高分级胶质瘤化疗治疗进展(4)
6 结语
近年来,胶质瘤、特别是HGG相关治疗研究发展较快,TMZ同步放、化疗是目前HGG的标准疗法,对复发性胶质瘤则可采取更换放、化疗药物或采用联合用药、或“TMZ剂量密度方案”等进行尝试性治疗。贝伐单抗已用于复发性胶质瘤治疗,但因临床实践少且随访期短,使用时需谨慎并加强随访。
参考文献
[1] Chan JL, Lee SW, Fraass BA, et al. Survival and failure pattern of high-grade gliomas after three-dimensional conformal radiotherapy [J]. J Clin Oncol, 2002, 20(6): 1635-1642.
[2] Walker MD, Strike TA, Sheline GE. An analysis of dose-effect relationship in the radiotherapy of malignant glioma [J]. Int J Radiat Oncol Biol Phys, 1979, 5(10): 1725-1731.
[3] Walker MD, Green SB, Byar DP, et al. Randomized comparisons of radiotherapy and nitrosoureas for the treatment of malignant glioma after surgery [J]. N Engl J Med, 1980, 303(23): 1323-1329.
[4] Stupp R, Waren P. Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma [J]. N Engl J Med, 2005, 352(10): 987-996.
[5] Jeon HJ, Kong DS, Park KB, et a1. Clinical outcome of concomitant chemoradiotherapy followed by adjuvant temozolomide therapy for glioblastaomas: single-center experience [J]. Clin Neurol Neurosurg, 2009, 111(8): 679-682.
(收稿日期:2012-03-26), 百拇医药(汪洋)
近年来,胶质瘤、特别是HGG相关治疗研究发展较快,TMZ同步放、化疗是目前HGG的标准疗法,对复发性胶质瘤则可采取更换放、化疗药物或采用联合用药、或“TMZ剂量密度方案”等进行尝试性治疗。贝伐单抗已用于复发性胶质瘤治疗,但因临床实践少且随访期短,使用时需谨慎并加强随访。
参考文献
[1] Chan JL, Lee SW, Fraass BA, et al. Survival and failure pattern of high-grade gliomas after three-dimensional conformal radiotherapy [J]. J Clin Oncol, 2002, 20(6): 1635-1642.
[2] Walker MD, Strike TA, Sheline GE. An analysis of dose-effect relationship in the radiotherapy of malignant glioma [J]. Int J Radiat Oncol Biol Phys, 1979, 5(10): 1725-1731.
[3] Walker MD, Green SB, Byar DP, et al. Randomized comparisons of radiotherapy and nitrosoureas for the treatment of malignant glioma after surgery [J]. N Engl J Med, 1980, 303(23): 1323-1329.
[4] Stupp R, Waren P. Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma [J]. N Engl J Med, 2005, 352(10): 987-996.
[5] Jeon HJ, Kong DS, Park KB, et a1. Clinical outcome of concomitant chemoradiotherapy followed by adjuvant temozolomide therapy for glioblastaomas: single-center experience [J]. Clin Neurol Neurosurg, 2009, 111(8): 679-682.
(收稿日期:2012-03-26), 百拇医药(汪洋)