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[一例晚期胃癌伴施尼茨勒转移经紫杉醇与S-1联合治疗有效]

[A case of advanced gastric cancer with Schnitzler's metastases effectively treated by the combination of paclitaxel and S-1].

作者信息

Yamamoto Manabu, Matsuyama Ayumi, Kameyama Toshifumi, Okamoto Masahiro, Okazaki Jin, Utsunomiya Tohru, Tsutsui Shinichi, Ishida Teruyoshi

机构信息

Dept. of Surgery, Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital.

出版信息

Gan To Kagaku Ryoho. 2008 May;35(5):829-31.

Abstract

The patient was a 70-year-old woman who underwent combined chemotherapy of paclitaxel (PTX) and S-1 after diagnosis of non-resectable advanced gastric cancer with Schnitzler's metastases. The administration schedule was as follows: 120 mg/m(2) of PTX on days 1 and 15 intravenously and 80 mg/m(2) of S-1 on days 1-14 orally. One course lasted for 4 weeks. The abdominal pain and appetite loss improved after the first course of chemotherapy, and therapeutic efficacy was rated PR. At present, there is no evidence of relapse or adverse reactions that require intervention after 4 courses. PTX and S-1 combination treatment promises good therapeutic efficacy and improves QOL in patients with advanced gastric cancer associated with Schnitzler's metastases.

摘要

该患者为一名70岁女性,在被诊断为伴有施尼茨勒转移的不可切除晚期胃癌后,接受了紫杉醇(PTX)和S-1的联合化疗。给药方案如下:第1天和第15天静脉注射120 mg/m²的PTX,第1 - 14天口服80 mg/m²的S-1。一个疗程持续4周。化疗第一个疗程后,腹痛和食欲减退有所改善,治疗效果评定为PR。目前,4个疗程后没有复发迹象或需要干预的不良反应。PTX和S-1联合治疗有望取得良好的治疗效果,并改善伴有施尼茨勒转移的晚期胃癌患者的生活质量。

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