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Influence of short term concurrent chemoradiotherapy combined with Temozolomide on the survival situations of patients with glioblastoma |
GAO Jinbao LI Wende YU Bin LI Yunjun CHEN Lihua▲ |
Department of Cerebral Surgery, the Affiliated Bayi Brain Hospital of Army General Hospital, Beijing 100700, China |
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Abstract Objective To investigate the influence of short term concurrent chemoradiotherapy combined with Temozolomide on the survival situations of patients with glioblastoma. Methods Sixty-five patients with glioblastoma receiving surgery treatment in the Affiliated Bayi Brain Hospital of Army General Hospital from June 2011 to June 2015 were selected as the research objects. According to the different treatments, the patients were divided into short term concurrent radiotherapy combined with Temozolomide group (combined group, 23 cases), short term concurrent radiation group (21 cases) and Temozolomide group (21 cases). The short term efficacy, progression free survival (PFS), overall survival (OS) and adverse reactions of the three groups were observed. In addition, the survival curves of the three groups were drawn. Results After treatment, the objective remission rate (ORR) in the combined group (56.52%) was significantly higher than that of short term concurrent radiation group (19.05%) and Temozolomide group (21.81%) (P < 0.05). There was no statistically significant difference of ORR between short term concurrent radiation group and Temozolomide group (P > 0.05). There was no statistically significant difference of the disease control rate (DCR) among the three groups (P > 0.05). There was statistically significant difference of the median PFS among the three groups (P > 0.05). There was no statistically significant difference of the median OS among the three groups (P < 0.05). The rate of adverse reactions among the three groups had no significant difference(P > 0.05). Conclusion Short term concurrent radiation combined with Temozolomide can improve the postoperative remission rate of patients with glioblastoma and prolong the survival period.
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