival) was 10 months. The one-year OS rate and two-year OS rate were 28.57 % and 14.29 %, respectively. Myelosuppression and infection were the major adverse reaction. Other side effects included gastroenteric reactions, oral mucosa inflammation, damage of live function was also observed.Conclusion:Hyper-CVAD/MA regimen can achieve a satisfied result in the treatment of recurrent or refractory DLBCL, and the toxicity was tolerable.
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