Re: [對齊] 淋巴癌復發

看板ChineseMed作者gentlwind (ㄉㄊ)時間11年前 (2012/12/22 01:15)推噓8(8推 0噓 38→)

留言46則, 10人參與討論串3/3 (看更多)

最近很不想發文(老被盯著打.誰想?).不過.cutebee都這麼挺中醫了.我實不能裝死. 雖然西醫的Hema我總是放棄，但我的疑問是，你目前狀況為何？我去查了Uptodate資料庫這篇， "Treatment of relapse of classical Hodgkin lymphoma after initial chemotherapy" 該文總結如下： ============================================================================== Patients with Hodgkin lymphoma relapsing after prior treatment with chemotherapy are generally treated with either conventional chemotherapy combined with radiation therapy or high dose chemotherapy and autologous hematopoietic cell transplantation (HCT) given with or without radiation therapy. The choice of therapy is usually based upon prognostic features: 翻譯:先前化療後復發的何杰金氏症患者一般是以(1)傳統化療合併放療或是(2)高劑量化療加自體幹細胞移植(+-放療).治療的選擇通常基於預後的特徵: ● Patients with a localized, asymptomatic relapse occurring more than 12 months after initial treatment may be treated with conventional salvage chemotherapy combined with radiation therapy. (See 'Late first relapse' above.) 翻譯:初步治療後超過12個月局部復發、無症狀的患者，應該可以用傳統的第二線化療合併放療。 High dose chemotherapy and autologous HCT should be considered as the treatment of choice for the following subsets of patients. (See "Hematopoietic cell transplantation in classical Hodgkin lymphoma".) 1.Early relapse (less than 12 months after treatment) or induction failure. 2.Second relapse after conventional treatment for first relapse. 3.Generalized systemic relapse even beyond 12 months. 翻譯:高劑量化療與自體幹細胞移植應該做為下列患者的治療選擇： 1.早期復發(治療後不到12個月就復發)或是誘導性化療失敗。 2.首次復發後進行常規治療，但又再次復發。 3.全身性(多處、普遍)復發，即使是在12個月後。 In general, patients with relapsed disease are treated with a chemotherapy regimen that is different than the one used for initial treatment. Details on these regimens are presented separately. 翻譯:一般而言，復發的患者使用「不同於初次治療的治療組合」，細節個別呈現。 Radiation therapy is indicated for patients with localized residual disease after salvage chemotherapy. In addition, patients with a localized late relapse (>12 months) may achieve long-term remission with chemotherapy followed by involved-field radiation therapy (IF-RT) rather than chemotherapy followed by HCT. The role of IF-RT in the treatment of patients who achieve a complete response to chemotherapy and plan to proceed with HCT is less clear, although if the recurrence is localized and suitable for radiation we generally incorporate its use into the overall treatment approach. 翻譯:放療適用於第二線化療後的局部殘留疾患。局部遲發(>12個月)的復發患者也許用「 IF-RT」較「化療+幹細胞移植」能夠達到長期緩解。但是對於「化療有完全反應、計畫要幹細胞移植」的患者，IF-RT的角色較不清楚，雖然一般我們會應用在多數的治療方法中，如果復發是局部性且適合放療的。 ============================================================================== 中醫還是要看的.西醫不懂得如何調養身體. -- ※ 發信站: 批踢踢實業坊(ptt.cc) ◆ From: 123.204.179.124

→

gentlwind

12/22 01:24, , 1^F

12/22 01:24, 1^F

→

gentlwind

12/22 01:25, , 2^F

12/22 01:25, 2^F

→

gentlwind

12/22 01:25, , 3^F

12/22 01:25, 3^F

→