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口服依托泊苷成功治疗复发性子宫内膜癌1例

[A case of recurrent endometrial cancer successfully treated with oral administration of etoposide].

作者信息

Tsuruchi N, Jimi S

机构信息

Dept. of Gynecology, Kyushu Cancer Center, Fukuoka, Japan.

出版信息

Gan To Kagaku Ryoho. 1992 Jan;19(1):103-5.

PMID:1729957
Abstract

A 61-year-old female with recurrent endometrial cancer (serous papillary adenocarcinoma) was treated with etoposide because the pelvic tumor progressively increased in size with external beam irradiation. The etoposide (25 mg/day) was given orally for 10 days; the tumor decreased in size. And after an additional two courses of etoposide for 8 and 4 days, respectively, the tumor disappeared and the serum CA 125 level came to within normal limits. Because of moderate nausea and vomiting the etoposide could not be given for 14 days in the first 3 courses. Myelosuppression was not evident. Ten courses of etoposide (for 14 consecutive days a month) were followed without gastro-intestinal side effects, and the patient is alive with no evidence of recurrence at this writing. This case suggests that oral administration of etoposide may be effective for a patient with recurrent endometrial cancer, and this treatment could be administered on an outpatient basis.

摘要

一名61岁复发性子宫内膜癌(浆液性乳头状腺癌)女性患者,因盆腔肿瘤在外照射下逐渐增大,接受依托泊苷治疗。口服依托泊苷(25毫克/天),共10天;肿瘤体积缩小。分别再进行两个疗程的依托泊苷治疗,疗程时长分别为8天和4天,之后肿瘤消失,血清CA 125水平恢复正常。在前三个疗程中,由于中度恶心和呕吐,依托泊苷有14天未给药。未出现明显骨髓抑制。随后进行了十个疗程的依托泊苷治疗(每月连续14天),未出现胃肠道副作用,撰写本文时患者仍存活,无复发迹象。该病例表明,口服依托泊苷可能对复发性子宫内膜癌患者有效,且这种治疗可在门诊进行。

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