How to improve and is able to bear the nutriment cell tumour cure rate of nature

How to improve and is able to bear the nutriment cell tumour cure rate of nature
" refuse to obey the child that disciplines "
Nourish cell tumour (GTN) A series of happen to childbearing age women, the malignant tumour mainly correlated to gestation, gain the name because of coming from the nutriment cells of the embryo. Among them it is the highest with the malignant intensity of fine hair cancer, before the valid chemotherapy medicine comes out, mortality has been up to 90%. Since the will it be the fifties last century, Peking Union Medical College Hospital swan Song encourage academician and colleague, devoted to cancer of fine hair study, through efforts of decades, have created the malignant method to nourish cell tumour of heavy dose of chemical drug therapy, the cure rate rises to 90%.
Even so, still have some patient able to bear medicine, make satisfied curative effect while being difficult. Mainly there are three kinds of its reason: One kind is that the doctor uses medicine unstandardly, frequently change the chemotherapy scheme; One kind is that the patient has critical condition, have already appeared all over many places shifted; Another type is that patient's one's own physique causes. According to literature of foreign countries, the cure rate which is able to bear nutriment cell tumour of nature is only 50%, have already become cancer patient's main causes of death of fine hair.
Implement the new union chemotherapy scheme
BJ Union Hospital loud to nourish cell tumour to treat in one of the in the centers as three world ' Other two are in U.S.A. and Britain) respectively ,Concentrate on and the clinical practice of the past 5 years through more than 10 years, has put forward the effective treatment measure in able to bear nutriment cell tumour of naturing - -Normal union chemotherapy and performing the operation in right time therapeutically.
Coordinate the gynaecology according to different clinical characteristics which is able to bear the medicine patient and treat the experience previously, design and pursue the chemotherapy scheme that heavy dose of many kinds of medicines unite. This scheme is with Fluorine urine nucleoside (FUDR) It is a main fact, unite dactinomycin D, foot leaf second glucoside and new alkali (FAEV scheme) of Changchun ,Able to bear medicines and venereal disease example of recuring to treat 91, 74.9% of the patients had no tumour to survive finally, raise nearly 25% of cure rate, the relevant article has already been published on the authoritative magazine abroad.
Perform the operation and can improve curative effect effectively in right time
The current nutriment cell tumour treatment takes simple chemotherapy as the core in the world, still lack the norm that the operation met the card and the operation opportunity chose in able to bear a medicine patienting. The complex treatment tactics that and the surgery which we put forward unites chemotherapy, have been approved by world. Through the finding, the choice key to the operation opportunity lies in �� - hCG level of thing blood of the tumour mark. In blood when �� - hCG high, nourish the intersection of cell and tumour, in active issue, cause tumour to further spread often while being postoperative. So, the operation opportunity must be chosen when the blood �� - hCG value is close to the normal or lower level. Can use the chemotherapy medicine active one once in earlier stage " The troublesome molecule " Fetter in the focus, does not allow it to have an opportunity to go out to stir up trouble, and then at one time take away through the operation. So can remove tumour completely, reduce and recur.
We propose, able to bear operation behind the medicine, meet the card norm also. The uterus operation after being able to bear medicines, still have 1~2 focuses in the uterus, and demand to keep the person who bears function, the feasible uterus focus excises the skill; Have a plurality of focus or focus limit in the uterus, have, bear person who require, should do the whole uterectomy. The lung operation after able to bear medicinesing, the person who has isolated focus of lung, can unite the lobe of the lung of conduct and excise the Tenneco skill or lobe of the lung and excise the skill.
Through feedback while being postoperative, summarize, influence the surgery result there are 5 loud unfavourable factors: Frequently change the chemotherapy scheme (the scheme is counted and greater than or equal to 4 before skill) ,It is not the gestation of hydatidiform mole ' Miscarry and produce maturely) ,Fine hair cancer issue ( One and shifts outside the lung in reproduction) ,The blood �� - HCG has been never normal during the treatment period, the blood �� - HCGgt before the skill; 10U/L,etc.. Through able to bear a medicine patient, go on and unite surgery to treat to 61, 77% of the patients are totally relieved, the relevant article is issued on the authoritative magazine of international gynecological tumour.
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