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第四章 鼻咽癌
局部晚期鼻咽癌诱导化疗
方案Ⅰ TPF+ CCRT vs CCRT
![](https://epubservercos.yuewen.com/B8A9D8/22919013101368106/epubprivate/OEBPS/Images/T32_280_1268_2033_2057_147306.jpg?sign=1738928491-QTQ76aQRQLBENlY91r9KgmblRYlechI4-0-fbc0f46a22e36e1c7ed7bf3a141376a7)
方案评价
![](https://epubservercos.yuewen.com/B8A9D8/22919013101368106/epubprivate/OEBPS/Images/T32_280_2141_2020_2844_147307.jpg?sign=1738928491-6UmSJGfJAriW48zdeA9dpOQvttE7IkcO-0-d8ea61c70b8d058f2c4f68cdec920020)
续表
![](https://epubservercos.yuewen.com/B8A9D8/22919013101368106/epubprivate/OEBPS/Images/T33_236_339_1984_2057_147309.jpg?sign=1738928491-PkFYfQbXGfj8V50iD4Z3voCJdILlJUCV-0-4d7899cf684623651c14c8f91807f6b6)
点评
本方案来源于Ⅲ期多中心随机对照试验,研究结果显示:在局部晚期鼻咽癌(Ⅲ~ⅣB期,除外T3~4N0),与单纯同步放化疗相比,3周期TPF诱导化疗能显著改善局部晚期鼻咽癌的无失败生存,且毒性可控。该研究为诱导化疗+同步放化疗的治疗模式提供了理论基础。
(彭星辰 谢钰鑫)
参考文献
[1] SUN Y,LI W-F,CHEN N-Y,et al.Induction chemotherapy plus concurrent chemoradiotherapy versus concurrent chemoradiotherapy alone in locoregionally advanced nasopharyngeal carcinoma:a phase 3,multicentre,randomised controlled trial.Lancet Oncol,2016,17:1509-1520.