Dinshaw K A, Sharma V, Pendse A M, Telang C S, Vege S S, Malliat M K, Deshpande R, Desai P B
Department of Radiation Oncology, Tata Memorial Hospital, Parel, Bombay, India.
J Surg Oncol. 1991 Jul;47(3):155-60. doi: 10.1002/jso.2930470304.
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.
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%。