Treatment of advanced head and neck tumors with PEV-B regimen: a pilot study.

M Guaraldi, A Martoni, A P Rossi, D Romagnoli, L Occhiuzzi, U Caliceti, F Pannuti
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Abstract

Thirty-seven patients with advanced head and neck tumors were treated with a polychemotherapy regimen (PEV-B: platinum 30 mg/m2 i.v., epirubicin 30 mg/m2 i.v., etoposide 75 mg/m2 i.v. on days 1 and 2 every 28 days, and bleomycin 15 mg i.m. weekly up to the total dose of 300 mg). All but 7 patients were pretreated with surgery and/or radiotherapy. Thirty-six patients were evaluable for response. Partial response (PR) was observed in 19 cases (53%), no change (NC) in 13 cases (36%) and progression (P) in 4 cases (11%). The median duration of PR was 5 months. The most frequent side-effects were leukopenia (78%), vomiting (57%) and alopecia (46%). The median duration of survival was 8 months for the responders and 5 months for the non-responders.

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PEV-B方案治疗晚期头颈部肿瘤的初步研究
37例晚期头颈部肿瘤患者采用多药化疗方案(PEV-B:铂30 mg/m2静脉滴注,表柔比星30 mg/m2静脉滴注,依托泊苷75 mg/m2静脉滴注,第1天和第2天每28天,博来霉素15 mg静脉滴注,每周至总剂量300 mg)。除7例患者外,其余患者均接受手术和/或放疗预处理。36例患者可评估反应。部分缓解(PR) 19例(53%),无变化(NC) 13例(36%),进展(P) 4例(11%)。PR的中位持续时间为5个月。最常见的副作用是白细胞减少(78%)、呕吐(57%)和脱发(46%)。应答者的中位生存期为8个月,无应答者的中位生存期为5个月。
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