Long-term survival and recurrence-free interval in combined surgical, radio- and chemotherapy of malignant brain gliomas.

作者: Harald Müller , Mario Brock , Helmut Ernst

DOI: 10.1016/0303-8467(85)90002-2

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摘要: A prospective randomized study has been conducted since 1978 to judge the value of combined radio- and chemotherapy (CCNU) in postoperative treatment grade III IV supratentorial gliomas. Inoperable or recurrent tumors were excluded from these series, but evaluated addition. Increase median survival time (18 months) for entire series (62.2% glioblastomas) was only small compared other mentioned literature, there a significant prolongation recurrence-free interval (16.5 total onset symptoms 46.4% cases living more than 18 months. If 'useful recovery' is major goal present cancer, fraction long-term survivors may be important statistical parameters time. To improve 'quality life' number patients (so-called survivors) length intervals should therapeutic goal, even if overall remains essentially unaffected. We conclude that therapy, including chemotherapy, following surgical resection most malignant glioma.

参考文章(25)
J. Hildebrand, J. Brihaye, Chemotherapy of Brain Tumours Springer Vienna. pp. 51- 91 ,(1978) , 10.1007/978-3-7091-7062-5_2
H. D. Mennel, J. Szymás, Chemotherapy of Brain Tumors — Experimental Results Advances in Neurosurgery. pp. 289- 291 ,(1978) , 10.1007/978-3-642-67028-2_58
James I. Ausman, Victor A. Levin, Willis E. Brown, David P. Rall, Joseph D. Fenstermacher, Brain-tumor chemotherapy. Pharmacological principles derived from a monkey brain-tumor model. Journal of Neurosurgery. ,vol. 46, pp. 155- 164 ,(1977) , 10.3171/JNS.1977.46.2.0155
Richard Jelsma, Paul C. Bucy, The treatment of glioblastoma multiforme of the brain. Journal of Neurosurgery. ,vol. 27, pp. 388- 400 ,(1967) , 10.3171/JNS.1967.27.5.0388
Thomas J. Reagan, Harry F. Bisel, Donald S. Childs, Donald D. Layton, Albert L. Rhoton, William F. Taylor, Controlled study of CCNU and radiation therapy in malignant astrocytoma Journal of Neurosurgery. ,vol. 44, pp. 186- 190 ,(1976) , 10.3171/JNS.1976.44.2.0186
R. Weller, International Histological Classification of Tumours Journal of Clinical Pathology. ,vol. 34, pp. 692- 692 ,(1981) , 10.1136/JCP.34.6.692-D
K. Jellinger, Glioblastoma multiforme: morphology and biology. Acta Neurochirurgica. ,vol. 42, pp. 5- 32 ,(1978) , 10.1007/BF01406628
Michael D. Walker, Sylvan B. Green, David P. Byar, Eben Alexander, Ulrich Batzdorf, William H. Brooks, William E. Hunt, Collin S. MacCarty, M. Stephen Mahaley, John Mealey, Guy Owens, Joseph Ransohoff, James T. Robertson, William R. Shapiro, Kenneth R. Smith, Charles B. Wilson, Thomas A. Strike, Randomized Comparisons of Radiotherapy and Nitrosoureas for the Treatment of Malignant Glioma after Surgery New England Journal of Medicine. ,vol. 303, pp. 1323- 1329 ,(1980) , 10.1056/NEJM198012043032303
Sándor Eckhardt, Dénes Áfra, Bela Kocsis, Jozsef Dobay, Combined radiotherapy and chemotherapy with dibromodulcitol and CCNU in the postoperative treatment of malignant gliomas Journal of Neurosurgery. ,vol. 59, pp. 106- 110 ,(1983) , 10.3171/JNS.1983.59.1.0106
Michael Salcman, Richard S. Kaplan, Thomas B. Ducker, Hatem Abdo, Elizabeth Montgomery, Effect of age and reoperation on survival in the combined modality treatment of malignant astrocytoma. Neurosurgery. ,vol. 10, pp. 454- 463 ,(1982) , 10.1227/00006123-198204000-00007