Extended adjuvant temozolomide for treatment of glioblastoma multiforme:experience of a single institu- tion
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3969/j.issn.1006-5725.2017.16.035
   		
        
        	
        		- VernacularTitle:长周期替莫唑胺治疗胶质母细胞瘤
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Changguo SHAN
			        		
			        		;
		        		
		        		
		        		
			        		Mingyao LAI
			        		
			        		;
		        		
		        		
		        		
			        		Weiping HONG
			        		
			        		;
		        		
		        		
		        		
			        		Junjie ZHEN
			        		
			        		;
		        		
		        		
		        		
			        		Qingjun HU
			        		
			        		;
		        		
		        		
		        		
			        		Xuebing LING
			        		
			        		;
		        		
		        		
		        		
			        		Linbo CAI
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Glioblastoma;
			        		
			        		
			        		
				        		temozolomide;
			        		
			        		
			        		
				        		extended adjuvant therapy
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			The Journal of Practical Medicine
	            		
	            		 2017;33(16):2743-2746
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective To assess the impact of additional cycles of temozolomide on the survival of glio-blastoma(GBM)patients after 6 months of maintenance temozolomide(TMZ)following concurrent TMZ chemo-therapy and radiation therapy. Methods Data of 51 GBM patients from 2009 to 2015 were retrospectively studied and the therapeutic effect was assessed according to whether receiving long-term treatment with TMZ. Results Sev-enteen of fifty-one GBM patients received 8 or more cycles and prolonged treatment improved progression-free sur-vival(P=0.011)and overall survival(P=0.004). Conclusions Extended use of TMZ is safe to GBM patients , which may improve response OS and PFS compared to conventional regimen. Prospective studies in larger popula-tions are needed to better-define the population to whom it can be proposed and its optimal duration.