BEACOPP化疗?还是放疗?
2022/10/27 17:17:52 中国医药教育协会肿瘤放疗专委会
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1.HD17结果1: 5年总生存,两组均达到>98%,治疗相关死亡率非常低
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2.HD17结果2: PET -组,不做放疗组非劣效于放疗组
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3.HD17 结果3:4周期化疗后Deauville评分会带来明显较差PFS![](/asp/image.asp?m=0&w=gh_3f54c66649c4&u=https%3a%2f%2fmmbiz.qpic.cn/mmbiz_jpg/DC2KlAY3GecjaJgjSDwW364qweic9s5rbUictXdatN28yPwU1xXibYrJiaTDFrtC9RU5KYHKxQC0I5g2tlqsibEt5oQ/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1)
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关于PET指导霍奇金淋巴瘤的去放疗一直是临床研究的热点
红皮杂志,2020年2月,发表了关于化疗间期,PET指导霍奇金淋巴瘤做或不做放疗的评论![](/asp/image.asp?m=0&w=gh_3f54c66649c4&u=https%3a%2f%2fmmbiz.qpic.cn/mmbiz_png/DC2KlAY3GedTMiazC1MJvibknbyLCDxWLZWJdV58YiakUOVIRQib80spBqoLQS6ovicQMQj45uG19Nict8uYRYiahFEibg/640&wxfrom=5&wx_lazy=1&wx_co=1)
一、为什么考虑应用PET指导不做放疗?![](/asp/image.asp?m=0&w=gh_3f54c66649c4&u=https%3a%2f%2fmmbiz.qpic.cn/mmbiz_png/DC2KlAY3GedTMiazC1MJvibknbyLCDxWLZg5OKpnXR77BP7iaYld9veGPXXicoNJicfFYeia5djBBwQyQW4vkLbK5icng/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1)
二、PET 阴性如何定义?不同临床试验定义不同,但三个主要的临床试验,英国RAPID 临床试验,EORTC H10, 德国HD16 和HD17, PET阴性定义为Deauville 1-2![](/asp/image.asp?m=0&w=gh_3f54c66649c4&u=https%3a%2f%2fmmbiz.qpic.cn/mmbiz_png/DC2KlAY3GedTMiazC1MJvibknbyLCDxWLZ2lCU4obvIN9Zf1ibYM2kib7kMs3gHnjm79KIamodyOYxXGLwaQ6hVMqg/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1)
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三、除HD17外,PET指导治疗的三个重要的临床试验 ![](/asp/image.asp?m=0&w=gh_3f54c66649c4&u=https%3a%2f%2fmmbiz.qpic.cn/mmbiz_png/DC2KlAY3GedTMiazC1MJvibknbyLCDxWLZnxY9yKV9SmfNAUumiaCAYX3vyicpCdEKyLKJDoH2Hll76IcpsA8r7ibGw/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1)
1.RAPID临床试验![](/asp/image.asp?m=0&w=gh_3f54c66649c4&u=https%3a%2f%2fmmbiz.qpic.cn/mmbiz_png/DC2KlAY3GedTMiazC1MJvibknbyLCDxWLZqMw2N18sAgtylVp0Zics62nRBvYauyKVial225szMMsYT9dXIvN990fA/640?wx_fmt=jpeg&wxfrom=5&wx_lazy=1&wx_co=1)
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2.EORTC H10 研究
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3.HD16临床研究
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四、三个临床试验总结:不做放疗,带来较差的PFS
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