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化疗:辅助伊立替康在 IV 期 CRC 中有多有效?

Chemotherapy: How useful is adjuvant irinotecan in stage IV CRC?

机构信息

Division of Medical Oncology, Department of Oncology, Transplants and New Technologies in Medicine, University of Pisa, Pisa, Italy.

出版信息

Nat Rev Clin Oncol. 2010 Apr;7(4):190-1. doi: 10.1038/nrclinonc.2010.32.

DOI:10.1038/nrclinonc.2010.32
PMID:20354542
Abstract

Patients who undergo hepatic surgery for initially resectable liver metastases from colorectal cancer have a 70% risk of relapse. a recent phase III randomized trial has failed to demonstrate an improvement in disease-free survival with the addition of irinotecan to 5-fluorouracil and folinic acid as adjuvant treatment for patients with radically resected colorectal cancer with liver metastases.

摘要

对于最初可切除的结直肠癌肝转移患者进行肝切除术,有 70%的复发风险。最近一项 III 期随机试验未能证明在根治性切除伴肝转移的结直肠癌患者的辅助治疗中添加伊立替康到 5-氟尿嘧啶和亚叶酸中可以改善无病生存期。

相似文献

1
Chemotherapy: How useful is adjuvant irinotecan in stage IV CRC?化疗:辅助伊立替康在 IV 期 CRC 中有多有效?
Nat Rev Clin Oncol. 2010 Apr;7(4):190-1. doi: 10.1038/nrclinonc.2010.32.
2
[The new chemotherapy of colorectal cancers].[结直肠癌的新化疗方法]
Presse Med. 2002 Jan 26;31(3):132-8.
3
[Recent results of irinotecan therapy in colorectal cancer].[伊立替康治疗结直肠癌的近期结果]
Magy Onkol. 2004;48(4):281-8. Epub 2005 Jan 17.
4
Tritherapy with fluorouracil/leucovorin, irinotecan and oxaliplatin (FOLFIRINOX): a phase II study in colorectal cancer patients with non-resectable liver metastases.氟尿嘧啶/亚叶酸、伊立替康和奥沙利铂三联疗法(FOLFIRINOX):一项针对不可切除肝转移结直肠癌患者的II期研究。
Cancer Chemother Pharmacol. 2008 Jul;62(2):195-201. doi: 10.1007/s00280-007-0588-3. Epub 2007 Sep 28.
5
Oxaliplatin combined with irinotecan and 5-fluorouracil/leucovorin (OCFL) in metastatic colorectal cancer: a phase I-II study.奥沙利铂联合伊立替康和5-氟尿嘧啶/亚叶酸钙(OCFL)治疗转移性结直肠癌:一项I-II期研究。
Ann Oncol. 2005 May;16(5):762-6. doi: 10.1093/annonc/mdi154. Epub 2005 Apr 7.
6
Adjuvant oxaliplatin- or irinotecan-containing chemotherapy improves overall survival following resection of metachronous colorectal liver metastases.奥沙利铂或伊立替康辅助化疗可改善结直肠肝转移术后异时性肝转移的总生存期。
Int J Colorectal Dis. 2010 Oct;25(10):1243-9. doi: 10.1007/s00384-010-0996-4. Epub 2010 Jun 24.
7
Second line therapies move to the forefront in colorectal cancer.二线治疗在结直肠癌治疗中占据前沿地位。
J Natl Cancer Inst. 1999 Jun 16;91(12):998-1000. doi: 10.1093/jnci/91.12.998.
8
What's new in ... colorectal cancer. Meaningful progress in therapy options.结直肠癌领域有哪些新进展?治疗方案取得了重大进展。
JAAPA. 2009 Apr;22(4):51-2. doi: 10.1097/01720610-200904000-00014.
9
Comparing time to disease progression of irinotecan and oxaliplatin-based chemotherapies in colorectal cancer patients with liver only metastasis.比较伊立替康和奥沙利铂为基础的化疗药物在仅有肝转移的结直肠癌患者中疾病进展时间的差异。
Am J Clin Oncol. 2013 Aug;36(4):388-91. doi: 10.1097/COC.0b013e318248da7c.
10
Multicentre study of perioperative adjuvant chemotherapy for resectable colorectal liver metastases.多中心研究可切除结直肠癌肝转移的围手术期辅助化疗。
BJS Open. 2019 May 14;3(5):678-686. doi: 10.1002/bjs5.50174. eCollection 2019 Oct.

