Hosotaki Kiyoshi, Tabira Yoichi, Shimamoto Masato, Tamori Yasuhiro
Department of Surgery, Tamana Central Hospital.
Gan To Kagaku Ryoho. 2008 Apr;35(4):661-4.
We report two cases of recurrent colorectal cancer in two patients who were treated successfully with a combined oral chemotherapeutic agent folinate/tegafur/uracil (UFT/LV) dosage. The first case was a 74-year-old woman who underwent Hartmann operation for colon cancer perforation. One year and 7 months after surgery, a local recurrence was found on the CT scan and endoscopy. It ended in exploratory laparotomy though we were operated on. Chemotherapy using 5-fluorouracil/Leucovorin (5-FU/LV) was performed six times. Sequentially, UFT/LV internal use was managed at our outpatient clinic. This patient has been living without side effects in the first three postoperative years, and without increase in tumors. The second case was a 65-year-old woman who underwent abdominoperineal resection of the rectum for rectal cancer. The histologic stage of disease aggravation of the patient was stageI. Post operatively, 2 years and 6 months later, we recognized a metastasis node on the lung upper right lobe of the patient and her CA19-9 value climbed dramatically. The patient took UFT/LV during outpatient visits to the hospital, the lung node shadow disappeared two months later, and CA19-9 decreased, too. The patient is living without a cancer recurrence now. UFT/LV treatment is one of the effective modalities against recurrence of colorectal cancer from outpatient treatment while maintaining QOL.
我们报告了两例复发性结直肠癌患者,他们通过口服联合化疗药物亚叶酸钙/替加氟/尿嘧啶(UFT/LV)剂量治疗成功。第一例是一名74岁女性,因结肠癌穿孔接受了哈特曼手术。术后1年7个月,CT扫描和内镜检查发现局部复发。尽管进行了手术,但最终还是进行了剖腹探查术。使用5-氟尿嘧啶/亚叶酸钙(5-FU/LV)进行了6次化疗。随后,在我们的门诊诊所进行了UFT/LV内服治疗。该患者在术后的前三年没有出现副作用,肿瘤也没有增大。第二例是一名65岁女性,因直肠癌接受了腹会阴联合直肠癌切除术。患者疾病加重的组织学分期为I期。术后2年6个月,我们在患者的右上肺叶发现了一个转移结节,并且她的CA19-9值急剧上升。患者在门诊就诊时服用UFT/LV,两个月后肺部结节阴影消失,CA19-9也下降了。该患者目前没有癌症复发。UFT/LV治疗是在门诊治疗中对抗结直肠癌复发同时维持生活质量的有效方式之一。