窄波UVB光疗早期蕈样肉芽肿:评价临床和组织病理学改变

来源 :世界核心医学期刊文摘(皮肤病学分册) | 被引量 : 0次 | 上传用户:tiyuanzhurenzsh
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Background: Early-stagemycosis fungoides(IA, IB, IIA) (MF) has long been treated with various agents including topical potent steroids, nitrogenmustard, carmustine, oral psoralen plus UVA (PUVA)broadband UVB, electron-beam radiotherapy, interferon-αand retinoids. However, each of these modalities is associated with various side-effects. Narrowband UVB (NBUVB) therapy has the same effect but is safer to use than the other methods. Objective: Our purpose in this prospective study was to determine the effects of NB-UVB in early-stage MF both clinically and histopathologically. Materials andmethods: Twenty-three patients (20 men, three women, aged 27-78 years) with clinically and histologically confirmed MF were enrolled. Patients received NB-UVB therapy three times a week. Clinical and histological responses, cumulative doses, total number of treatments, side-effects and duration of remission period were noted. Results: Six patients had stage IA MF, 15 patients stage IB and two patients stage IIA. Eighteen patients had patch stage and five patients had plaque stage histopathologically. All of the patients in the patch group had a complete response (CR). In the plaque group, three patients (60%) had a CR and two (40%) had partial (PR) or no clinical response (NR). The clinical response between patch and plaque groups was statistically significant. Regarding the histopathological findings, 17 (94.4%) had complete clearing and only one (5.6%) patient had a partial improvement in the patch group. In the plaque group, one (20%) patient had complete clearing and four (80%) patients had partial or no improvement. The difference between the two groups was statistically significant. In the patch group, the mean cumulative dose was 90.15 J/cm2 and the mean number of treatments was 35.33. In the plaque group, themean cumulative dosewas 90.67 J/cm2 and themean total number of treatments was 39.40. The differenceswere not statistically significant, either between the mean cumulative dose or the mean number of treatments. The mean duration of follow-up was 10.87 months (range 1-25 months). Only one of the patients had a relapse. Conclusions: NB-UVB therapy for patients with early-stage MF is an effective and safe treatment with the effect lasting for months. We suggest that clinical clearance correlates with histological improvement except for patients in the plaque stage. Background: Early-stagemycosis fungoides (IA, IB, IIA) (MF) has long been treated with various agents including topical potent steroids, nitrogenmustard, carmustine, oral psoralen plus UVA (PUVA)broadband UVB, electron-beam radiotherapy, interferon-αand Objective: Our purpose in this prospective study was associated with various side-effects. NB-UVB in early-stage MF both clinically and histopathologically. Materials and methods: Twenty-three patients (20 men, three women, aged 27-78 years) with clinically and histologically confirmed MF were enrolled. Patients received NB-UVB therapy three times a week. Clinical and histological responses, cumulative doses, total number of treatments, side-effects and duration of remission period were noted. Results: Six patients had stage IA MF, 15 patients stage IB and two patients Stage IIA. Eighteen patients had patch stage and five patients had a plaque stage histopathologically. All of the patients in the patch group had a complete response (CR). In the plaque group, three patients (60%) had a CR and two (40 %) had partial (PR) or no clinical response (NR). The clinical response between patch and plaque groups was also ly negative. Regarding the histopathological findings, 17 (94.4%) had complete clearing and only one (5.6%) patient had a Partial improvement in the patch group. In the plaque group, one (20%) patient had complete clearing and four (80%) patients had partial or no improvement. The difference between the two groups was in lyotropic or significant. In the patch group, the The mean cumulative dose was 90.15 J/cm2 and the mean number of treatments was 35.33. In the plaque group, themean cumulative dosewas 90.67 J/cm2 and themean total number of treatments was 39.40. The differences were not ascended ly significant, either between the mean cumulati ve dose or the mean number of treatments. The mean duration of follow-up was 10.87 months (range 1-25 months). Only one of the patients had a relapse. Conclusions: NB-UVB therapy for patients with early-stage MF is An effective and safe treatment with the effect lasting for months. We suggest that clinical clearance correlates with histological improvement except for patients in the plaque stage.
其他文献
《哈泼斯》杂志编辑部的办公室坐落在纽约曼哈顿岛南部一幢建于19世纪的商务楼的11层上,它位于声名遐迩的格林尼治村的东部,距现今已成为一片废墟的世贸中心大楼仅一英里之
1三角皮带的类型和使用性能1.1普遍三角胶带有帘布结构和线绳结构两种。线绳结构曲挠性能好,适于较小带轮直径,但其易扯断,在农业机械上使用很多;帘布结构的性能与其恰相反。在有
案由:十堰至宜昌铁路(简称十宜铁路)是国家“十二五”铁路发展规划中研究项目,是三门峡至宜昌铁路的重要组成部分。2010年7月,铁道部、湖北省、河南省、陕西省联合向国家发改
美国评论家迪克斯坦称勃莱、赖特等人在寻找暴风的中心,这是十分恰当不过的评语。在疯狂和失去理性的世界中,寻找到一块可供心灵安歇的绿色原野,是必要而且惬意的事情。而且
从前,波兰有个孩子叫扬科。他 出轻快柔和的乐曲,大提琴用低沉的调长得很瘦小,很羸弱,他的头发是淡 子和着。窗户里灯光闪耀,扬科觉得灰色的,遮住了那双闪
请下载后查看,本文暂不支持在线获取查看简介。 Please download to view, this article does not support online access to view profile.
我买了一本新版的《狱中二十年》(巴金译,北京三联书店出版)。这是帝俄时期民意社人薇拉·妃格念尔的回忆录。记述的是从1884年10月到1904年9月,她在一座名为席吕塞尔堡的监
如果问到德国最著名的诗人是哪一位时,人们也许会回答是歌德。那么,最杰出的剧作家呢? 也许还会回答是歌德。小说家呢? 恐怕还会回答是歌德。歌德(1749—1832)就是这样一位
请下载后查看,本文暂不支持在线获取查看简介。 Please download to view, this article does not support online access to view profile.
·交通工程·☆安徽宣城至宁国高速公路孙埠至宁国段通车。☆重庆南川至涪陵高速公路通车。☆福建合福铁路客运专线闽赣段铁路电气化工程开工。☆福建向莆铁路开通运营。☆甘