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腔内放射治疗与同步氟尿嘧啶输注在食管癌治疗中的作用:一项初步研究。

The role of intraluminal radiotherapy and concurrent 5-fluorouracil infusion in the management of carcinoma esophagus: a pilot study.

作者信息

Dinshaw K A, Sharma V, Pendse A M, Telang C S, Vege S S, Malliat M K, Deshpande R, Desai P B

机构信息

Department of Radiation Oncology, Tata Memorial Hospital, Parel, Bombay, India.

出版信息

J Surg Oncol. 1991 Jul;47(3):155-60. doi: 10.1002/jso.2930470304.

Abstract

Fifty patients with carcinoma of the esophagus were entered in a randomized pilot study to test the efficacy of intraluminal radiotherapy (ILRT) and concurrent 5-fluorouracil (5-FU) infusion. The median age was 65 years, with 80% having middle third lesions; in 62%, the lesions were longer than 5 cm. After external beam therapy of 50 Gy in 5 weeks, patients were randomized to receive chemotherapy. Significant improvement in dysphagia was recorded in 76% patients with complete response in 47 cases ranging from 6 to 27 months. The overall survival at 2 years was 15% with ILRT alone versus 22% with ILRT plus 5-FU infusion.

摘要

五十例食管癌患者进入一项随机试验性研究,以测试腔内放射治疗(ILRT)和同步5-氟尿嘧啶(5-FU)输注的疗效。中位年龄为65岁,80%的患者病变位于食管中段;62%的患者病变长度超过5cm。在5周内接受50Gy的外照射治疗后,患者被随机分组接受化疗。76%的患者吞咽困难有显著改善,47例患者完全缓解,缓解持续时间为6至27个月。单纯ILRT组2年总生存率为15%,ILRT加5-FU输注组为22%。

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