期刊
CANCER INVESTIGATION
卷 30, 期 2, 页码 126-130出版社
INFORMA HEALTHCARE
DOI: 10.3109/07357907.2011.633292
关键词
Malignant pleural effusion; Hyperthermotherapy; Intrapleural chemotherapy; Cisplatin; OK-432
类别
Objective: The current prospective randomized study was designed to evaluate the safety and efficacy of combined intrapleural cisplatin and OK-432 (picibanil) plus hyperthermotherapy in patients with malignant pleural effusion (MPE). Methods: A total of 358 patients with MPE due to end-stage malignancies were enrolled and randomly divided into two groups, A and B: the intrapleural combination of cisplatin and OK-432 with hyperthermotherapy (n = 179) or without hyperthermotherapy (n = 179), respectively. Mild toxicities such as nausea, vomiting or anorexia, bone marrow depression, and pyrexia were similar in both groups. Result: Patients in Group A (with hyperthermotherapy) showed a significantly higher overall response (93.4%) compared to those in Group B (79.8%, chi(2) = 43.11, p < .05). The median survival time for patients in Group A and Group B were 8.9 and 6.2months, respectively (p > .05). After treatment, the quality of life scores were significantly increased in both groups as compared to prior treatment (p < .05). Conclusion: In conclusion, our study suggests that combined intrapleural cisplatin and OK-432 followed by hyperthermotherapy are more effective in the control of MPE and improve patients' quality of life.
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