本文引用的文献

1
A randomized phase III study comparing adjuvant 5-fluorouracil/folinic acid with FOLFIRI in patients following complete resection of liver metastases from colorectal cancer.一项比较氟尿嘧啶/亚叶酸辅助治疗与 FOLFIRI 在结直肠癌肝转移完全切除术后患者中的随机 III 期研究。
Ann Oncol. 2009 Dec;20(12):1964-70. doi: 10.1093/annonc/mdp236. Epub 2009 Jun 30.
2
Improved survival in metastatic colorectal cancer is associated with adoption of hepatic resection and improved chemotherapy.转移性结直肠癌患者生存率的提高与肝切除的采用及化疗的改善有关。
J Clin Oncol. 2009 Aug 1;27(22):3677-83. doi: 10.1200/JCO.2008.20.5278. Epub 2009 May 26.
3
Randomized phase III trial comparing biweekly infusional fluorouracil/leucovorin alone or with irinotecan in the adjuvant treatment of stage III colon cancer: PETACC-3.
比较每两周输注氟尿嘧啶/亚叶酸钙单药或联合伊立替康辅助治疗Ⅲ期结肠癌的随机Ⅲ期试验:PETACC-3
J Clin Oncol. 2009 Jul 1;27(19):3117-25. doi: 10.1200/JCO.2008.21.6663. Epub 2009 May 18.
4
Oxaliplatin or irinotecan as adjuvant therapy for colon cancer: the results are in.奥沙利铂或伊立替康作为结肠癌辅助治疗的结果已见分晓。
J Clin Oncol. 2009 Jul 1;27(19):3082-4. doi: 10.1200/JCO.2009.22.2919. Epub 2009 May 18.
5
A phase III randomised trial of LV5FU2 + irinotecan versus LV5FU2 alone in adjuvant high-risk colon cancer (FNCLCC Accord02/FFCD9802).一项关于LV5FU2联合伊立替康与单纯LV5FU2用于辅助性高危结肠癌的III期随机试验(FNCLCC Accord02/FFCD9802)
Ann Oncol. 2009 Apr;20(4):674-80. doi: 10.1093/annonc/mdn680. Epub 2009 Jan 29.
6
Adjuvant chemotherapy after potentially curative resection of metastases from colorectal cancer: a pooled analysis of two randomized trials.结直肠癌转移灶潜在根治性切除术后的辅助化疗:两项随机试验的汇总分析
J Clin Oncol. 2008 Oct 20;26(30):4906-11. doi: 10.1200/JCO.2008.17.3781. Epub 2008 Sep 15.
7
Perioperative chemotherapy with FOLFOX4 and surgery versus surgery alone for resectable liver metastases from colorectal cancer (EORTC Intergroup trial 40983): a randomised controlled trial.FOLFOX4围手术期化疗联合手术与单纯手术治疗可切除的结直肠癌肝转移(欧洲癌症研究与治疗组织(EORTC)国际协作组试验40983):一项随机对照试验
Lancet. 2008 Mar 22;371(9617):1007-16. doi: 10.1016/S0140-6736(08)60455-9.
8
Actual 10-year survival after resection of colorectal liver metastases defines cure.结直肠癌肝转移切除术后的实际10年生存率决定是否治愈。
J Clin Oncol. 2007 Oct 10;25(29):4575-80. doi: 10.1200/JCO.2007.11.0833.
9
Irinotecan fluorouracil plus leucovorin is not superior to fluorouracil plus leucovorin alone as adjuvant treatment for stage III colon cancer: results of CALGB 89803.伊立替康联合氟尿嘧啶及亚叶酸钙作为Ⅲ期结肠癌辅助治疗并不优于单独使用氟尿嘧啶及亚叶酸钙:癌症和白血病B组89803研究结果
J Clin Oncol. 2007 Aug 10;25(23):3456-61. doi: 10.1200/JCO.2007.11.2144.
10
Liver resection for colorectal metastases.结直肠癌肝转移灶的肝切除术
J Clin Oncol. 1997 Mar;15(3):938-46. doi: 10.1200/JCO.1997.15.3.938.