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[对初始治疗后无疾病证据的卵巢癌患者进行优福定给药的评估]

[Evaluation of UFT administration in patients with ovarian cancer who had no evidence of disease after the initial therapy].

作者信息

Chen J T, Nakayama K, Shimizu Y, Yokosuka K, Teshima H, Hirai Y, Hamada T, Fujimoto I, Yamauchi K, Hasumi K

机构信息

Dept. of Gynecology, Cancer Institute Hospital, Tokyo, Japan.

出版信息

Gan To Kagaku Ryoho. 1990 Mar;17(3 Pt 1):407-12.

PMID:2106837
Abstract

Twenty nine patients with ovarian cancer of common epitherial origin who had no evidence of disease proved by computed tomography after the initial operation and chemotherapy were studied. The patients were randomized into two groups; (A) administration of UFT (1-(2-tetrahydrofuryl)-5-fluorouracil mixed with uracil) orally at a daily dose of 300 mg, 12 cases, (B) no further therapy, 17 cases. The therapeutic efficacy of UFT was assessed pathologically at the second look laparotomy (SLL). Plasma levels of 5-FU, tegafur and uracil were determined once a month to check whether patients intake UFT regularly or not. There were no significant difference in the mean age, in the distribution of numbers of patients in FIGO stage and histological cell type, in the mean total doses of CDDP and doxorubicin given at the initial chemotherapy [CDDP: (A) 352 +/- 152 mg, (B) 464 +/- 192 mg, doxorubicin: (A) 118 +/- 76 mg, (B) 119 +/- 92 mg] and in the duration between the initial operation and the SLL [(A) 484 +/- 154 days, (B) 414 +/- 274 days] between the two groups. The mean periods in the administration of UFT were 484.3 +/- 154 days. Recurrence was identified at the SLL in 1 case (8.3%) at paraaortic lymph nodes in (A) and 3 cases (17.6%) at the mesenterium, cul-de-sac and ascitic fluids in (B). No significant difference of recurrence ratio was observed between the two. Further long-term observation is required to assess the advantage of administration of UFT.

摘要

对29例常见上皮来源的卵巢癌患者进行了研究,这些患者在初次手术和化疗后经计算机断层扫描证实无疾病证据。患者被随机分为两组:(A)口服优福定(1-(2-四氢呋喃基)-5-氟尿嘧啶与尿嘧啶混合),每日剂量300mg,共12例;(B)不进行进一步治疗,共17例。在二次剖腹探查(SLL)时通过病理评估优福定的治疗效果。每月测定一次血浆中5-氟尿嘧啶、替加氟和尿嘧啶的水平,以检查患者是否规律服用优福定。两组患者的平均年龄、国际妇产科联盟(FIGO)分期和组织学细胞类型的患者数量分布、初次化疗时顺铂和阿霉素的平均总剂量[顺铂:(A)352±152mg,(B)464±192mg;阿霉素:(A)118±76mg,(B)119±92mg]以及初次手术至SLL的时间间隔[(A)484±154天,(B)414±274天]均无显著差异。优福定的平均服用时间为484.3±154天。在(A)组中,SLL时在腹主动脉旁淋巴结发现1例复发(8.3%),在(B)组中,在肠系膜、直肠子宫陷凹和腹水处发现3例复发(17.6%)。两组之间未观察到复发率的显著差异。需要进一步长期观察以评估服用优福定的优势。

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