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MINE方案治疗复发难治性非霍奇金淋巴瘤23例

The Clinical Efficacy of MINE Regimen for the Treatment on 23 Case of Recurrent and Refractory Non Hodgkin's Lymphoma

  • 摘要: 目的 观察MINE(MIT、VP16、IFO)方案治疗复发及难治性非霍奇金淋巴瘤近期疗效及毒副反应。方法 23例经CHOP方案治疗失败的NHL患者接受MINE方案化疗至少2个周期,MIT6~8mg/m^2/d,静滴,d1;IFO 2.0静滴,d1-3,配合美司那400mg/次,0h、4h、8h静推3次;VP1680mg/m/d,静滴,d1~3。疗效及毒性判定按照WHO标准。结果 完全缓解(CR)5例,部分缓解(PR)10例,稳定(SD)3例,进展(PD)5例,总有效率(CR+PR)65.2%,毒副反应主要为骨髓抑制,白细胞减少率73.9%,以Ⅰ~Ⅱ度为主。经G-CSF支持后恢复正常,无与毒性相关的死亡发生。结论 MINE方案治疗难治性NHL有较高疗效,并较为安全,患者可耐受。

     

    Abstract: Objective  To observe the antitumor effect and toxicities of MINE regimen based on mitoxantron, etoposide, ifosfamide in the patients with recurrent and ref ractory non-Hodgkin's lymphoma. Methods  Total of 23 patient s failing to respond to CHOP regimen were t reated with MINE regimen and every patient had gotten at least 2 cycles t reatment . MIT 6~8mg/ m2 / d, IV on d1 ; IFO 2. 0 IV on d1~3, combined with mesna 400mg IV for 3 times (0h、4h、8h), d1~3 ;VP16 80mg/ m2 / d, IV on d1~3 。The therapeutic effect s and toxicity were evaluated according to the WHO criteria. Results  In 23 patient s, 65. 2 % of response rate were achieved with 5 case CR, 10 case PR, 3 case SD, 5 case PD. Main side-effect was myelosuppression. Neutropenia was reported in 73. 9 % of patient s and it was mostly Grade Ⅰ/ Ⅱ. All of them got G-CSF treatment and the counts of white blood cells became normal. No patient died of toxicity related to chemotherapy. Conclusion  MINE regimen has a safe and higher therapeutic effect on resistant patient s with NHL.

     

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