A randomized study of radiotherapy versus radiotherapy plus chemotherapy in stage I-II non-hodgkin's lymphomas

作者: Nis I. Nissen , Jens Ersbøll , Hanne Sand Hansen , Sven Walbom-Jørgensen , Jens Pedersen-Bjergaard

DOI: 10.1002/1097-0142(19830701)52:1<1::AID-CNCR2820520102>3.0.CO;2-M

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摘要: In a randomized, prospective trial from 1974-1978, 73 patients with non-Hodgkin's lymphomas in clinical Stage I or II were treated extended field radiotherapy alone (RT) RT plus adjuvant chemotherapy vincristine, streptonigrin, cyclophosphamide and prednisone (RT + CT). With median follow-up time of five years, 54% have relapsed the group versus only 10% CT (P less than 0.01). There is no statistical difference overall survival yet, but 13/14 deaths 3/12 due to progressive disease. Among unfavorable histology, 13/22 died disease progression against 3/34 The results are agreement those two other series published detail. Based on these we therefore recommend use all I-II histology. Further observation necessary before conclusion can be drawn for lymphoma more favorable

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