Miura Tsuyoshi, Takeuchi Ikuya, Kikuoka Shuichi, Miura Takako
Department of Surgery, Miura Hospital.
Gan To Kagaku Ryoho. 2009 Nov;36(12):2108-10.
In order to obtain less severe toxic reactions, while attaining maximal therapeutic effects, CPA, 5-FU and ADM or EPI have been administered through the catheter inserted into the internal thoracic artery with the IVR technique and the implantable infusion port system. Of the 181 patients with the unresectable or recurrent breast cancers attempted with intra- arterial infusion chemotherapy for the past 19 years, more than half of the patients showed a good response to this modality of the chemotherapy. In 4 out of the 5 patients with unresectable breast cancer, radical mastectomy became feasible following the marked response with the intra-arterial infusion chemotherapy. However, a distant metastasis proved to be a limiting factor for improvement of survival.
为了在获得最大治疗效果的同时减轻毒性反应,已通过经皮穿刺将导管插入胸廓内动脉,并采用术中区域化疗(IVR)技术和植入式输注端口系统给予环磷酰胺(CPA)、5-氟尿嘧啶(5-FU)和阿霉素(ADM)或表阿霉素(EPI)。在过去19年中,对181例不可切除或复发性乳腺癌患者尝试进行动脉内灌注化疗,超过半数患者对这种化疗方式反应良好。5例不可切除乳腺癌患者中有4例在动脉内灌注化疗取得显著疗效后可行根治性乳房切除术。然而,远处转移是提高生存率的一个限制因素。